用于评估颈部疼痛运动员的功能评定指数的验证
Validation of the functional rating index for the assessment of athletes with neck pain.
作者信息
Naghdi Soofia, Nakhostin Ansari Noureddin, ShamsSalehi Somaye, Feise Ronald J, Entezary Ebrahim
机构信息
Soofia Naghdi, Noureddin Nakhostin Ansari, Somaye ShamsSalehi, Ebrahim Entezary, Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran 11489, Iran.
出版信息
World J Orthop. 2016 Aug 18;7(8):507-12. doi: 10.5312/wjo.v7.i8.507.
AIM
To validate the culturally-adapted Persian Functional Rating Index (PFRI) for assessing neck pain (NP) in athletes.
METHODS
In this cross-sectional study, 100 athletes with NP and 50 healthy athletes participated and responded to the PFRI. Fifty athletes with NP completed the PFRI for at least 7 d later to establish test-retest reliability.
RESULTS
The athletes with NP responded to all items, indicating excellent clinical utility. No floor and ceiling effects were found, indicating content validity and responsiveness. The PFRI revealed capability to discriminate between the athletes with NP and healthy athletes. The PFRI demonstrated strong correlation with the Numerical Rating Scale (Spearman's rho = 0.94), and the Persian Neck Disability Index (Pearson r = 0.995), supporting criterion and construct validity. Internal consistency reliability was high (Cronbach's α coefficient: 0.97). The test-retest reliability was excellent (ICCagreement = 0.96). The absolute reliability values of standard error of measurement and smallest detectable change were 3.2 and 8.84, respectively. An exploratory factor analysis yielded one factor explaining 78.03% of the total variance.
CONCLUSION
The PFRI is a valid and reliable measure of functional status in athletes with NP.
目的
验证经过文化适应性调整的波斯语功能评定指数（PFRI）用于评估运动员颈部疼痛（NP）的有效性。
方法
在这项横断面研究中，100名患有NP的运动员和50名健康运动员参与并对PFRI进行了回答。50名患有NP的运动员在至少7天后完成了PFRI以建立重测信度。
结果
患有NP的运动员对所有项目都有反应，表明具有出色的临床实用性。未发现地板效应和天花板效应，表明具有内容效度和反应度。PFRI显示出能够区分患有NP的运动员和健康运动员。PFRI与数字评定量表（Spearman相关系数=0.94）以及波斯语颈部功能障碍指数（Pearson相关系数=0.995）显示出强相关性，支持标准效度和结构效度。内部一致性信度较高（Cronbach'sα系数：0.97）。重测信度极佳（组内相关系数一致性=0.96）。测量标准误和最小可检测变化的绝对信度值分别为3.2和8.84。探索性因素分析产生了一个因素，解释了总方差的78.03%。
结论
PFRI是评估患有NP的运动员功能状态的有效且可靠的指标。
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