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用于肩部肌肉骨骼疾病患者的患者报告结局问卷的心理测量学特性。

Psychometric properties of patient-reported outcome questionnaires for patients with musculoskeletal disorders of the shoulder.

机构信息

Dr. İsmail Atabek Physical Therapy and Rehabilitation Center, Kahramanlar Mah. Can Kulduk Sok. No: 16 Konak, Izmir, Turkey.

Department of Physical Therapy and Rehabilitation, Health Science Faculty, European University of Lefke, Lefke, North Cyprus.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2019 Oct;27(10):3188-3202. doi: 10.1007/s00167-019-05369-7. Epub 2019 Feb 9.

DOI:10.1007/s00167-019-05369-7
PMID:30739129
Abstract

PURPOSE

To evaluate the psychometric properties of self-administered patient-reported outcome (PRO) questionnaires which were used in non-surgical homogeneous populations with musculoskeletal shoulder disorders.

METHODS

The included studies were identified using eligibility criteria. The methodological quality of each article was assessed using the COSMIN checklist. The psychometric properties of original versions and translated versions of PROs were also assessed.

RESULTS

Twenty articles were included. Two musculoskeletal shoulder disorders were identified that met the selection criteria: rotator cuff disease and glenohumeral instability. A total of 11 PROs were identified. In general, the methodological quality of the included studies is fair or poor. The Western Ontario Rotator Cuff Index (WORC) and the Shoulder Pain and Disability Index (SPADI) are the most frequently evaluated PROs for patients with rotator cuff disease, and their psychometric properties seem to vary according to what language that they are in. For glenohumeral instability, the Western Ontario Shoulder Instability Index (WOSI) and the Oxford Instability Shoulder Score (OISS) are the most frequently evaluated PROs, and their psychometric properties seem to be adequate.

CONCLUSION

Using for rotator cuff disease is advised, for Norwegian users, the SPADI, WORC, Oxford Shoulder Score, and disabilities of the arm, shoulder and hand. Dutch and Persian users could use the WORC. For Greek speakers, the SPADI is recommended. Turkish users could use the rotator cuff quality-of-life measure. For glenohumeral instability, Dutch and Norwegian speakers could use the WOSI and the OISS. Italian, Japanese, and Turkish users could use the WOSI. For English users, the OISS and the Shoulder Rating Questionnaire are recommended.

LEVEL OF EVIDENCE

III.

摘要

目的

评估用于患有肌肉骨骼肩部疾病的非手术同质人群的自我报告的患者报告结局(PRO)问卷的心理测量学特性。

方法

使用纳入标准确定纳入的研究。使用 COSMIN 清单评估每篇文章的方法学质量。还评估了 PRO 的原始版本和翻译版本的心理测量学特性。

结果

共纳入 20 篇文章。确定了符合选择标准的两种肌肉骨骼肩部疾病:肩袖疾病和肩盂肱不稳定。共确定了 11 种 PRO。总体而言,纳入研究的方法学质量为一般或较差。Western Ontario Rotator Cuff Index(WORC)和 Shoulder Pain and Disability Index(SPADI)是评估肩袖疾病患者最常用的 PRO,其心理测量学特性似乎因语言而异。对于肩盂肱不稳定,Western Ontario Shoulder Instability Index(WOSI)和 Oxford Instability Shoulder Score(OISS)是评估最常用的 PRO,其心理测量学特性似乎是足够的。

结论

建议用于肩袖疾病,挪威使用者使用 SPADI、WORC、Oxford 肩部评分和上肢、肩部和手部的残疾。荷兰语和波斯语使用者可以使用 WORC。对于希腊语使用者,建议使用 SPADI。土耳其语使用者可以使用肩袖生活质量量表。对于肩盂肱不稳定,荷兰语和挪威语使用者可以使用 WOSI 和 OISS。意大利语、日语和土耳其语使用者可以使用 WOSI。对于英语使用者,建议使用 OISS 和肩部评分问卷。

证据水平

III。

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The minimal clinically important difference raised the significance of outcome effects above the statistical level, with methodological implications for future studies.
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