Davide Eusepi, Leonardo Pellicciari, Alessandro Ugolini, Lorenzo Graziani, Andrea Coppari, Alessandra Carlizza, Serena Caselli, Fabio La Porta, Matteo Paci, Mauro Di Bari, Daniele Piscitelli
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引用次数: 0
Abstract
Purpose: To perform a systematic review with meta-analysis on reliability of Short Physical Performance Battery (SPPB) in adult patients.
Methods: 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.
Results: 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.
Conclusion: 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.
期刊介绍：
European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine.
The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.
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