慢性多因素颈部疼痛患者颈部功能能力评估测试的可靠性与一致性
Reliability and Agreement of Neck Functional Capacity Evaluation Tests in Patients With Chronic Multifactorial Neck Pain.
作者信息
Reneman M F, Roelofs M, Schiphorst Preuper H R
机构信息
University Medical Center Groningen, Department of Rehabilitation Medicine, Center for Rehabilitation, University of Groningen, Groningen, The Netherlands.
University Medical Center Groningen, Department of Rehabilitation Medicine, Center for Rehabilitation, University of Groningen, Groningen, The Netherlands; Sophia Rehabilitation Center, Den Haag, The Netherlands.
出版信息
Arch Phys Med Rehabil. 2017 Jul;98(7):1476-1479. doi: 10.1016/j.apmr.2016.12.005. Epub 2016 Dec 31.
OBJECTIVES
To analyze test-retest reliability and agreement, and to explore the safety of neck functional capacity evaluation (Neck-FCE) tests in patients with chronic multifactorial neck pain.
DESIGN
Test-retest; 2 FCE sessions were held with a 2-week interval.
SETTING
University-based outpatient rehabilitation center.
PARTICIPANTS
Individuals (N=18; 14 women) with a mean age of 34 years.
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURES
The Neck-FCE protocol consists of 6 tests: lifting waist to overhead (kg), 2-handed carrying (kg), overhead working (s), bending and overhead reaching (s), and repetitive side reaching (left and right) (s). Intraclass correlation coefficients (ICCs) and limits of agreement (LoA) were calculated. ICC point estimates between .75 and .90 were considered as good, and >.90 were considered as excellent reliability.
RESULTS
ICC point estimates ranged between .39 and .96. Ratios of the LoA ranged between 32.0% and 56.5%. Mean ± SD numeric rating scale pain scores in the neck and shoulder 24 hours after the test were 6.7±2.6 and 6.3±3.0, respectively.
CONCLUSIONS
Based on ICC point estimates and 95% confidence intervals, 3 tests had excellent reliability and 3 had poor reliability. LoA were substantial in all 6 tests. Safety was confirmed.
目的
分析重测信度和一致性，并探讨慢性多因素颈部疼痛患者颈部功能能力评估（Neck-FCE）测试的安全性。
设计
重测；进行两次FCE测试，间隔2周。
地点
大学门诊康复中心。
参与者
平均年龄34岁的个体（N = 18；14名女性）。
干预措施
不适用。
主要观察指标
Neck-FCE方案包括6项测试：腰部举至头顶（千克）、双手搬运（千克）、头顶作业（秒）、弯腰及头顶够物（秒）以及重复侧方够物（左右）（秒）。计算组内相关系数（ICC）和一致性界限（LoA）。ICC点估计值在0.75至0.90之间被认为良好，大于0.90被认为具有优秀的信度。
结果
ICC点估计值在0.39至0.96之间。LoA的比率在32.0%至56.5%之间。测试后24小时颈部和肩部的平均±标准差数字评分量表疼痛评分分别为6.7±2.6和6.3±3.0。
结论
根据ICC点估计值和95%置信区间，3项测试具有优秀的信度，3项测试信度较差。所有6项测试的LoA都很大。安全性得到证实。
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