Eusepi Davide, Pellicciari Leonardo, Ugolini Alessandro, Graziani Lorenzo, Coppari Andrea, Carlizza Alessandra, Caselli Serena, La Porta Fabio, Paci Matteo, Di Bari Mauro, Piscitelli Daniele
UniCamillus, International Medical University in Rome, Rome, Italy.
IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Eur Geriatr Med. 2025 Jul 18. doi: 10.1007/s41999-025-01277-x.
To perform a systematic review with meta-analysis on reliability of Short Physical Performance Battery (SPPB) in adult patients.
Five databases were queried until March 2025 to identify studies evaluating SPPB intra- and inter-rater reliability and measurement error. Two independent reviewers performed study selection, data extrapolation and assessment of methodological quality and quality of evidence (QoE). Random effect meta-analyses were performed when at least two studies assessed the same property of the same subscale.
Twenty-two studies were included. Regarding total score, intra-rater (ICC = 0.88) and inter-rater reliability (ICC = 0.86) were rated sufficiently with high QoE, while the measurement error (MDC = 1.90) was rated insufficiently with high QoE. Regarding the balance subscale, intra-rater (ICC = 0.69) and inter-rater reliability (ICC = 0.77) were rated inconsistently with low QoE, while the measurement error (MDC = 1.32) was rated as indeterminate with high QoE. Regarding the walking subscale, intra-rater (ICC = 0.88) and inter-rater reliability (ICC = 0.86) were rated sufficiently with moderate and high QoE, respectively, while the measurement error (MDC = 0.51 points) was rated indeterminately with moderate QoE. Regarding the chair subscale, intra-rater (ICC = 0.83) and inter-rater reliability (ICC = 0.94) were rated sufficiently with moderate and high QoE, respectively. In contrast, the measurement error (MDC = 2.14 points, equal to 53.4% of the total score) was rated indeterminately with high QoE.
Intra- and inter-reliability of the SPPB were supported for assessing physical performance in different populations. Measurement error of each subscale (except for the walking subscale) is higher than the measurement error of the total score; these results suggest using the total score in clinical practice. PROSPERO registration: CRD420251003320.
对成人患者短身体功能测试电池（SPPB）的可靠性进行系统评价和荟萃分析。
查询五个数据库直至2025年3月，以识别评估SPPB评分者内和评分者间可靠性以及测量误差的研究。两名独立评审员进行研究选择、数据外推以及方法学质量和证据质量（QoE）评估。当至少两项研究评估同一子量表的同一属性时，进行随机效应荟萃分析。
纳入22项研究。关于总分，评分者内（ICC = 0.88）和评分者间可靠性（ICC = 0.86）被评为具有足够的高QoE，而测量误差（MDC = 1.90）被评为具有高QoE但不充分。关于平衡子量表，评分者内（ICC = 0.69）和评分者间可靠性（ICC = 0.77）被评为不一致且QoE低，而测量误差（MDC = 1.32）被评为具有高QoE但不确定。关于步行子量表，评分者内（ICC = 0.88）和评分者间可靠性（ICC = 0.86）分别被评为具有中等和高QoE的足够水平，而测量误差（MDC = 0.51分）被评为具有中等QoE但不确定。关于椅子站立子量表，评分者内（ICC = 0.83）和评分者间可靠性（ICC = 0.94）分别被评为具有中等和高QoE的足够水平。相比之下，测量误差（MDC = 2.14分，占总分53.4%）被评为具有高QoE但不确定。
SPPB的评分者内和评分者间可靠性在评估不同人群的身体功能方面得到支持。每个子量表（步行子量表除外）的测量误差高于总分的测量误差；这些结果表明在临床实践中使用总分。PROSPERO注册号：CRD420251003320。
