基于表现的功能测试在肩部病变患者中的心理测量学特性：系统评价和荟萃分析。
Psychometric Properties of Performance-Based Functional Tests in Patients With Shoulder Pathologies: A Systematic Review and Meta-analysis.
机构信息
School of Physical Therapy, Faculty of Health Science, Western University, London, Ontario, Canada; Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, Ontario, Canada.
School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
出版信息
Arch Phys Med Rehabil. 2020 Jun;101(6):1053-1063. doi: 10.1016/j.apmr.2019.11.011. Epub 2019 Dec 28.
OBJECTIVES
To identify, critically appraise, and synthesize the reported psychometric properties of shoulder performance-based functional tests in patients with shoulder diseases.
DATA SOURCES
MEDLINE, Embase, Scopus, and Cumulative Index to Nursing and Allied Health databases from inception until March 2019 were searched.
STUDY SELECTION
Randomized/prospective studies of patients with shoulder diseases that reported on the psychometric properties (reliability, validity, responsiveness) of performance-based functional tests (Standardized Index of Shoulder Function [FI2S], Functional Impairment Test-Hand and Neck/Shoulder/Arm, Closed Kinetic Chain Upper Extremity Stability Test, Timed Functional Arm and Shoulder Test, Shoulder Function Index [SFInX], and hand to neck, scapula, and opposite scapula).
DATA EXTRACTION
We used the Consensus-Based Standards for the Selection of Health Measurement Instruments 2018 guideline for systematic reviews. We performed a qualitative synthesis in which the results were summarized based on reported measurement properties and study quality.
DATA SYNTHESIS
Eight eligible studies were included with 28 measures (16 reliability; 10 validity; 2 responsiveness). Performance-based functional tests reliability (test-retest, intra- and interrater) measures indicated excellent reliability properties. Intraclass correlation coefficient (ICC) was ≥0.83 and standard error of the mean (SEM) ranged from 0.03-13.3 points. Validity (construct/convergent/concurrent) measures displayed correlations of -0.76 to 0.91 between performance-based functional tests and other patient-reported outcomes (Disabilities of the Arm, Shoulder, and Hand, Constant, Shoulder Pain and Disability Index). Two studies assessed the responsiveness measures performance-based functional tests. Effect sizes of 0.44 and 1.50 and minimal clinically important differences of 10.3 using the anchor-based approach were reported.
CONCLUSIONS
The FI2S and the SFInX are reliable, valid, and responsive in patients with shoulder-related diseases.
目的
确定、批判性评价并综合肩部疾病患者的基于表现的功能测试的报告心理测量学特性。
资料来源
从开始到 2019 年 3 月，在 MEDLINE、Embase、Scopus 和 Cumulative Index to Nursing and Allied Health 数据库中进行了搜索。
研究选择
针对肩部疾病患者的随机/前瞻性研究，报告了基于表现的功能测试（标准化肩部功能指数[FI2S]、功能障碍测试-手和颈部/肩部/手臂、闭合动力链上肢稳定性测试、计时功能手臂和肩部测试、肩部功能指数[SFInX]以及手到颈部、肩胛骨和对侧肩胛骨）的心理测量学特性（可靠性、有效性、反应性）。
资料提取
我们使用 2018 年共识标准用于健康测量仪器选择的指南进行了系统评价。我们进行了定性综合，根据报告的测量特性和研究质量对结果进行了总结。
资料综合
有 8 项合格研究纳入了 28 项措施（16 项可靠性；10 项有效性；2 项反应性）。基于表现的功能测试可靠性（测试-再测试、内部和内部观察者）测量指标显示出极好的可靠性特性。组内相关系数（ICC）≥0.83，平均标准误差（SEM）范围为 0.03-13.3 分。有效性（结构/收敛/同时）测量指标显示，基于表现的功能测试与其他患者报告的结果（手臂、肩部和手功能障碍、常数、肩部疼痛和残疾指数）之间的相关性为-0.76 至 0.91。有两项研究评估了基于表现的功能测试的反应性测量指标。使用基于锚定的方法报告了 0.44 和 1.50 的效应大小和 10.3 的最小临床重要差异。
结论
FI2S 和 SFInX 在肩部相关疾病患者中具有可靠性、有效性和反应性。
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