1
|
Gabel CP, Cuesta-Vargas A, Dibai-Filho AV, Mokhtarinia HR, Melloh M, Bejer A. Developing a shortened spine functional index (SFI-10) for patients with sub-acute/chronic spinal disorders: a cross-sectional study. BMC Musculoskelet Disord 2024; 25:236. [PMID: 38532353 PMCID: PMC10964542 DOI: 10.1186/s12891-024-07352-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 03/12/2024] [Indexed: 03/28/2024] Open
Abstract
BACKGROUND Brief whole-spine patient-reported outcome measures (PROMs) provide regional solutions and future directions for quantifying functional status, evidence, and effective interventions. The whole-spine regional Spine Functional Index (SFI-25) is used internationally in clinical and scientific contexts to assess general sub-acute/chronic spine populations. However, to improve structural validity and practicality a shortened version is recommended. This study developed a shortened-SFI from the determined optimal number of item questions that: correlated with criteria PROMs being highly with whole-spine, moderately with regional-spine, condition-specific and patient-specific, and moderately-low with general-health and pain; retained one-dimensional structural validity and high internal consistency; and improved practicality to reduce administrative burden. METHODS A cross-sectional study (n = 505, age = 18-87 yrs., average = 40.3 ± 10.1 yrs) of sub-acute/chronic spine physiotherapy outpatients from an international sample of convenience. Three shortened versions of the original SFI-25 were developed using 1) qualitative 'content-retention' methodology, 2) quantitative 'factorial' methodology, and 3) quantitative 'Rasch' methodology, with a fourth 'random' version produced as a comparative control. The clinimetric properties were established for structural validity with exploratory (EFA) and confirmatory (CFA) factorial analysis, and Rasch analysis. Criterion validity used the: whole-spine SFI-25 and Functional Rating Index (FRI); regional-spine Neck Disability Index (NDI), Oswestry Disability Index (ODI), and Roland Morris Questionnaire (RMQ), condition-specific Whiplash Disability Questionnaire (WDQ); and patient-specific functional scale (PSFS); and determined floor/ceiling effect. A post-hoc pooled international sub-acute/chronic spine sample (n = 1433, age = 18-91 yrs., average = 42.0 ± 15.7 yrs) clarified the findings and employed the general-health EuroQuol-Index (EQ-5D), and 11-point Pain Numerical Rating Scale (P-NRS) criteria. RESULTS A 10-item SFI retained structural validity with optimal practicality requiring no computational aid. The SFI-10 concept-retention-version demonstrated preferred criterion validity with whole-spine criteria (SFI-25 = 0.967, FRI = 0.810) and exceeded cut-off minimums with regional-spine, condition-specific, and patient-specific measures. An unequivocal one-dimensional structure was determined. Internal consistency was satisfactory (α = 0.80) with no floor/ceiling effect. Post-hoc analysis of the international sample confirmed these findings. CONCLUSION The SFI-10 qualitative concept-retention version was preferred to quantitative factorial and Rasch versions, demonstrated structural and criterion validity, and preferred correlation with criteria measures. Further longitudinal research is required for reliability, error, and responsiveness, plus an examination of the practical characteristics of readability and administrative burden.
Collapse
Affiliation(s)
| | - Antonio Cuesta-Vargas
- Department of Psychiatry and Physiotherapy, Faculty of Medicine, Malaga University, Malaga, Spain
| | | | - Hamid Reza Mokhtarinia
- Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
| | - Markus Melloh
- Queensland University of Technology, School of Public Health and Social Work, Brisbane, Australia
| | - Agnieszka Bejer
- Institute of Health Sciences, Medical College, Rzeszow University, Rzeszow, Poland
- The Holy Family Specialist Hospital, Rudna Mała 600, 36-060, Głogów Małopolski, Poland
| |
Collapse
|
2
|
Falkhamn LM, Stenberg G, Enthoven P, Stålnacke BM. Interdisciplinary Multimodal Pain Rehabilitation in Patients with Chronic Musculoskeletal Pain in Primary Care-A Cohort Study from the Swedish Quality Registry for Pain Rehabilitation (SQRP). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20065051. [PMID: 36981963 PMCID: PMC10049521 DOI: 10.3390/ijerph20065051] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/08/2023] [Accepted: 03/09/2023] [Indexed: 05/24/2023]
Abstract
Chronic pain is a major public health issue. Mounting evidence suggests that interdisciplinary multimodal pain rehabilitation programs (IMMRPs) performed in specialist pain care are an effective treatment for patients with chronic pain, but the effects of such treatment if performed in primary care settings have been less studied. The aims of this pragmatic study were to (1) describe characteristics of patients participating in IMMRPs in primary care; (2) examine whether IMMRPs in primary care improve pain, disability, quality of life, and sick leave 1-year post discharge in patients with chronic pain; and (3) investigate if outcomes differ between women and men. Data from 744 (645 women and 99 men, age range 18-65 years) patients with non-malignant chronic pain included in the Swedish Quality Registry for Pain Rehabilitation Primary Care were used to describe patient characteristics and changes in health and sick leave. At 1-year follow-up, the patients had improved significantly (p < 0.01) in all health outcome measures and had reduced sick leave except in men, where no significant change was shown in physical activity level. This study indicates that MMRPs in primary care improved pain and physical and emotional health and reduced sick leave, which was maintained at the 1-year follow-up.
Collapse
Affiliation(s)
- Lukasz Mateusz Falkhamn
- Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, SE-901 87 Umeå, Sweden
| | - Gunilla Stenberg
- Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, SE-901 87 Umeå, Sweden
| | - Paul Enthoven
- Department of Medical and Health Sciences, Linköping University, SE-581 83 Linköping, Sweden
| | - Britt-Marie Stålnacke
- Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, SE-901 87 Umeå, Sweden
| |
Collapse
|
3
|
Coraci D, Tognolo L, Gottardello F, Posanti E, Masiero S. The use of pain drawing in medicine. A literature analysis based on graph theory. Pain Pract 2023; 23:220-221. [PMID: 36227649 DOI: 10.1111/papr.13170] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 09/28/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Daniele Coraci
- Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy
| | - Lucrezia Tognolo
- Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy
| | - Federica Gottardello
- Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy
| | - Elena Posanti
- Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy
| | - Stefano Masiero
- Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova, Italy
| |
Collapse
|
4
|
Leahy E, Chipchase L, Blackstock FC. Does Online Professional Development for Physical Therapists Enhance Clinical Practice and Patient Outcomes? Protocol for a Mixed Methods, Randomized Controlled Trial. Phys Ther 2022; 102:pzac123. [PMID: 36164744 DOI: 10.1093/ptj/pzac123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 06/07/2022] [Accepted: 09/07/2022] [Indexed: 11/14/2022]
Abstract
OBJECTIVE Online clinical mentoring has shown potential as a flexible professional development activity that enhances physical therapist practice. Online delivery can overcome time and distance barriers to participation in professional development. The impact of this learning activity on physical therapist practice and patient outcomes has not been rigorously tested. Thus, the aim of this study is to determine whether online clinical mentoring is more effective than asynchronous online lectures at improving physical therapist practice and patient outcomes. An additional aim is to explore the lived experience of physical therapist learners who participate in online clinical mentoring. METHODS In this mixed methods evaluation, 24 physical therapist learners will be randomized to 1 of 2 online professional development activities. Experimental group physical therapists will complete 6 online clinical mentoring sessions. Control group physical therapists will complete 6 online lectures. The primary outcome evaluated will be the effect on the physical therapist's patients, using the Patient-Specific Functional Scale. Physical therapist learner secondary outcomes are confidence, self-reflection, and satisfaction. Accounting for possible dropouts, a sample size of 216 patients was determined using a pragmatic sample of 24 physical therapists, power of 0.80, alpha of 0.05, and between-group differences of 1.0 (SD = 2.0) on the Patient-Specific Functional Scale. Consecutive, eligible patients under the care of the physical therapist learners will complete outcome measures at initial appointment and at 4 weeks follow-up. Linear mixed model regression analysis will be used to estimate treatment effects from the posttreatment group means at 4 weeks. Participants undertaking online clinical mentoring will complete semi-structured interviews that will be thematically analyzed using a phenomenological approach. IMPACT This research study will establish the effectiveness of online clinical mentoring to inform future professional development. The qualitative component will identify the potential mechanisms by which online clinical mentoring might be effective, thus informing future implementation of this professional development activity.
Collapse
Affiliation(s)
- Edmund Leahy
- Physiotherapy, School of Science and Health, Western Sydney University, Campbelltown, New South Wales, Australia
- Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Bundoora, Victoria, Australia
- Physiotherapy Department, Northern Health, Epping, Victoria, Australia
| | - Lucy Chipchase
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Felicity C Blackstock
- Physiotherapy, School of Science and Health, Western Sydney University, Campbelltown, New South Wales, Australia
| |
Collapse
|
5
|
Bejer A, Kupczyk M, Kwaśny J, Majkut A, Moskal K, Niemiec M, Gabel CP. Cross-cultural adaptation and validation of the Polish version of the Spine Functional Index. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2020; 29:1424-1434. [PMID: 31893306 DOI: 10.1007/s00586-019-06250-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 10/31/2019] [Accepted: 12/08/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE The purpose of this study was a cross-cultural adaptation of the Spine Functional Index to produce a Polish version (SFI-PL). Further, the psychometric properties were evaluated with standardized criteria patient reported outcome measures (PROMs) in a symptomatic Polish spine population. METHODS Linguistic adaptation complied with the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines to produce the SFI-PL. Subjects with spine conditions, all areas and multi-area, were recruited from a Polish Specialist Hospital (n = 225, age = 45.7 ± 16.0 years, range 18-87, female = 60%, symptoms duration = 13.93 ± 27.56 weeks, range 5-84). Baseline internal consistency, reliability and validity were examined and included the SFI-PL, Oswestry Disability Index (ODI), Neck Disability Index (NDI), EuroQol 5 Dimensions, 5-level version (EQ-5D-5L) and an 11-point pain Numerical Rating Scale (NRS) with retest at 3-7 days (= 5 days). Practicality for readability was considered within the face and content validity and completion and scoring time calculated. RESULTS Statistical analysis showed excellent internal consistency (α = 0.90) and high test-retest reliability (ICC = 0.98). The error score was determined with the SEM = 3.14 (MDC 90% CI = 7.33%). The construct validity analysis demonstrated strong correlations between the SFI-PL, the NDI (r = 0.73) and the ODI (r = 0.82); moderate with the EQ index value (0.70) and EQ-VAS (r = 0.56). Time to complete (229 s) and score (27 s) were determined. CONCLUSIONS The SFI-PL is a psychometrically sound PROM for Polish-speaking patients with spine conditions. The results support previous findings from the original-English and six other language versions for internal consistency, reliability, measurement error and validity. These slides can be retrieved under Electronic Supplementary Material.
Collapse
Affiliation(s)
- Agnieszka Bejer
- Institute of Health Sciences, Medical College, Rzeszow University, ul. Warzywna 1A, 35-310, Rzeszow, Poland. .,The Holy Family Specialist Hospital, Rudna Mała, Poland.
| | - Mateusz Kupczyk
- Institute of Health Sciences, Medical College, Rzeszow University, ul. Warzywna 1A, 35-310, Rzeszow, Poland
| | - Joanna Kwaśny
- Institute of Health Sciences, Medical College, Rzeszow University, ul. Warzywna 1A, 35-310, Rzeszow, Poland
| | - Angelika Majkut
- Institute of Health Sciences, Medical College, Rzeszow University, ul. Warzywna 1A, 35-310, Rzeszow, Poland
| | - Krzysztof Moskal
- Institute of Health Sciences, Medical College, Rzeszow University, ul. Warzywna 1A, 35-310, Rzeszow, Poland
| | - Mateusz Niemiec
- Institute of Health Sciences, Medical College, Rzeszow University, ul. Warzywna 1A, 35-310, Rzeszow, Poland
| | | |
Collapse
|
6
|
Ansari NN, Komesh S, Naghdi S, Fakhari Z, Alaei P. Responsiveness of Minimal Clinically Important Change for the Persian Functional Rating Index in Patients with Chronic Low Back Pain. Asian Spine J 2019; 13:111-118. [PMID: 30326688 PMCID: PMC6365792 DOI: 10.31616/asj.2018.0107] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Accepted: 06/12/2018] [Indexed: 02/05/2023] Open
Abstract
STUDY DESIGN A prospective, within-group cohort study of 46 patients with chronic low-back pain (CLBP). PURPOSE To assess the responsiveness of the Persian Functional Rating Index (PFRI) and to determine the minimal clinically important change (MCIC) of the PFRI in a cohort of patients with CLBP. OVERVIEW OF LITERATURE The FRI is an instrument for assessing pain and disability in patients with low-back pain. No study so far has examined the responsiveness of the PFRI. METHODS Forty-six patients with CLBP with a mean age of 50.33±14.28 completed the PFRI, the Persian Roland-Morris Disability Questionnaire (PRMDQ), and a Visual Analog Scale (VAS) before and after 10 physiotherapy sessions. A Global Rating of Change Scale (GRCS) was completed after treatment. RESULTS The changes in PFRI scores were statistically significant using the paired t-test (p<0.001). The PFRI revealed high effect sizes (range, 0.93-1.82). The PFRI showed significant correlations with the VAS (0.86), the PRMDQ (0.66), and the GRCS (0.45). The area under the receiver operator characteristic curve for the PFRI was good (0.76; 95% confidence interval, 0.56-0.95). The MCIC for PFRI was 10.63 points. CONCLUSIONS The results supported the responsiveness of the PFRI in patients with CLBP and showed the amount of change in PFRI scores perceived as worthwhile by the patients.
Collapse
Affiliation(s)
- Noureddin Nakhostin Ansari
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
- Neuroscience Institute, Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran
- Corresponding author: Noureddin Nakhostin Ansari Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Enghelab Ave, Pich-e-shemiran, 11489, Tehran, Iran Tel: +98-21-77533939, Fax: +98-21-77727009, E-mail:
| | - Shiva Komesh
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Soofia Naghdi
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
- Neuroscience Institute, Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Zahra Fakhari
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Parisa Alaei
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
7
|
Measurement Properties of the Functional Rating Index: A Systematic Review and Meta-analysis. Spine (Phila Pa 1976) 2018; 43:E1340-E1349. [PMID: 29659440 DOI: 10.1097/brs.0000000000002690] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN A systematic review and meta-analysis. OBJECTIVE To assess the measurement properties of the Functional Rating Index (FRI) and determine whether its measurement properties are comparable with other region-specific questionnaires. SUMMARY OF BACKGROUND DATA In addition to low back pain (LBP) and neck pain (NP), multiregion spinal pain (SP) is a common problem with a considerable prevalence in the general population. The FRI was built to assess physical functioning in patients with SP. However, a systematic review assessing evidence of its measurement properties in separated populations and a comparison with other questionnaires regarding each measurement property is lacking. METHODS Articles concerning the FRI's measurement properties or head-to-head comparison with other questionnaires on measurement properties were obtained from MEDLINE, Embase, CINAHL, and PsycINFO. Two reviewers independently reviewed the articles, extracted data, and conducted the methodological quality assessment. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to assess the methodological quality of the included studies. RESULTS A total of 18 studies evaluating the FRI's measurement properties, including seven that carried out head-to-head comparisons in at least one measurement property with other questionnaires, were included in the current review. Our findings show strong positive evidence for structural validity and internal consistency in patients with SP and LBP. Evidence for most of the FRI's measurement properties is limited, conflicting, or even unknown. The current evidence shows that the FRI is comparable with both the Oswestry Disability Index and the Neck Disability Index in responsiveness. However, relevant information about the majority of the other measurement properties is lacking. CONCLUSION Our finding suggests that clinicians and researchers should use the FRI with caution until there are more studies with high methodological quality that support the view that it is positive in all measurement properties, especially in regard to patients with multiregion SP. LEVEL OF EVIDENCE 1.
Collapse
|
8
|
Wiitavaara B, Heiden M. Content and psychometric evaluations of questionnaires for assessing physical function in people with low back disorders. A systematic review of the literature. Disabil Rehabil 2018; 42:163-172. [PMID: 30324809 DOI: 10.1080/09638288.2018.1495274] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Purpose: The purpose was to investigate how physical function is assessed in people with musculoskeletal disorders in the low back. Specifically:Which questionnaires are used to assess physical function in people with musculoskeletal disorders in the low back?What aspects of physical function do those questionnaires measure?What are the measurement properties of the questionnaires?Materials and methods: A systematic review was performed to identify questionnaires and psychometric evaluations of them. The content of the questionnaires was categorised according to the International Classification of Function, Disability and Health, and the psychometric evaluations were categorised using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist.Results: The questionnaires measured disability or ability to cope in everyday life, rather than physical function as such. Different aspects of a person's mobility and ability to attend to one's personal care were most often included regarding activity and participation. For body functions, items about sleep and pain were most often included. The Oswestry Disability Index and the Quebec Back Pain Disability Scale showed adequate psychometric properties in most evaluations.Conclusions: The extent of psychometric evaluations differed substantially, as did the items included. Focus of measurement was predominantly on activities in daily life.Implications for rehabilitationValid and reliable instruments that measure relevant aspects of low back disorders are needed to provide early diagnostics and effective treatment.Most questionnaires need more psychometric evaluations to establish the quality.The Oswestry Disability Index and the Quebec Back Pain Disability Scale showed adequate psychometric properties in most evaluations.The results may be useful when making decisions about which measurement instruments to use when evaluating low back disorders.
Collapse
Affiliation(s)
- Birgitta Wiitavaara
- Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, Centre for Musculoskeletal Research, University of Gävle, Gävle, Sweden
| | - Marina Heiden
- Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, Centre for Musculoskeletal Research, University of Gävle, Gävle, Sweden
| |
Collapse
|
9
|
Zhou XY, Xu XM, Fan JP, Wang F, Wu SY, Zhang ZC, Yang YL, Li M, Wei XZ. Cross-cultural validation of simplified Chinese version of spine functional index. Health Qual Life Outcomes 2017; 15:203. [PMID: 29047361 PMCID: PMC5648461 DOI: 10.1186/s12955-017-0785-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 10/10/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND No effective constructs were available in mainland China to assess the whole spine function. The SFI was developed to evaluate spinal function based on the concept of a single kinetic chain concept for whole spine. The SFI has been translated to Spanish and Turkish with accepted psychometric properties. It is imperative to introduce the SFI in mainland China and further to explore the measurement properties. METHODS The English versions of the SFI was cross-culturally translated according to international guidelines. Measurement properties (content validity, construct validity and reliability) were tested in accordance with the COSMIN checklists. A total of 271 patients were included in this study, and 61 participants with neck pain and 64 participants with back pain paid a second visit three to seven days later. Confirmatory factor analysis (CFA) and principal factor analysis (PCA) were applied to test the factor structure. The Functional Rating Index (FRI), Neck Disability Index (NDI), Oswestry Disability Index (ODI), SF-12 and a Visual Analogue Scale (VAS) were employed to evaluate the construct validity. Cronbach's alpha and an intra-class correlation coefficient (ICC) were calculated for internal consistency and reproducibility. RESULTS The means score of SC-SFI was 63.60 in patients with spinal musculoskeletal disorders. A high response rate was acquired (265/271). No item was removed due to abnormal distribution or low item-total correlation. Results of CFA did not support that one-factor structure was in goodness of fit (CMIN/DF = 3.306, NNFI = 0.687, CFI = 0.756, GFI = 0.771 and RMSEA = 0.092). Yet, PCA suggested a one-factor structure was the best, accounting for 32% of the total variance. For structural validity, the SC-SFI correlated highly with the FRI, NDI, ODI, and PF, BP in SF-12 (r = 0.661, 0.610, 0.750, 0.709, 0.605, respectively). All the a priori hypotheses were verified. The Cronbach's alpha for the SC-SFI was 0.91, and ICC was 0.96 (95% CI, 0.94-0.98). Bland-Altman plot also confirmed excellent test-retest reliability. CONCLUSIONS The SFI has been culturally adapted into SC-SFI with remarkable clinical acceptance, excellent internal consistency, reproducibility, and construct validity when applied to patients with spinal musculoskeletal disorders. The results of current study suggest that SC-SFI can be applied by physicians and researchers to measure whole-spine functional status in mainland China.
Collapse
Affiliation(s)
- Xiao-Yi Zhou
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| | - Xi-Ming Xu
- Department of Spinal Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Jian-Ping Fan
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| | - Fei Wang
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| | - Sui-Yi Wu
- Faculty of Naval Medicine, Second Military Medical University, Shanghai, China
| | - Zi-Cheng Zhang
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| | - Yi-Lin Yang
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| | - Ming Li
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| | - Xian-Zhao Wei
- Department of Orthopaedic Surgery, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433 China
| |
Collapse
|
10
|
Wiitavaara B, Heiden M. Content and psychometric evaluations of questionnaires for assessing physical function in people with neck disorders: a systematic review of the literature. Disabil Rehabil 2017; 40:2227-2235. [DOI: 10.1080/09638288.2017.1334096] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Birgitta Wiitavaara
- Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
| | - Marina Heiden
- Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
| |
Collapse
|
11
|
Kaiser U, Neustadt K, Kopkow C, Schmitt J, Sabatowski R. Core Outcome Sets and Multidimensional Assessment Tools for Harmonizing Outcome Measure in Chronic Pain and Back Pain. Healthcare (Basel) 2016; 4:E63. [PMID: 27589816 PMCID: PMC5041064 DOI: 10.3390/healthcare4030063] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Revised: 08/15/2016] [Accepted: 08/17/2016] [Indexed: 12/28/2022] Open
Abstract
Core Outcome Sets (COSs) are a set of domains and measurement instruments recommended for application in any clinical trial to ensure comparable outcome assessment (both domains and instruments). COSs are not exclusively recommended for clinical trials, but also for daily record keeping in routine care. There are several COS recommendations considering clinical trials as well as multidimensional assessment tools to support daily record keeping in low back pain. In this article, relevant initiatives will be described, and implications for research in COS development in chronic pain and back pain will be discussed.
Collapse
Affiliation(s)
- Ulrike Kaiser
- Comprehensive Pain Center, University Hospital "Carl Gustav Carus", Technical University Dresden, Dresden 01307, Germany.
| | - Katrin Neustadt
- Comprehensive Pain Center, University Hospital "Carl Gustav Carus", Technical University Dresden, Dresden 01307, Germany.
| | - Christian Kopkow
- Center for Evidence-Based Healthcare, Medical Faculty, Technical University Dresden, Dresden 01307, Germany.
| | - Jochen Schmitt
- Center for Evidence-Based Healthcare, Medical Faculty, Technical University Dresden, Dresden 01307, Germany.
| | - Rainer Sabatowski
- Comprehensive Pain Center, University Hospital "Carl Gustav Carus", Technical University Dresden, Dresden 01307, Germany.
- Department of Anesthesiology and Intensive Care, University Hospital "Carl Gustav Carus",Technical University Dresden, Dresden 01307, Germany.
| |
Collapse
|