McGee Steven, Sipos Taylor, Allin Thomas, Chen Celia, Greco Alexandra, Bobos Pavlos, MacDermid Joy
School of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, Ontario, Canada.
School of Physical Therapy, Health and Rehabilitation Sciences, Western University, London, Ontario, Canada
BMJ Open. 2019 Nov 24;9(11):e031242. doi: 10.1136/bmjopen-2019-031242.
The purpose of this systematic review is to identify and synthesise studies evaluating performance-based functional outcome measures designed to evaluate the functional abilities of patients with neck pain.
Systematic review.
A literature search using PubMed, Scopus, CINAHL, EMBASE, COCHRANE, Google Scholar and a citation mapping strategy was conducted until July 2019.
More than half of the study's patient population had neck pain or a musculoskeletal neck disorder and completed a functional-based test. Clinimetric properties of at least one performance-based functional tests were reported. Both traumatic and non-traumatic origins of neck pain were considered.
Relevant data were then extracted from selected articles using an extraction guide. Selected articles were appraised using the Quality Appraisal for Clinical Measurement Research Reports Evaluation Form (QACMRR).
The search obtained 12 articles which reported on four outcome measures (functional capacity evaluations (FCE), Baltimore Therapeutic Equipment Work Simulator II (BTEWS II), Functional Impairment Test-Hand and Neck/Shoulder/Arm (FIT-HaNSA)) and a physiotherapy test package, to assess the functional abilities in patients with mechanical neck pain. Of the selected papers: one reports content validity, five construct validity, four reliability, one sensitivity to change and one both reliability and construct validity. QACMRR scores ranged from 68% to 95%.
This review found very good quality evidence that the FIT-HaNSA has excellent inter and intra-rater reliability and very weak to weak convergent validity. Excellent quality evidence of fair test-retest reliability, weak convergent validity and very weak known groups validity for the BTEWS II test was found. Good to excellent quality evidence exists that an FCE battery has poor to excellent reliability and very weak to strong validity. Good to excellent quality of weak to strong validity and trivial to strong effect sizes were found for a physiotherapy test package.
CRD42018112358.
本系统评价的目的是识别和综合评估基于表现的功能结局指标的研究，这些指标旨在评估颈痛患者的功能能力。
系统评价。
截至2019年7月，使用PubMed、Scopus、CINAHL、EMBASE、COCHRANE、谷歌学术进行文献检索，并采用引文映射策略。
研究中超过一半的患者群体患有颈痛或肌肉骨骼颈部疾病，并完成了基于功能的测试。报告了至少一项基于表现的功能测试的临床测量属性。颈痛的创伤性和非创伤性病因均被考虑。
然后使用提取指南从选定的文章中提取相关数据。使用临床测量研究报告评估表的质量评估（QACMRR）对选定的文章进行评估。
检索获得12篇文章，这些文章报告了四种结局指标（功能能力评估（FCE）、巴尔的摩治疗设备工作模拟器II（BTEWS II）、功能障碍测试-手和颈/肩/臂（FIT-HaNSA））以及一个物理治疗测试包，以评估机械性颈痛患者的功能能力。在选定的论文中：一篇报告了内容效度，五篇报告了结构效度，四篇报告了信度，一篇报告了对变化的敏感性，一篇报告了信度和结构效度。QACMRR评分范围为68%至95%。
本评价发现质量非常好的证据表明，FIT-HaNSA具有出色的评分者间和评分者内信度以及非常弱至弱的收敛效度。发现质量优秀的证据表明，BTEWS II测试具有良好的重测信度、弱收敛效度和非常弱的已知组效度。存在质量良好至优秀的证据表明，FCE组合具有差至优秀的信度以及非常弱至强的效度。对于一个物理治疗测试包，发现质量良好至优秀，效度弱至强，效应大小微不足道至强。
PROSPERO注册号：CRD42018112358。
