Keessen Paul, Maaskant Jolanda, Visser Bart
a Amsterdam University of Applied Sciences , ACHIEVE - Amsterdam Centre for Innovative Health Practice , Amsterdam , The Netherlands.
b Department of Clinical Epidemiology and Biostatistics , Amsterdam Medical Center, University of Amsterdam , Amsterdam , The Netherlands.
Physiother Theory Pract. 2018 Aug;34(8):629-636. doi: 10.1080/09593985.2017.1423428. Epub 2018 Jan 8.
The standardized Mensendieck test (SMT) was developed to quantify posture, movement, gait, and respiration. In the hands of an experienced therapist, the SMT is proven to be a reliable tool. It is unclear whether posture, movement, gait, and respiration are related to the degree of functional disability in patients with chronic pain. The objective of this study was to assess the reliability and convergent validity of the SMT in a heterogeneous sample of 50 patients with chronic pain.
Internal consistency was determined by Cronbach's α and interrater reliability by the intraclass correlation coefficient (ICC). Convergent validity was assessed by determining the Spearman rank correlation coefficient between the movement quality measured in the SMT and functional limitation measured on the disability rating index (DRI).
The internal consistency was Cronbach's α 0.91. Substantial reliability was found for the items: movement (ICC = 0.68), gait (ICC = 0.69), sitting posture (ICC = 0.63), and respiration (ICC = 0.64). Insufficient reliability was found for standing posture (ICC = 0.23). A moderate correlation was found between average test score SMT and the DRI (r = -0.37) and respiration and DRI (r = -0.45).
The SMT is a reasonably reliable tool to assess movement, gait, sitting posture, and respiration. None of the items in the domain standing posture has sufficient reliability. A thorough study of this domain should be considered. The results show little evidence for convergent validity. Several items of the SMT correlated moderately with functional limitation with the DRI. These items were global movement, hip flexion, pelvis rotation, and all respiration items.
标准化门森迪克测试（SMT）旨在对姿势、运动、步态和呼吸进行量化。在经验丰富的治疗师手中，SMT被证明是一种可靠的工具。目前尚不清楚姿势、运动、步态和呼吸是否与慢性疼痛患者的功能残疾程度相关。本研究的目的是评估SMT在50例慢性疼痛患者的异质性样本中的可靠性和收敛效度。
通过克朗巴哈α系数确定内部一致性，通过组内相关系数（ICC）确定评分者间信度。通过确定SMT中测量的运动质量与残疾评定指数（DRI）上测量的功能受限之间的斯皮尔曼等级相关系数来评估收敛效度。
内部一致性为克朗巴哈α系数0.91。在以下项目中发现了较高的信度：运动（ICC = 0.68）、步态（ICC = 0.69）、坐姿（ICC = 0.63）和呼吸（ICC = 0.64）。站立姿势的信度不足（ICC = 0.23）。发现SMT平均测试分数与DRI之间存在中度相关性（r = -0.37），呼吸与DRI之间存在中度相关性（r = -0.45）。
SMT是评估运动、步态、坐姿和呼吸的一种相当可靠的工具。站立姿势领域中的所有项目均没有足够的信度。应考虑对该领域进行深入研究。结果显示收敛效度的证据不足。SMT的几个项目与DRI的功能受限存在中度相关性。这些项目包括整体运动、髋关节屈曲、骨盆旋转以及所有呼吸项目。
