Ulupınar Süleyman, İnce İzzet, Gençoğlu Cebrail, Asan Selim, Çabuk Salih, Özbay Serhat
Faculty of Sports Sciences, Erzurum Technical University, Erzurum, Turkey.
Faculty of Sports Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
J Musculoskelet Neuronal Interact. 2025 Sep 1;25(3):351-363. doi: 10.22540/JMNI-25-351.
This systematic review and meta-analysis aimed to synthesize the validity and reliability of the AST and explore its measurement precision through standard error of measurement (SEM) and minimal detectable change (MDC). A systematic search of PubMed, Scopus, and Web of Science databases was conducted to identify studies evaluating the AST's psychometric properties. Studies reporting quantitative validity or reliability data (e.g., correlation coefficients, ICC) were included. A random-effects meta-analysis was performed to pool validity and reliability estimates, with heterogeneity assessed using I and Tau. SEM and MDC values were systematically reviewed to evaluate measurement precision. Seven studies were included in the systematic review, with five studies (42 validity estimates) and six studies (35 reliability estimates) contributing to the meta-analysis. The AST demonstrated promising levels of validity (pooled r = 0.923) and reliability (pooled r = 0.958), although substantial heterogeneity was observed (I > 85%) and should be considered when interpreting these findings. No significant publication bias was detected. SEM ranged from 0.85 - 20.43 N, and MDC from 2.37 - 56.63 N, indicating variable measurement precision. Overall, the AST appears to be a potentially useful tool for assessing shoulder function, with relevance for clinical and research applications.
本系统评价和荟萃分析旨在综合评估肩峰下撞击试验（AST）的有效性和可靠性，并通过测量标准误差（SEM）和最小可检测变化（MDC）来探索其测量精度。我们对PubMed、Scopus和Web of Science数据库进行了系统检索，以识别评估AST心理测量特性的研究。纳入报告定量有效性或可靠性数据（如相关系数、组内相关系数[ICC]）的研究。进行随机效应荟萃分析以汇总有效性和可靠性估计值，并使用I²和Tau²评估异质性。系统评价SEM和MDC值以评估测量精度。系统评价纳入了7项研究，荟萃分析纳入了5项研究（42个有效性估计值）和6项研究（35个可靠性估计值）。尽管观察到显著的异质性（I²>85%），在解释这些结果时应予以考虑，但AST显示出有前景的有效性水平（合并r = 0.923）和可靠性水平（合并r = 0.958）。未检测到显著的发表偏倚。SEM范围为0.85 - 20.43 N，MDC范围为2.37 - 56.63 N，表明测量精度存在差异。总体而言，AST似乎是评估肩部功能的一个潜在有用工具，对临床和研究应用具有相关性。
