Paredes Sanchez Judith, MacIntyre Erin, Scully Aileen Eugenia, de Oliveira Beatriz Ir, Wand Benedict M, Di Pietro Flavia
Curtin Medical School, Curtin University, GPO Box U1987, Perth 6845, Australia.
Persistent Pain Research Group, Hopwood Centre for Neurobiology, South Australian Medical Research Institute (SAHMRI), PO Box 11060, Adelaide 5001, Australia; IIMPACT in Health, University of South Australia, GPO Box 2471, Adelaide 5001, Australia.
J Pain. 2025 Jun;31:105391. doi: 10.1016/j.jpain.2025.105391. Epub 2025 Apr 11.
Chronic low back pain (CLBP) is a highly prevalent health problem. Recent research has suggested that disruption of body perception might contribute to the problem and represent a target for treatment. Valid and reliable outcome measures are required to understand the relationship between disrupted body perception and clinical status. This systematic review aimed to identify patient reported outcome measures (PROMs) used to assess body perception disruption in people with CLBP and evaluate their psychometric properties. Five databases were searched for studies investigating the psychometric properties of PROMs designed to assess body perception in people with CLBP. The appraisal of the methodological quality and measurement properties adhered to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. Sixteen studies were included, evaluating two PROMs: the Fremantle Back Awareness Questionnaire (FreBAQ) and the Body Awareness Rating Questionnaire (BARQ). The studies included data from 2545 participants, comprising 1694 individuals with CLBP. The following measurement properties were investigated: content validity; structural validity; internal consistency; cross-cultural validity; test-retest reliability; measurement error and construct validity. While there is evidence for test-retest reliability and construct validity, neither questionnaire demonstrated adequate content validity and there was a low level of evidence for sufficient internal consistency. Consequently, both the FreBAQ and BARQ were classified as 'B', indicating their potential for recommendation, contingent upon further research to evaluate their quality. Future research should address identified limitations of the questionnaires, particularly content validity. This will lead to the development of more useful tools to measure body perception in the CLBP population. Perspective This article presents an evaluation of the psychometric properties of patient reported outcome measures used to assess body perception in individuals with chronic low back pain. These tools could potentially help clinicians identify and address body perception distortions in people with chronic low back pain, leading to effective management strategies.
慢性下腰痛（CLBP）是一个非常普遍的健康问题。最近的研究表明，身体感知的紊乱可能导致这一问题，并成为治疗的靶点。需要有效且可靠的结局指标来理解身体感知紊乱与临床状况之间的关系。本系统评价旨在识别用于评估CLBP患者身体感知紊乱的患者报告结局指标（PROMs），并评估其心理测量学特性。检索了五个数据库，以查找研究用于评估CLBP患者身体感知的PROMs心理测量学特性的研究。方法学质量和测量特性的评估遵循基于共识的健康测量工具选择标准（COSMIN）方法。纳入了16项研究，评估了两种PROMs：弗里曼特尔背部意识问卷（FreBAQ）和身体意识评定问卷（BARQ）。这些研究纳入了2545名参与者的数据，其中包括1694名CLBP患者。研究了以下测量特性：内容效度；结构效度；内部一致性；跨文化效度；重测信度；测量误差和构想效度。虽然有证据支持重测信度和构想效度，但两份问卷均未显示出足够的内容效度，且内部一致性充分的证据水平较低。因此，FreBAQ和BARQ均被归类为“B”级，表明它们有推荐的潜力，但取决于进一步研究以评估其质量。未来的研究应解决已识别的问卷局限性，特别是内容效度。这将有助于开发更有用的工具来测量CLBP人群的身体感知。观点 本文对用于评估慢性下腰痛患者身体感知的患者报告结局指标的心理测量学特性进行了评价。这些工具可能有助于临床医生识别和解决慢性下腰痛患者的身体感知扭曲问题，从而制定有效的管理策略。
