Araujo Francisco Xavier de, Ferreira Giovanni Esteves, Scholl Schell Maurício, Castro Marcelo Peduzzi de, Silva Marcelo Faria, Ribeiro Daniel Cury
Physical Therapy Department, Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil.
Physical Therapy Department, Centro Universitário Ritter dos Reis (UniRitter), Laureate International Universities, Porto Alegre, Brazil.
BMJ Open. 2018 Feb 22;8(2):e019486. doi: 10.1136/bmjopen-2017-019486.
Neck pain is the leading cause of years lived with disability worldwide and it accounts for high economic and societal burden. Altered activation of the neck muscles is a common musculoskeletal impairment presented by patients with neck pain. The craniocervical flexion test with pressure biofeedback unit has been widely used in clinical practice to assess function of deep neck flexor muscles. This systematic review will assess the measurement properties of the craniocervical flexion test for assessing deep cervical flexor muscles.
This is a protocol for a systematic review that will follow the Preferred Reporting Items for Systematic Review and Meta-Analysis statement. MEDLINE (via PubMed), EMBASE, PEDro, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus and Science Direct will be systematically searched from inception. Studies of any design that have investigated and reported at least one measurement property of the craniocervical flexion test for assessing the deep cervical flexor muscles will be included. All measurement properties will be considered as outcomes. Two reviewers will independently rate the risk of bias of individual studies using the updated COnsensus-based Standards for the selection of health Measurement Instruments risk of bias checklist. A structured narrative synthesis will be used for data analysis. Quantitative findings for each measurement property will be summarised. The overall rating for a measurement property will be classified as 'positive', 'indeterminate' or 'negative'. The overall rating will be accompanied with a level of evidence.
Ethical approval and patient consent are not required since this is a systematic review based on published studies. Findings will be submitted to a peer-reviewed journal for publication.
CRD42017062175.
颈部疼痛是全球因残疾而导致生活年限减少的首要原因，且造成了高昂的经济和社会负担。颈部肌肉激活异常是颈部疼痛患者常见的肌肉骨骼损伤。使用压力生物反馈装置的颅颈屈曲试验已在临床实践中广泛用于评估颈深屈肌的功能。本系统评价将评估用于评估颈深屈肌的颅颈屈曲试验的测量属性。
这是一项系统评价方案，将遵循系统评价和Meta分析的首选报告项目声明。将从创刊号开始系统检索MEDLINE（通过PubMed）、EMBASE、PEDro、Cochrane对照试验中央注册库（CENTRAL）、Scopus和科学Direct。将纳入任何设计的研究，这些研究调查并报告了用于评估颈深屈肌的颅颈屈曲试验的至少一种测量属性。所有测量属性都将被视为结果。两名评价者将使用更新后的基于共识的健康测量工具选择的偏倚风险清单，独立对各个研究的偏倚风险进行评分。将使用结构化叙述性综合法进行数据分析。将总结每个测量属性的定量结果。测量属性的总体评分将分为“阳性”、“不确定”或“阴性”。总体评分将伴有证据水平。
由于这是一项基于已发表研究的系统评价，因此不需要伦理批准和患者同意。研究结果将提交给同行评审期刊发表。
PROSPERO注册号：CRD42017062175。
