Health and Social Care Institute, Teesside University, Middlesbrough, Tees Valley, TS1 3BX, United Kingdom; Hochschule für Gesundheit, Department of Applied Health Sciences, Gesundheitscampus 6-8, 44801, Bochum, Germany.
Health and Social Care Institute, Teesside University, Middlesbrough, Tees Valley, TS1 3BX, United Kingdom.
Musculoskelet Sci Pract. 2018 Jun;35:73-83. doi: 10.1016/j.msksp.2018.02.007. Epub 2018 Mar 2.
Deficits in the sensorimotor system and its peripheral and central processing of the affected body part might be a contributing factor to chronic low back pain (CLBP). Hence, sensorimotor assessment is important. Valid and reliable sensorimotor measurement instruments are needed.
To investigate the reliability and validity of sensorimotor measurement instruments for people with chronic low back pain (CLBP).
Systematic review and meta-analysis.
The review was undertaken using the COSMIN guidelines. Databases were searched for studies investigating the clinimetric properties of sensorimotor tests in people with CLBP. The methodological study quality was rated by two independent reviewers using the COSMIN 4-point rating checklist.
Ten studies were included covering six sensorimotor measurement instruments with findings for reliability/measurement error, known-groups validity and convergent validity. The methodological quality ranged from poor to good, with only one study rated as good. There was insufficient evidence of enough quality to assess reliability/measurement error or convergent validity. Two-point discrimination, laterality judgement and movement control tests had moderate evidence supporting their ability to distinguish between healthy people and those with CLBP.
Two-point discrimination, laterality judgment and movement control tests demonstrate the greatest level of known-groups validity for people with CLBP. However, as the reliability of these measurement tools has yet to be established, this validity data should be interpreted cautiously. Further research is warranted to investigate the clinimetric properties of these sensorimotor techniques.
感觉运动系统及其受影响身体部位的外周和中枢处理缺陷可能是慢性下腰痛（CLBP）的一个促成因素。因此，感觉运动评估很重要。需要有效的、可靠的感觉运动测量仪器。
研究用于慢性下腰痛（CLBP）患者的感觉运动测量仪器的可靠性和有效性。
系统回顾和荟萃分析。
该综述按照 COSMIN 指南进行。检索数据库中研究 CLBP 患者感觉运动测试临床计量学特性的研究。使用 COSMIN 4 分制评定检查表，由两名独立的审查员对方法学研究质量进行评分。
纳入了 10 项研究，涵盖了 6 种感觉运动测量仪器，其研究结果涉及可靠性/测量误差、已知组有效性和收敛有效性。方法学质量从差到好不等，只有一项研究被评为良好。没有足够高质量的证据来评估可靠性/测量误差或收敛有效性。两点辨别、偏侧性判断和运动控制测试有中度证据支持其区分健康人和 CLBP 患者的能力。
两点辨别、偏侧性判断和运动控制测试对 CLBP 患者具有最大程度的已知组有效性。然而，由于这些测量工具的可靠性尚未确定，因此应谨慎解释这些有效性数据。需要进一步的研究来调查这些感觉运动技术的临床计量学特性。
