Clinimetric evaluation of methods to measure muscle functioning in patients with non-specific neck pain: a systematic review
Clinimetric evaluation of methods to measure muscle functioning in patients with non-specific neck pain: a systematic review
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DOI：
10.1186/1471-2474-9-142
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发表时间：
2008-10-19
影响因子：
2.3
通讯作者：
Hendriks, Erik J. M.
中科院分区：
文献类型：
--
作者：
de Koning, Chantal H. P.;van den Heuvel, Sylvia P.;Hendriks, Erik J. M.
背景：颈部疼痛是现代社会的一个重要健康问题。有证据表明，颈部疼痛患者的颈部肌肉力量降低。本文提供了一个关键的分析研究文献的临床特性的测试，以测量颈部肌肉力量或耐力的患者与非特异性颈部pain.Methods的日常实践中使用：计算机化的文献检索进行了Medline，CINAHL和Embase数据库从1980年至2007年1月。两名评论家独立评估的clinimetric属性确定的测量方法，使用一份清单，普遍接受的标准再现性（间和观察员内的可靠性和协议），结构效度，反应性和可行性。包括的仪器或测试是：短颈屈肌的肌肉耐力测试，用充气压力生物反馈单元进行的颅颈屈曲测试，颈部肌肉组织的手动肌肉测试，测力和功能提升测试（颈部渐进式等惯性提升评估（PILE）测试和定时加权头顶测试）。所有文章均包含有关试验重现性的报告信息。短颈屈肌的t检验和颈椎PILE检验证实了可接受的观察者内和观察者间可靠性。结构的有效性和反应性几乎没有被记录为测试肌肉functioning.Conclusion：短颈屈肌的耐力测试和颈部PILE测试可以被视为适当的工具，用于测量不同方面的颈部肌肉功能的非特异性颈部疼痛患者。这些研究中常见的方法学缺陷是样本量小和对研究设计的描述不恰当。
Background: Neck pain is a significant health problem in modern society. There is evidence to suggest that neck muscle strength is reduced in patients with neck pain. This article provides a critical analysis of the research literature on the clinimetric properties of tests to measure neck muscle strength or endurance in patients with non-specific neck pain, which can be used in daily practice.Methods: A computerised literature search was performed in the Medline, CINAHL and Embase databases from 1980 to January 2007. Two reviewers independently assessed the clinimetric properties of identified measurement methods, using a checklist of generally accepted criteria for reproducibility (inter- and intra-observer reliability and agreement), construct validity, responsiveness and feasibility.Results: The search identified a total of 16 studies. The instruments or tests included were: muscle endurance tests for short neck flexors, craniocervical flexion test with an inflatable pressure biofeedback unit, manual muscle testing of neck musculature, dynamometry and functional lifting tests (the cervical progressive iso-inertial lifting evaluation (PILE) test and the timed weighted overhead test). All the articles included report information on the reproducibility of the tests. Acceptable intra- and inter-observer reliability was demonstrated for t enduranctest for short neck flexors and the cervical PILE test. Construct validity and responsiveness have hardly been documented for tests on muscle functioning.Conclusion: The endurance test of the short neck flexors and the cervical PILE test can be regarded as appropriate instruments for measuring different aspects of neck muscle function in patients with non-specific neck pain. Common methodological flaws in the studies were their small sample size and an inappropriate description of the study design.