Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, Centre for Musculoskeletal Research, University of Gävle, Gävle, Sweden.
Disabil Rehabil. 2020 Jan;42(2):163-172. doi: 10.1080/09638288.2018.1495274. Epub 2018 Oct 16.
The purpose was to investigate how physical function is assessed in people with musculoskeletal disorders in the low back. Specifically:Which questionnaires are used to assess physical function in people with musculoskeletal disorders in the low back?What aspects of physical function do those questionnaires measure?What are the measurement properties of the questionnaires? A systematic review was performed to identify questionnaires and psychometric evaluations of them. The content of the questionnaires was categorised according to the International Classification of Function, Disability and Health, and the psychometric evaluations were categorised using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist. The questionnaires measured disability or ability to cope in everyday life, rather than physical function as such. Different aspects of a person's mobility and ability to attend to one's personal care were most often included regarding activity and participation. For body functions, items about sleep and pain were most often included. The Oswestry Disability Index and the Quebec Back Pain Disability Scale showed adequate psychometric properties in most evaluations. The extent of psychometric evaluations differed substantially, as did the items included. Focus of measurement was predominantly on activities in daily life.Implications for rehabilitationValid and reliable instruments that measure relevant aspects of low back disorders are needed to provide early diagnostics and effective treatment.Most questionnaires need more psychometric evaluations to establish the quality.The Oswestry Disability Index and the Quebec Back Pain Disability Scale showed adequate psychometric properties in most evaluations.The results may be useful when making decisions about which measurement instruments to use when evaluating low back disorders.
目的是研究在患有下腰痛的肌肉骨骼疾病患者中如何评估身体功能。具体而言：哪些问卷用于评估患有下腰痛的肌肉骨骼疾病患者的身体功能？这些问卷测量身体功能的哪些方面？问卷的测量特性是什么？进行了系统评价以确定问卷及其心理测量评估。根据国际功能、残疾和健康分类对问卷的内容进行了分类，并使用共识基础健康测量仪器选择标准 (COSMIN) 清单对心理测量评估进行了分类。问卷测量残疾或日常生活中的应对能力，而不是身体功能本身。在活动和参与方面，通常最常包括一个人的移动性和自理能力的不同方面。对于身体功能，最常包括有关睡眠和疼痛的项目。在大多数评估中，Oswestry 残疾指数和魁北克腰痛残疾量表显示出足够的心理测量特性。心理测量评估的程度差异很大，包括的项目也不同。测量重点主要集中在日常生活中的活动上。
康复的意义需要有效的治疗方法，以提供早期诊断和治疗。需要有更多经过充分验证和可靠的工具来测量相关方面的疾病，以提供早期诊断和有效的治疗。大多数问卷都需要更多的心理测量评估来确定其质量。在大多数评估中，Oswestry 残疾指数和魁北克腰痛残疾量表都显示出足够的心理测量特性。在评估下腰痛疾病时，这些结果可能有助于决策使用哪种测量工具。
