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, Edgbaston, Birmingham, B15 2TT, UK.
Department of Physical Therapy, Al-Sabah Medical Hospital, Ministry of Public Health, Kuwait City, Kuwait.
BMC Musculoskelet Disord. 2024 Jan 10;25(1):44. doi: 10.1186/s12891-023-07111-4.
Proprioception can be impaired in people with neck pain. The cervical joint position sense test, which measures joint position error (JPE), is the most common test used to assess neck proprioception. The aim of this systematic review was to assess the measurement properties of this test for the assessment of people with and without neck pain.
This systematic review was registered prospectively on Prospero (CRD42020188715). It was designed using the COSMIN guidelines and reported in line with the PRISMA checklist. Two reviewers independently searched Medline, Embase, SportDiscus, and CINAHL Plus databases from inception to the 24th July 2022 with an update of the search conducted until 14th of October 2023. The COSMIN risk of bias checklist was used to assess the risk of bias in each study. The updated criteria for good measurement properties were used to rate individual studies and then the overall pooled results. The level of evidence was rated by two reviewers independently using a modified GRADE approach.
Fifteen studies were included in this review, 13 reporting absolute JPE and 2 reporting constant JPE. The measurement properties assessed were reliability, measurement error, and validity. The measurement of JPE showed sufficient reliability and validity, however, the level of evidence was low/very low for both measurement properties, apart from convergent validity of the constant JPE, which was high.
The measure of cervical JPE showed sufficient reliability and validity but with low/very low levels of evidence. Further studies are required to investigate the reliability and validity of this test as well as the responsiveness of the measure.
颈部疼痛患者的本体感觉可能受损。颈椎关节位置觉测试（测量关节位置误差（JPE））是评估颈部本体感觉最常用的测试方法。本系统评价的目的是评估该测试用于评估有和无颈部疼痛人群的测量性能。
本系统评价前瞻性地在 Prospero（CRD42020188715）上进行注册。它是按照 COSMIN 指南设计的，并按照 PRISMA 清单进行报告。两名审查员独立检索 Medline、Embase、SportDiscus 和 CINAHL Plus 数据库，检索时间从建库到 2022 年 7 月 24 日，更新检索时间截至 2023 年 10 月 14 日。使用 COSMIN 偏倚风险清单评估每项研究的偏倚风险。使用更新的良好测量特性标准来评估个别研究的评分，然后汇总总体结果。两名审查员使用改良的 GRADE 方法独立评估证据水平。
本综述共纳入 15 项研究，其中 13 项报告了绝对 JPE，2 项报告了恒定 JPE。评估的测量特性包括可靠性、测量误差和有效性。JPE 的测量具有足够的可靠性和有效性，但是这两个测量特性的证据水平均较低/极低，除了恒定 JPE 的会聚有效性较高之外。
颈椎 JPE 的测量具有足够的可靠性和有效性，但证据水平较低/极低。需要进一步研究来调查该测试的可靠性和有效性以及该测量的反应性。
