采用改良评分系统的功能性动作筛查（Functional Movement Screen™）对青年腰痛患者的可靠性和有效性
Reliability and Validity of the Functional Movement Screen™ with a Modified Scoring System for Young Adults with Low Back Pain.
作者信息
Alkhathami Khalid, Alshehre Yousef, Wang-Price Sharon, Brizzolara Kelli
机构信息
Department of Health Rehabilitation, Shaqra University.
Physical Therapy Department, University of Tabuk.
出版信息
Int J Sports Phys Ther. 2021 Jun 1;16(3):620-627. doi: 10.26603/001c.23427. eCollection 2021.
BACKGROUND
Low back pain (LBP) is one of the most common complaints in individuals who seek medical care and is a leading cause of movement impairments. The Functional Movement Screen (FMS™) was developed to evaluate neuromuscular impairments during movement. However, the reliability and validity of the FMS™ have not yet been established for the LBP population because of a limitation of its original scoring system.
PURPOSE
The purposes of this study were to determine the reliability and validity of the FMS™ with a modified scoring system in young adults with and without LBP. The FMS™ scores were modified by assigning a zero score only when there was an increase in LBP during the FMS™, not simply for the presence of pain, as in the original FMS™ scoring system.
STUDY DESIGN
Reliability and validity study.
METHODS
Twenty-two participants with LBP (8 males and 14 females, 26.7 ± 4.68 years old) and 22 age- and gender-matched participants without LBP (26.64 ± 4.20 years old) completed the study. Each participant performed the FMS™ once while being scored simultaneously and independently by two investigators. In addition, each participant's FMS™ performance was video-recorded and then was scored by another two investigators separately. The video-recorded performance also was scored twice six weeks apart by the same investigator to determine intra-rater reliability.
RESULTS
The results showed excellent inter-rater and intra-rater reliability of the FMS™ composite score with intraclass correlation coefficients ranging from 0.93 to 0.99 for both groups. In addition, the LBP group scored significantly lower than the group without LBP ( = 0.008).
CONCLUSIONS
The results indicate that the FMS™ is able to distinguish between individuals with and without LBP, and that it could be a useful test for clinicians to quantify movement quality and to assess movement restrictions in individuals with LBP.
LEVELS OF EVIDENCE
2b.
背景
下背痛（LBP）是寻求医疗护理的个体中最常见的主诉之一，也是导致运动功能障碍的主要原因。功能性动作筛查（FMS™）旨在评估运动过程中的神经肌肉功能障碍。然而，由于其原始评分系统的局限性，FMS™在LBP人群中的信度和效度尚未得到确立。
目的
本研究的目的是确定改良评分系统下FMS™在有和没有LBP的年轻成年人中的信度和效度。FMS™评分进行了修改，仅在FMS™测试过程中LBP加重时才给予零分，而不像原始FMS™评分系统那样仅仅因为存在疼痛就给予零分。
研究设计
信度和效度研究。
方法
22名患有LBP的参与者（8名男性和14名女性，年龄26.7±4.68岁）和22名年龄及性别匹配的无LBP参与者（年龄26.64±4.20岁）完成了本研究。每位参与者进行一次FMS™测试，同时由两名研究者独立评分。此外，每位参与者的FMS™测试表现进行了视频记录，然后由另外两名研究者分别评分。视频记录的表现也由同一名研究者在六周内进行两次评分，以确定评分者内信度。
结果
结果显示，两组FMS™综合评分的评分者间和评分者内信度都非常好，组内相关系数在0.93至0.99之间。此外，LBP组的得分显著低于无LBP组（P = 0.008）。
结论
结果表明，FMS™能够区分有和没有LBP的个体，对于临床医生量化LBP个体的运动质量和评估运动受限情况可能是一项有用的测试。
证据等级
2b。
Zotero 插件