Ambalavanar Ushani, Haavik Heidi, Rotondi Nooshin Khobzi, Murphy Bernadette Ann
Faculty of Health Sciences, Institute of Technology, University of Ontario, 2000 Simcoe St. N., Oshawa, ON L1G 0C5, Canada.
Center of Chiropractic Research, New Zealand College of Chiropractic, Mount Wellington, Auckland 1060, New Zealand.
Brain Sci. 2024 Jun 20;14(6):619. doi: 10.3390/brainsci14060619.
Both chronic and recurrent spinal pain alter sensorimotor integration (SMI), which is demonstrated using complex neurophysiological techniques. Currently, there is no patient-reported outcome measure that documents and/or assesses SMI in populations with spinal problems. The purpose of this study was to develop the Sensory-Motor Dysfunction Questionnaire (SMD-Q) and assess its test-retest reliability and internal consistency in individuals with recurrent spinal pain. The SMD-Q was developed based on the existing literature on motor control disturbances associated with disordered SMI. The initial SMD-Q drafts underwent review by two separate panels of subject matter experts and a focus group with subclinical spine pain. Their suggestions were incorporated into the questionnaire prior to reliability testing. The questionnaire was administered twice at a seven-day interval using Qualtrics. A total of 20 participants (14 females and 6 males; 20.95 ± 2.46 years of age) completed the study. Quadratic weighted kappa (K) was used to assess test-retest reliability and Cronbach's alpha (α) was used to assess internal consistency. Four items had a K < 0.40, seven had a 0.40 < K < 0.75, and one had a K > 0.75 (excellent agreement), with excellent internal consistency (α > 0.90). The pilot SMD-Q appears to reliably measure altered SMI, suggesting that revisions and testing with a larger sample are worth pursuing.
慢性和复发性脊柱疼痛都会改变感觉运动整合（SMI），这一点已通过复杂的神经生理学技术得到证实。目前，尚无患者报告结局指标可记录和/或评估脊柱问题人群的SMI。本研究的目的是开发感觉运动功能障碍问卷（SMD-Q），并评估其在复发性脊柱疼痛患者中的重测信度和内部一致性。SMD-Q是基于与紊乱的SMI相关的运动控制障碍的现有文献而开发的。最初的SMD-Q草稿由两个独立的主题专家小组和一个患有亚临床脊柱疼痛的焦点小组进行了审查。在进行信度测试之前，他们的建议被纳入了问卷。使用Qualtrics在七天的间隔内对问卷进行了两次发放。共有20名参与者（14名女性和6名男性；年龄20.95±2.46岁）完成了该研究。使用二次加权kappa（K）来评估重测信度，使用Cronbach's alpha（α）来评估内部一致性。四个项目的K<0.40，七个项目的0.40<K<0.75，一个项目的K>0.75（一致性极佳），内部一致性极佳（α>0.90）。初步的SMD-Q似乎能够可靠地测量改变的SMI，这表明值得对更大样本进行修订和测试。
