Psychometric properties of performance based tests in patients with Fibromyalgia: A systematic review

IF 4 2区医学 Q1 CLINICAL NEUROLOGY

Journal of Pain Pub Date : 2024-11-28 DOI:10.1016/j.jpain.2024.104749

José Luis Socorro-Cumplido , Joaquim Chaler , Miriam Almirall , Judith Sánchez-Raya , Mireia Cano , Blanca Roman-Viñas

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引用次数: 0

Abstract

Fibromyalgia (FM) impacts patients’ health status, functioning and quality of life. Accurate diagnosis and effective treatment planning require reliable, valid and responsive measures of these domains. This study aimed to assess the psychometric properties of performance based tests (PBTs) in FM and to quantify the availability of reliable, valid and responsive PBTs linked to key International Classification of Functioning, Disability and Health (ICF) categories related to functional impact. A systematic review was conducted following the PRISMA checklist, and four databases (PubMed, EMBASE, Cochrane Library and Web of Science) were searched. Eligible studies contained information on population, intervention (assessment), and outcomes (PBTs and their psychometric properties). The risk of bias and the methodological quality were assessed according to the COSMIN criteria. Twenty-two studies evaluating twenty-six PBTs were included. PBTs were linked to five ICF categories: exercise tolerance, muscle power and muscle endurance and changing basic body position and walking. The psychometric properties assessed were reliability, validity and responsiveness. The 6 min walking test was the most often assessed PBT with moderate quality of evidence for reliability, and very good methodological quality for validity. Overall, the methodological quality for reliability was rated as doubtful with very low to moderate evidence, for validity we found very good methodological quality with low to high evidence. No studies investigated criterion validity, and construct validity and responsiveness were seldom determined. Clinicians assessing FM patients should carefully select PBTs. Future research on PBTs psychometrics in FM should follow COSMIN recommendations, ensuring control of symptom variability.

Perspective

This review confirms that the current understanding of the psychometric properties of PBTs for FM patients is limited, hindered by heterogeneous tests and insufficient evidence, complicating outcome comparisons across studies. This gap underscores the need for future research to enhance methodological quality and address missing ICF categories related to FM.

Registered protocol at Prospero

Registration number: CRD42022380709

查看原文本刊更多论文

纤维肌痛患者基于性能测试的心理测量特性：系统回顾。

纤维肌痛（FM）影响患者的健康状况、功能和生活质量。准确的诊断和有效的治疗计划需要这些领域的可靠、有效和反应性措施。本研究旨在评估FM中基于表现的测试（pbt）的心理测量特性，并量化与国际功能、残疾和健康分类（ICF）中与功能影响相关的关键类别相关的可靠、有效和反应性pbt的可用性。根据PRISMA检查表进行系统评价，检索四个数据库（PubMed、EMBASE、Cochrane Library和Web of Science）。符合条件的研究包含人口、干预（评估）和结果（PBTs及其心理测量特性）的信息。根据COSMIN标准评估偏倚风险和方法学质量。纳入22项研究，评估26项pbt。PBTs与五个ICF类别有关：运动耐受性，肌肉力量和肌肉耐力以及改变基本身体姿势和步行。评估的心理测量特性包括信度、效度和反应性。6分钟步行测验是最常被评估的PBT，其信度证据质量中等，效度方法学质量非常好。总体而言，可靠性的方法学质量被评为可疑，证据非常低到中等，效度我们发现非常好的方法学质量，证据从低到高。没有研究调查标准效度，结构效度和反应性很少确定。临床医生评估FM患者应谨慎选择pbt。未来在FM中的PBTs心理测量学研究应遵循COSMIN的建议，确保症状变异性得到控制。观点：本综述证实，目前对FM患者的PBTs心理测量特性的理解是有限的，受到异质性测试和证据不足的阻碍，使研究间的结果比较复杂化。这一差距强调了未来研究的必要性，以提高方法质量并解决与FM相关的ICF缺失类别。普洛斯彼罗注册协议：注册号：CRD42022380709。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pain 医学-临床神经学

CiteScore

6.30

自引率

7.50%

发文量

441

审稿时长

42 days

期刊介绍： The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.