Department of Epidemiology and Biostatistics, School of Public Health, 12465Peking University, Beijing, China.
School of Nursing, 12465Peking University, China, Beijing, China.
Clin Rehabil. 2022 Nov;36(11):1489-1511. doi: 10.1177/02692155221107731. Epub 2022 Jun 14.
To systematically review the measurement properties of performance-based measures to assess physical function in people with knee osteoarthritis.
PubMed, Web of Science, Embase, Scopus, CINAHL, and PsycINFO were searched in May 2022.
This study was conducted in accordance with the guidelines recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Clinical trials on the psychometric properties of performance-based tools for measuring physical function in people with knee osteoarthritis were included. Two reviewers independently rated measurement properties using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). "Best evidence synthesis" was made using COnsensus-based Standards for the selection of health Measurement INstruments outcomes and the quality of findings.
Thirty-six out of 3425 publications were eligible for inclusion. Thirty-two performance-based measures were evaluated including 26 single-activity measures and 6 multi-activity measures. Measurement properties evaluated included internal consistency (2 measures), reliability (23 measures), measurement error (20 measures), hypotheses testing for construct validity (22 measures), and responsiveness (23 measures). On balance of the limited evidence, the walk 40 m fast-paced test and 6-minute walking test were the best rated walking tests. The 30-second chair stand test and timed up and go test were the best rated sit-to-stand tests. The Performance Tests Measures and Physical Activity Restrictions may be the suitable multi-activity measures for knee osteoarthritis.
Further good quality research investigating the measurement properties, and in particular, the measurement error of performance-based measures in patients with knee osteoarthritis is needed.
系统评价评估膝骨关节炎患者身体功能的基于表现的测量工具的测量性能。
2022 年 5 月，在 PubMed、Web of Science、Embase、Scopus、CINAHL 和 PsycINFO 中进行了检索。
本研究按照系统评价和荟萃分析推荐的首选报告项目进行。纳入了评估用于测量膝骨关节炎患者身体功能的基于表现的工具的心理测量特性的临床试验。两位审查员使用共识基础的健康测量工具选择标准（COSMIN）独立评估测量特性。使用共识基础的健康测量工具选择标准结果和发现质量进行“最佳证据综合”。
从 3425 篇出版物中筛选出 36 篇符合纳入标准的文章。评估了 32 种基于表现的测量工具，包括 26 种单一活动测量工具和 6 种多活动测量工具。评估的测量特性包括内部一致性（2 项）、可靠性（23 项）、测量误差（20 项）、结构有效性的假设检验（22 项）和反应性（23 项）。在有限证据的基础上，快走 40 米测试和 6 分钟步行测试是评价最高的步行测试。30 秒椅站测试和计时站起测试是评价最高的坐站测试。性能测试测量和身体活动限制可能是适合膝骨关节炎的多活动测量工具。
需要进一步开展高质量的研究，调查基于表现的测量工具的测量特性，特别是膝骨关节炎患者的测量误差。
