Department of Community Medicine and Rehabilitation - Physiotherapy Section, Umeå University, Umeå, Sweden.
Department of Health Sciences - Physiotherapy Section, Luleå University of Technology, Luleå, Sweden.
BMJ Open. 2019 Apr 4;9(4):e027241. doi: 10.1136/bmjopen-2018-027241.
An anterior cruciate ligament (ACL) injury affects knee proprioception and sensorimotor control and might contribute to an increased risk of a second ACL injury and secondary knee osteoarthritis. Therefore, there is a growing need for valid, reliable and responsive knee proprioception tests. No previous study has comprehensively reviewed all the relevant psychometric properties (PMPs) of these tests together. The aim of this review protocol is to narrate the steps involved in synthesising the evidence for the PMPs of specific knee proprioception tests among individuals with an ACL injury and knee-healthy controls.
The Preferred Reporting Items for Systematic reviews and Meta-Analyses will be followed to report the review. A combination of four conceptual groups of terms-(1) construct (knee proprioception), (2) target population (healthy individuals and those with an ACL injury managed conservatively or with a surgical reconstruction), (3) measurement instrument (specific knee proprioception tests) and (4) PMPs (reliability, validity and responsiveness)-will be used for electronic databases search. PubMed, AMED, CINAHL, SPORTDiscus, Web of Science, Scopus, the Cochrane Central Register of Controlled Trials and ProQuest will be searched from their inception to November 2018. Two reviewers will independently screen titles, abstracts and full text articles, extract data and perform risk of bias assessment using the updated COnsensus-based Standards for the selection of health Measurement INstruments risk of bias checklist for the eligible studies. A narrative synthesis of the findings and a meta-analysis will be attempted as appropriate. Each PMP of knee proprioception tests will be classified as 'sufficient', 'indeterminate' or 'insufficient'. The overall level of evidence will be ascertained using an established set of criteria.
Ethical approval or patient consent is not required for a systematic review. The review findings will be submitted as a series of manuscripts for peer-review and publication in scientific journals.
CRD42018108014.
前交叉韧带（ACL）损伤会影响膝关节本体感觉和感觉运动控制，并且可能会增加再次 ACL 损伤和继发性膝关节骨关节炎的风险。因此，现在非常需要有效的、可靠的和敏感的膝关节本体感觉测试。以前没有研究综合评估过所有这些测试的相关心理测量学特性（PMP）。本综述方案的目的是叙述综合 ACL 损伤和膝关节健康对照者的特定膝关节本体感觉测试的 PMP 证据的步骤。
本综述将遵循系统评价和荟萃分析的首选报告项目来报告。将使用四个概念性术语组（1）结构（膝关节本体感觉）、（2）目标人群（健康个体和接受保守治疗或手术重建的 ACL 损伤个体）、（3）测量仪器（特定膝关节本体感觉测试）和（4）PMP（可靠性、有效性和敏感性）来进行电子数据库搜索。将从各数据库建立时间开始至 2018 年 11 月检索 PubMed、AMED、CINAHL、SPORTDiscus、Web of Science、Scopus、Cochrane 对照试验中心注册库和 ProQuest。两名评审员将独立筛选标题、摘要和全文文章，使用更新的共识基础健康测量仪器选择标准风险偏倚检查表对合格研究进行数据提取和风险偏倚评估。将根据需要对结果进行叙述性综合分析和荟萃分析。每个膝关节本体感觉测试的 PMP 将被分类为“充分”、“不确定”或“不足”。将使用一套既定标准确定整体证据水平。
系统评价不需要伦理批准或患者同意。综述结果将作为一系列同行评审和发表在科学期刊上的手稿提交。
PROSPERO 注册号：CRD42018108014。
