Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.
Physical Therapy Department, College of Applied Medical Science, University of Tabuk, Tabuk, Saudi Arabia.
Spine (Phila Pa 1976). 2021 Sep 15;46(18):E985-E997. doi: 10.1097/BRS.0000000000003969.
A systematic review.
To summarize evidence on measurement properties of Outcome Measures (OM) used to assess physical functioning in adolescents with idiopathic scoliosis (AIS).
The AIS is a common spine deformity in those aged 10 to 18 years old. Associated health problems (e.g., back pain) significantly impact the quality of life (QoL). One important domain in QoL is physical functioning, which can be measured with patient-reported outcome measures (PROM), performance-based outcome measures (PBOM), and body structure and function OM. Adequate measurement properties of OM are important for precision in research and practice.
A two-staged search strategy was performed on electronic databases up to December 2019. Search one revealed a list of OM was used for physical functioning assessment in AIS. Search two identified studies that evaluated the measurement properties of OM in AIS; using the list identified in search one. Two independent reviewers determined study eligibility, risk of bias assessment (COnsensus-based Standards for the selection of health Measurement INstruments [COSMIN] checklist), and performed data extraction. The level of evidence was established using a modified GRADE approach.
Search one yielded: 28 PROM, 20 PBOM, and 10 body structure and function OM. Search two revealed: 16 measurement properties studies for PROM, one for PBOM, and three for body structure and function measures. Construct validity, reliability, and responsiveness of most PROM has been established in AIS, but not content validity or internal consistency (moderate evidence). Construct validity was sufficient for the Timed Up and Go test and body structure and function measures (very low to low evidence).
Currently, physical functioning is evaluated with a variety of measures in AIS. The majority of measurement properties studies evaluated PROM with a paucity of information on measurement properties of PBOM and body structure and function OM. Based on COSMIN methodology, none of the OM identified in this review can be recommended with confidence in individuals with AIS.Level of Evidence: 2.
系统评价。
总结用于评估特发性脊柱侧凸（AIS）青少年身体功能的测量工具（OM）的测量特性证据。
AIS 是 10 至 18 岁人群中常见的脊柱畸形。相关健康问题（例如，背痛）会严重影响生活质量（QoL）。QoL 的一个重要领域是身体功能，可使用患者报告的结局测量（PROM）、基于表现的结局测量（PBOM）和身体结构和功能 OM 进行测量。OM 的充分测量特性对于研究和实践的精确性非常重要。
在电子数据库中进行了两阶段搜索策略，截至 2019 年 12 月。搜索 1 显示了用于 AIS 身体功能评估的 OM 列表。搜索 2 确定了评估 AIS 中 OM 测量特性的研究；使用搜索 1 中确定的列表。两名独立审查员确定了研究的合格性、偏倚风险评估（基于共识的健康测量工具选择标准[COSMIN]清单），并进行了数据提取。使用改良的 GRADE 方法确定证据水平。
搜索 1 产生了：28 个 PROM、20 个 PBOM 和 10 个身体结构和功能 OM。搜索 2 显示了：16 个 PROM 测量特性研究、1 个 PBOM 研究和 3 个身体结构和功能测量研究。在 AIS 中，大多数 PROM 的结构有效性、可靠性和反应性已经得到了确立，但内容有效性或内部一致性（中等证据）尚未得到确立。结构有效性对于计时上和走测试和身体结构和功能测量是足够的（极低至低证据）。
目前，AIS 中使用各种测量方法来评估身体功能。大多数测量特性研究评估了 PROM，而关于 PBOM 和身体结构和功能 OM 的测量特性信息很少。根据 COSMIN 方法，本综述中确定的 OM 均不能在 AIS 患者中被自信地推荐。
2。
