Musculoskeletal Science and Practice最新文献_第4页

Hip joint kinematic assessment in chronic non-specific low back pain patients. A Delphi study 慢性非特异性腰痛患者髋关节运动学评估。德尔菲研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-15 DOI: 10.1016/j.msksp.2024.103215

Maya Abady Avman, Peter G. Osmotherly, Suzanne J. Snodgrass

Background

Chronic nonspecific low back pain (CNSLBP) has been associated with movement impairment (MI) of the hip joint. However, evidence supporting this is inconsistent.

Agreement from experts may provide rationale and recommendations for the assessment of the hip joint in the management of CNSLBP patients.

Objective

Gain expert consensus on whether hip MIs are related to CNSLBP, whether they should be assessed and which movement types and directions they recommend.

Methods

Through a three-round e-Delphi process, international experts in the field rated levels of agreement for generated themes pertaining to assessing proposed hip joint MI in individuals with CNSLBP and underlying rationales. Consensus was defined a priori as ≥75% ratings on Likert scales with an IQR≤ 1.

Results

International expert panel consisted of a mix of researchers and clinicians with the majority involved in both. Response for round I was 27, round 2 was 21 and round III was 26 individuals.

Consensus was achieved for the association of active and passive hip joint MI in CNSLBP and their assessment. 100% agreement was achieved for the rationale regarding compensatory movement of the lumbar spine, and the assessment of passive hip movements, in particular extension. Consensus was also achieved for assessing hip passive flexion, extension, rotations, and abduction, active flexion, extension, and abduction. No agreement was attained regarding passive accessory movement.

Conclusion

The assessment of active and passive hip joint MI is regarded by experts as appropriate and informative in the management of and research pertaining to CNSLBP.

背景：慢性非特异性腰痛（CNSLBP）与髋关节运动障碍（MI）有关。然而，支持这一观点的证据并不一致。专家的一致意见可能为CNSLBP患者髋关节评估提供理论依据和建议。目的：就髋关节MIs是否与CNSLBP相关、是否应进行评估以及推荐何种运动类型和方向，获得专家共识。方法通过三轮e-Delphi过程，该领域的国际专家对与评估CNSLBP患者拟议的髋关节MI相关的生成主题及其潜在理由的同意程度进行了评级。共识被先验地定义为在李克特量表上评分≥75%且IQR≤1。结果国际专家小组由研究人员和临床医生组成，其中大多数人都参与其中。第一轮的应答是27人，第二轮是21人，第三轮是26人。对于CNSLBP中主动和被动髋关节心肌梗死的关联及其评估达成了共识。关于腰椎代偿性运动的基本原理和髋关节被动运动的评估，特别是伸展，达到100%的一致性。评估髋关节被动屈曲、伸展、旋转和外展、主动屈曲、伸展和外展也取得了共识。关于被动附件运动没有达成一致意见。结论专家认为主动和被动髋关节心肌梗死的评估在CNSLBP的管理和研究中是适当的和有价值的。

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引用次数: 0

The efficacy of high load-volume exercise versus low load-volume exercise for rotator cuff tendinopathy: A pilot and feasibility trial 大负荷量运动与小负荷量运动对肩袖肌腱病的疗效对比：试点和可行性试验

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-15 DOI: 10.1016/j.msksp.2024.103218

Josh Naunton , Dawson Kidgell , Kim Bennell , Terry Haines , Peter Malliaras

Background

The most effective exercise variables for rotator cuff tendinopathy are unknown.

Objective

Determine feasibility of a fully powered trial comparing high load-volume versus low load-volume exercise for adults with rotator cuff tendinopathy.

Design

Two arm, multi-centre pilot and feasibility randomised controlled trial.

Methods

Participants aged over 18 were recruited via social media and randomised into 12 weeks of either high load-volume exercise (i.e. with dumbbell resistance) or low load-volume exercise (i.e. without added resistance). Feasibility outcomes were rates of recruitment, retention, questionnaire completion, adverse events and adherence to prescribed exercise.

Results

Fifteen participants were randomised to high load-volume and 16 to low load-volume (18/31 were female). Retention rate was 84% at 6 weeks, and 81% at 12 and 26 weeks. Five participants withdrew and one participant was lost to follow up. Questionnaire completion rate was 78%. Adherence to the prescribed exercise sets was 77%. Recruitment, conversion and retention rates were above the pre-defined success criterion. There were no serious adverse events.

Conclusion

A fully powered multi-centre randomised trial is feasible with minor amendments addressing exercise adherence and questionnaire response rate. Future trials should utilise outcomes that consider participants baseline physical activity levels and adequately measure pain disparate from performance.

背景对肩袖肌腱病最有效的运动变量尚不清楚.目的确定一项完全有效的试验的可行性，比较成人肩袖肌腱病患者的高负荷运动量和低负荷运动量.设计双臂、多中心试点和可行性随机对照试验.方法通过社交媒体招募 18 岁以上的参与者，并随机分配其参加为期 12 周的高负荷运动量（即有哑铃阻力）或低负荷运动量（即无附加阻力）.结果15 名参与者被随机分配到高负荷运动量，16 名参与者被随机分配到低负荷运动量（即无附加阻力）.结果15 名参与者被随机分配到高负荷运动量，16 名参与者被随机分配到低负荷运动量（即无附加阻力）.结果15 名参与者被随机分配到高负荷运动量，16 名参与者被随机分配到低负荷运动量（即无附加阻力）.可行性结果包括招募率、保留率、问卷完成率、不良事件发生率以及对规定运动的坚持率。结果15名参与者被随机分配到高负荷运动量运动中，16名参与者被随机分配到低负荷运动量运动中（18/31为女性）。6周的保留率为84%，12周和26周的保留率为81%。五名参与者退出，一名参与者失去随访机会。问卷完成率为 78%。对规定运动组的坚持率为 77%。招募率、转换率和保留率均高于预先设定的成功标准。结论：针对运动依从性和问卷回复率稍作修改后，一项完全有效的多中心随机试验是可行的。未来的试验应利用考虑参与者基线体力活动水平的结果，并充分测量与表现不同的疼痛。

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引用次数: 0

The state of the science for potential contributors to musculoskeletal injury following concussion: Mechanisms, gaps, and clinical considerations 脑震荡后肌肉骨骼损伤潜在诱因的科学现状：机制、差距和临床考虑因素

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-14 DOI: 10.1016/j.msksp.2024.103219

Landon B. Lempke , Robert C. Lynall

Concussion is a common mild traumatic brain injury affecting athletic, military, and general populations. While unrestricted medical clearance often occurs within 1-month, emerging evidence indicates prolonged sensorimotor control deficiencies and greater musculoskeletal injury risk after a concussion. Various theoretical frameworks and original studies indicate potential neurophysiological alterations affecting sensory input, sensorimotor integration, and neuromotor output, though the exact mechanisms remain unclear. This commentary aims to briefly review the literature on contributors to sensory and neuromotor deficiencies potentially related to musculoskeletal injury risk, recommend future research avenues to better understand these factors, and highlight current and future clinical applications.

脑震荡是一种常见的轻度脑外伤，影响着运动员、军人和普通人群。虽然通常在 1 个月内就能恢复正常，但新出现的证据表明，脑震荡后会出现长时间的感觉运动控制缺陷和更大的肌肉骨骼损伤风险。各种理论框架和原始研究表明，潜在的神经生理学改变会影响感觉输入、感觉运动整合和神经运动输出，但确切的机制仍不清楚。本评论旨在简要回顾与肌肉骨骼损伤风险潜在相关的感觉和神经运动缺陷的促成因素的文献，建议未来的研究途径以更好地理解这些因素，并强调当前和未来的临床应用。

引用次数: 0

Letter to the Editor concerning Büyükturan et al. (2024) 致编辑的信，内容涉及

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103211

Allan Abbott, Henrik Hedevik, Elias Diarbakerli

引用次数: 0

Determining people's attitudes and motivation towards their health in patients with low back pain using the Health Styles questionnaire. A test of feasibility and validity 使用健康风格问卷确定腰背痛患者的健康态度和动机。可行性和有效性测试。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103213

G Davies , P.C. Goodwin

引用次数: 0

A comparative analysis of lumbar paraspinal muscle morphology between two movement system impairment subgroups of chronic nonspecific low back pain 慢性非特异性腰背痛两个运动系统损伤亚组腰椎旁肌肉形态的比较分析。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103208

Fereshteh Rezazadeh , Shahin Goharpey , Nahid pirayeh , Mohammad Jafar Shaterzadeh Yazdi , Amin Behdarvandan , Saeed Hesam

Background

Based on the kinesiopathologic model, the Movement System Impairment (MSI) classification of LBP has shown that repetitive movements could contribute to pathoanatomic tissue changes. However, these changes have not been evaluated in different MSI classification subgroups of patients with LBP.

Objective

This study compared the grades of fatty infiltration as one of the muscle's pathologic changes in the lower lumbar paraspinal and psoas muscles between the two subgroups of patients diagnosed with MSI syndromes having opposite movement direction impairments.

Design

Observational cross-sectional study.

Method

Forty-five participants with chronic LBP were enrolled in the study, with 23 patients in the lumbar flexion-rotation (FlexRot) subgroup and 22 in the lumbar extension-rotation (ExtRot) subgroup of MSI. Magnetic resonance imaging (MRI) and the Goutallier Classification System (GCS) were used for fatty grading of lumbar paraspinal and psoas muscles. After the reliability of this grading scale was evaluated, the results were compared between the two subgroups.

Results

The Mann–Whitney U Test showed significantly higher fat infiltration of lower lumbar multifidus and erector spinae muscles in the lumbar ExtRot subgroup, with no significant difference between the two subgroups in terms of psoas muscles (P ≤ 0.05). Inter-rater reliability of GCS was acceptable to excellent, and intra-rater reliability was good to excellent.

Conclusion

The fatty infiltration grade of lumbar paraspinal muscles in L4-L5 and L5-S1 levels are significantly different between the two LBP subgroups of MSI that have two opposite movement direction impairments. The lumbar paraspinal muscles, which contribute to extension, have a higher grade of fat in the ExtRot subgroup, whose symptoms are aggravated by lumbar extension.

背景：根据运动病理模型，腰椎间盘突出症的运动系统损伤（MSI）分类表明，重复运动可能导致病理组织变化。然而，这些变化尚未在不同的 MSI 分类亚组枸杞痛患者中进行评估：本研究比较了被诊断为 MSI 综合征且运动方向相反的两个亚组患者的下腰椎旁肌和腰大肌中作为肌肉病理变化之一的脂肪浸润程度：观察性横断面研究：45名慢性腰痛患者参加了研究，其中23名患者属于腰部屈曲-旋转（FlexRot）亚组，22名患者属于腰部伸展-旋转（ExtRot）亚组。磁共振成像（MRI）和 Goutallier 分类系统（GCS）用于腰椎旁和腰肌的脂肪分级。在对该分级表的可靠性进行评估后，对两个亚组的结果进行了比较：曼-惠特尼U检验显示，腰椎外展肌亚组的下腰部多裂肌和竖脊肌的脂肪浸润率明显更高，而腰大肌的脂肪浸润率在两亚组间无明显差异（P≤0.05）。GCS的评分者间信度为可接受到优秀，评分者内部信度为良好到优秀：结论：腰椎间盘突出症的两个亚组之间，L4-L5 和 L5-S1 水平腰椎旁肌肉的脂肪浸润等级存在显著差异。在 ExtRot 亚组中，腰椎伸展时腰椎旁肌肉的脂肪等级更高，因为腰椎伸展会加重其症状。

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引用次数: 0

The effect of a neuromuscular-cognitive training program on postural stability, hop performance, and agility in Division-I Women's Tennis athletes: A pilot study 神经肌肉-认知训练计划对一级女子网球运动员姿势稳定性、跳跃表现和敏捷性的影响：试点研究。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103214

Ke’La H. Porter , Lina Ochoa , Danielle M. Torp , Matthew C. Hoch

Background

Situational awareness and cognitive function are often discounted in sports training programs, potentially limiting their effectiveness.

Objective

This research aimed to examine the effect of a six-week neuromuscular-cognitive training program on postural stability, hop performance, and agility with and without perceptual-cognitive challenge in a tennis team.

Design

Double baseline, quasi-experimental pretest-posttest.

Methods

Ten collegiate female tennis athletes volunteered to participate in this study. Participants completed two baseline testing sessions, a six-week training program, and a post-test session one week after the training program. Participants completed the neuromuscular-cognitive training twice a week for six weeks. The training integrated cognitive load (e.g., working memory and inhibitory control) during exercise (e.g., balance and shuffling). At each data collection session, subjects completed a single-limb stance on a force plate with and without an upper extremity reaction test, single-leg hop, single-leg memory hop, reactive agility, and a lower extremity reaction task. Pre-to post-intervention changes were analyzed using t-tests with corresponding Hedge's g effect sizes. Results were considered significant when p ≤ 0.05 and Hedge's g effect sizes were moderate to strong.

Results

Statistically significant improvements were identified for single and dual-task anteroposterior mean center of pressure velocity (g = −0.684–0.803), single-task time-to-boundary mediolateral mean minima (g = 0.921), and single and dual-task time-to-boundary anteroposterior mean minima (0.708–0.830). Additionally, significant improvements were identified in the upper extremity reaction task during the dual-task static balance (g = −0.795).

Conclusion

Neuromuscular-cognitive training may be beneficial in improving postural stability outcomes; however, more research is needed to develop this type of training further.

背景：在运动训练计划中，情境意识和认知功能往往被忽视，这可能会限制其有效性：本研究旨在考察为期六周的神经肌肉-认知训练计划对网球队的姿势稳定性、跳跃表现和敏捷性的影响，以及是否存在感知-认知挑战：设计：双基线、准实验性前测-后测：方法：10 名大学网球女运动员自愿参加本研究。参加者完成了两次基线测试、为期六周的训练计划以及训练计划结束一周后的后测。参与者每周完成两次神经肌肉-认知训练，为期六周。训练将认知负荷（如工作记忆和抑制控制）与运动（如平衡和洗牌）结合起来。在每次数据收集过程中，受试者都要在测力板上完成单肢站立，同时进行或不进行上肢反应测试、单腿跳跃、单腿记忆跳跃、反应敏捷和下肢反应任务。采用 t 检验和相应的 Hedge's g 效果大小分析干预前和干预后的变化。当 p≤0.05 和 Hedge's g 效应量为中等至强时，结果被认为是有意义的：单任务和双任务的前胸平均压力中心速度（g = -0.684-0.803）、单任务到边界内外侧平均最小值的时间（g = 0.921）以及单任务和双任务到边界前胸平均最小值的时间（0.708-0.830）均有统计学意义的改善。此外，在双任务静态平衡（g = -0.795）中，上肢反应任务也有明显改善：结论：神经肌肉-认知训练可能有助于改善姿势稳定性结果；然而，还需要更多的研究来进一步发展这种类型的训练。

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引用次数: 0

The general public as well as physiotherapists evaluate spinal flexion as dangerous regardless of their own low back pain history 一般人和物理治疗师都认为脊柱弯曲是危险的，不管他们自己是否有腰痛病史。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103216

Tomas Kavka , Tomas Nedoma , Zuzana Blahova

Background

Maladaptive fear of movement in individuals with low back pain may be associated with worse clinical outcomes.

Objective

To explore beliefs about the perceived dangers regarding different spinal postures within the Czech Republic.

Design

Exploratory cross-sectional study including physiotherapists and members of the general public.

Methods

Self-reported perceived safety/danger of “straight” and “flexed” spinal postures regarding 1) sitting, 2) lifting of light and 3) heavy object from the floor based on three pairs of photographs was measured using numeric rating scales (0–10, safe to dangerous) without any given context and in the context of low back pain. The sum of differences between the ratings of flexed and straight postures were used to calculate Bending Safety Beliefs Thermometer (BSB_Thermometer) total score potentially ranging -60‒60 (higher values indicates evaluation of flexed spinal postures as more dangerous in comparison to straight postures).

Results

760 participants were included in the analysis. The mean BSB_Thermometer total score was 31.1 (SD 16.1) and higher scores were positively associated with being women (b = 14.8, 95% CI [9.9–19.8]); non-medical profession (b = 24.7, 95% CI [15.2–34.2]); age (b = 0.38, 95% CI [0.16–0.6]; and their interactions. There was no significant association with current low back pain status or history of low back pain.

Conclusions

On average, participants evaluated “flexed” spinal postures as significantly more dangerous when compared with “straight” spinal postures, with only subgroups of physiotherapists scoring lower than the general public. Clinically, these beliefs could be targeted by individualized education, exposure-based interventions and public campaigns; however, further research is required.

背景：腰背痛患者对运动的适应性恐惧可能与更差的临床疗效有关：腰背痛患者对运动的适应性恐惧可能与更差的临床结果有关：目的：探讨捷克共和国国内对不同脊柱姿势危险性的看法：设计：探索性横断面研究，包括物理治疗师和普通公众：方法：根据三对照片，使用数字评分量表（0-10 分，从安全到危险），在没有任何特定背景的情况下以及在腰背痛的背景下，测量 "直 "和 "屈 "脊柱姿势对 1）坐姿、2）从地板上提起轻物和 3）重物的安全性/危险性的自我感知。弯曲姿势和直立姿势的评分差异之和被用来计算弯曲安全信念温度计（BSBThermometer）的总分，潜在范围为-60-60（数值越高，表明脊柱弯曲姿势与直立姿势相比越危险）：共有 760 名参与者参与分析。BSBThermometer 总分的平均值为 31.1（标准差为 16.1），得分越高与女性（b = 14.8，95% CI [9.9-19.8]）、非医疗职业（b = 24.7，95% CI [15.2-34.2]）、年龄（b = 0.38，95% CI [0.16-0.6]）及其交互作用呈正相关。与当前腰背痛状况或腰背痛病史无明显关联：平均而言，与 "直 "脊柱姿势相比，参与者认为 "屈 "脊柱姿势更危险，只有物理治疗师亚群的得分低于普通大众。在临床上，可以通过个性化教育、基于暴露的干预措施和公共宣传活动来纠正这些观念；但是，还需要进一步的研究。

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引用次数: 0

The association between neuropathic pain features and central sensitization with acute headache associated to a whiplash injury 神经病理性疼痛特征和中枢敏感性与鞭打伤引起的急性头痛之间的关联。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103212

Ernesto Anarte-Lazo , Marco Barbero , Carlos Bernal-Utrera , Cleofas Rodriguez-Blanco , Deborah Falla

Background

Headache is one of the most common symptoms after a whiplash injury, although the pathophysiology remains under discussion. This study aimed to evaluate differences in neuropathic pain and central sensitization features between those who present with whiplash-associated headache (WAH) soon after a whiplash injury and those who do not.

Methods

This case-control study evaluated differences on the self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), Pain Detect Questionnaire (PDQ) and the Central Sensitization Inventory (CSI) between those who present with WAH in the acute phase after a whiplash injury (n = 46) and those who do not (n = 36). Moreover, the association of these variables in addition to neck pain intensity and the Neck Disability Index (NDI) score, with the presence of WAH was examined through logistic regression.

Results

While differences between groups were found for both neuropathic and central sensitization features, only the presence of neuropathic pain features was associated with the presence of headache, with 27 scores for the S-LANSS and 23 for the PDQ from 46 people with headache (58.6% and 50.0%, respectively). The NDI and the S-LANSS partially explained (R² = 0.68) the presence of WAH according to a logistic regression model.

Conclusion

Significant differences were found between people with whiplash with and without WAH when the S-LANSS, the PDQ and the CSI were assessed. S-LANSS and NDI were the variables most associated with the presence of WAH. These findings suggest that neuropathic pain features may be associated with the presence of acute WAH.

背景：头痛是鞭打伤后最常见的症状之一，但其病理生理学仍在讨论之中。本研究旨在评估在鞭打伤后不久出现鞭打相关性头痛（WAH）的患者与未出现鞭打相关性头痛的患者在神经病理性疼痛和中枢敏化特征方面的差异：这项病例对照研究评估了在鞭打伤后急性期出现 WAH 的患者（46 人）与未出现 WAH 的患者（36 人）在自编利兹神经病理性症状和体征评估（S-LANSS）、疼痛检测问卷（PDQ）和中枢敏感性量表（CSI）上的差异。此外，还通过逻辑回归分析了这些变量与颈部疼痛强度和颈部残疾指数（NDI）得分之间的关系：虽然在神经病理性和中枢敏感性特征方面发现了组间差异，但只有神经病理性疼痛特征与头痛存在相关，46 名头痛患者中有 27 人在 S-LANSS 中得分，23 人在 PDQ 中得分（分别占 58.6% 和 50.0%）。根据逻辑回归模型，NDI和S-LANSS可以部分解释（R2 = 0.68）是否存在WAH：结论：在对 S-LANSS、PDQ 和 CSI 进行评估时，发现有 WAH 和无 WAH 的鞭打患者之间存在显著差异。S-LANSS 和 NDI 是与 WAH 存在最相关的变量。这些研究结果表明，神经性疼痛特征可能与急性 WAH 的存在有关。

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引用次数: 0

French translation and transcultural adaptation of the shoulder pain and disability index (SPADI) 肩部疼痛和残疾指数 (SPADI) 的法语翻译和跨文化改编。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103209

Thomas Lathiere , Noemie Chantriaux , David Beard , Nicolas Pinsault , Leo Druart

Background

A French version of the Shoulder Pain and Disability Index (SPADI) is currently unavailable for clinical and research use in French-speaking countries.

Objectives

To translate and transculturally adapt the Shoulder Pain And Disability Index (SPADI) from English to French language.

Design

Translation and transcultural adaptation of a Patient-Reported Outcome Measure.

Methods

Following international guidelines for translating and adapting PROMs, we carried out a seven-step process involving 15 contributors. The forward translation was performed by five independent native French speakers, while five independent native English speakers conducted the blinded back-translation. A bilingual expert committee synthesized the translations, and three healthcare professionals participated in the pre-test phase. Ten patients were involved in pre-testing to evaluate the pre-final version.

Results

A final French version of the SPADI was achieved after making seven adjustments across the 18 items, instructions, and examples on the Likert scale. Changes were implemented only if at least 20% of the pre-test participants suggested modifications to enhance readability or coherence. Face validity was assessed by the expert committee.

Conclusion

The French version of the SPADI is now available, enabling condition-specific self-assessment and quantitative follow-up of shoulder pain and function in both clinical practice and research. Although psychometric properties of this version are yet to be assessed, future studies are expected to confirm the preservation of the original tool's validity and reliability.

背景：目前，法语国家还没有用于临床和研究的法文版肩部疼痛和残疾指数（SPADI）：目前，法语国家还没有用于临床和研究的法语版肩关节疼痛和残疾指数（SPADI）：将肩部疼痛和残疾指数（SPADI）从英语翻译成法语，并进行跨文化改编：设计：对患者报告的结果测量进行翻译和跨文化改编：根据患者报告结果量表翻译和改编的国际指南，我们进行了七步流程，共有 15 位参与者参与。正译由五位独立的母语为法语的人员完成，反译则由五位独立的母语为英语的人员进行盲译。一个双语专家委员会对译文进行了综合，三名医护人员参与了预试阶段。10名患者参与了预试，以评估最终版本：在对 18 个项目、说明和李克特量表示例进行了 7 次调整后，最终完成了 SPADI 的法文版。只有在至少 20% 的预测试参与者提出修改建议以提高可读性或连贯性的情况下，才会进行修改。专家委员会对表面效度进行了评估：SPADI法文版现已面世，可在临床实践和研究中根据具体情况对肩部疼痛和功能进行自我评估和定量随访。尽管该版本的心理测量学特性还有待评估，但未来的研究有望证实其保留了原始工具的有效性和可靠性。

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引用次数: 0