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有氧能力测量指标在神经肌肉疾病中的测量性能:系统评价。

Measurement Properties of Aerobic Capacity Measures in Neuromuscular Diseases: A Systematic Review.

机构信息

Amsterdam Universitair Medische Centra (UMC), University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam Movement Sciences.

Amsterdam UMC, University of Amsterdam, Medical Library, Meibergdreef 9, Amsterdam, The Netherlands.

出版信息

J Rehabil Med. 2022 Jun 20;54:jrm00289. doi: 10.2340/jrm.v54.547.

DOI:10.2340/jrm.v54.547
PMID:35307744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9252093/
Abstract

OBJECTIVE

To systematically evaluate the measurement properties of aerobic capacity measures in neuromuscular diseases.

DATA SOURCES

MEDLINE, EMBASE, SportDiscus and Web of Science Conference Proceedings Citation Index - Science were systematically searched from inception until 30 June 2021.

STUDY SELECTION AND DATA EXTRACTION

Screening, data extraction, risk of bias assessment and quality assessment were performed by 2 independent researchers. Studies were included if they evaluated measurement properties of aerobic capacity measures in adults with neuromuscular diseases. Risk of bias was assessed using the COnsensus based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. Results were pooled and the quality of the evidence was determined using a modified Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach.

DATA SYNTHESIS

Nine studies including 187 participants were included in this review. Low quality of evidence was found for sufficient content validity of peak oxygen consumption through maximal exercise testing. Criterion validity of 4 out of 7 different measures to predict peak oxygen consumption was sufficient; however, quality of evidence was low or very low for all measures. No studies were found evaluating reliability or responsiveness.

CONCLUSION

There was a lack of high-quality studies with sufficiently large sample sizes that evaluated the measurement properties of aerobic capacity measures in neuromuscular diseases.

摘要

目的

系统评价神经肌肉疾病中有氧运动能力测量指标的测量性能。

资料来源

从建库到 2021 年 6 月 30 日,系统地检索了 MEDLINE、EMBASE、SportDiscus 和 Web of Science 会议论文集引文索引-科学。

研究选择和数据提取

由 2 名独立研究人员进行筛选、数据提取、偏倚风险评估和质量评估。如果研究评估了神经肌肉疾病成人有氧运动能力测量指标的测量性能,则将其纳入研究。使用基于共识的健康状况测量仪器选择标准(COSMIN)清单评估偏倚风险。汇总结果并使用改良的推荐评估、制定和评估(GRADE)方法确定证据质量。

数据综合

本综述共纳入 9 项研究,包括 187 名参与者。通过最大运动测试评估最大摄氧量的充分内容效度的证据质量为低。7 种不同指标中有 4 种指标预测最大摄氧量的标准效度是充分的;然而,所有指标的证据质量均为低或极低。没有研究评估可靠性或反应性。

结论

缺乏高质量、足够大样本量的研究,这些研究评估了神经肌肉疾病中有氧运动能力测量指标的测量性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead9/9252093/ff082a1e3f27/JRM-54-547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead9/9252093/ff082a1e3f27/JRM-54-547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ead9/9252093/ff082a1e3f27/JRM-54-547-g001.jpg

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Diminished muscle oxygen uptake and fatigue in spinal muscular atrophy.脊髓性肌萎缩症中的肌肉氧摄取减少和疲劳。
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Measuring the effects of exercise in neuromuscular disorders: a systematic review and meta-analyses.
测量运动对神经肌肉疾病的影响:一项系统评价和荟萃分析。
Wellcome Open Res. 2020 May 4;5:84. doi: 10.12688/wellcomeopenres.15825.1. eCollection 2020.
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The heart of the matter: years-saved from cardiovascular and cancer deaths in an elite athlete cohort with over a century of follow-up.关键在于:在一个拥有一个多世纪随访记录的精英运动员队列中,从心血管和癌症死亡中挽救了数年生命。
Eur J Epidemiol. 2018 Jun;33(6):531-543. doi: 10.1007/s10654-018-0401-0. Epub 2018 May 5.
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COSMIN guideline for systematic reviews of patient-reported outcome measures.COSMIN 患者报告结局测量系统评价指南。
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