TY - JOUR
T1 - Level of Evidence for Reliability, Validity, and Responsiveness of Physical Capacity Tasks Designed to Assess Functioning in Patients With Low Back Pain
T2 - A Systematic Review Using the COSMIN Standards
AU - Jakobsson, Max
AU - Gutke, Annelie
AU - Mokkink, Lidwine B.
AU - Smeets, Rob
AU - Lundberg, Mari
N1 - Funding Information:
This review was supported by AFA Försäkring 120216, the Eurospine Research Grants 8-2014, the Health and Medical Care Executive Board of the Västra Götaland Region, and Vetenskapsrådet 2015-02511.
Funding Information:
This review was supported by AFA Försäkring 120216, the Eurospine Research Grants 8-2014, the Health and Medical Care Executive Board of the Västra Götaland Region, and Vetenskapsrådet 2015-02511. The funders played no role in the study design, data analysis, interpretation of data, or writing of the manuscript. The views expressed here are those of the authors and do not necessarily reflect those of the funding sources.
Funding Information:
The authors completed the ICJME Form for Disclosure of Potential Conflicts of Interest. A. Gutke reported a grant received by her institution from the Swedish Research Council. No other authors reported any conflicts of interest.
Publisher Copyright:
© 2018 American Physical Therapy Association.
PY - 2019/4
Y1 - 2019/4
N2 - Background Physical capacity tasks (ie, observer-administered outcome measures that comprise a standardized activity) are useful for assessing functioning in patients with low back pain.Purpose The purpose of this study was to systematically review the level of evidence for the reliability, validity, and responsiveness of physical capacity tasks.Data Sources MEDLINE, CINAHL, PsycINFO, Scopus, the Cochrane Library, and relevant reference lists were used as data sources.Study Selection Two authors independently selected articles addressing the reliability, validity, and responsiveness of physical capacity tasks, and a third author resolved discrepancies.Data Extraction and Quality Assessment One author performed data extraction, and a second author independently checked the data extraction for accuracy. Two authors independently assessed the methodological quality with the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) 4-point checklist, and a third author resolved discrepancies.Data Synthesis and Analysis Data synthesis was performed by all authors to determine the level of evidence per measurement property per physical capacity task. The 5-repetition sit-to-stand, 5-minute walk, 50-ft (approximate to 15.3-m) walk, Progressive Isoinertial Lifting Evaluation, and Timed Up & Go tasks displayed moderate to strong evidence for positive ratings of both reliability and construct validity. The 1-minute stair-climbing, 5-repetition sit-to-stand, shuttle walking, and Timed Up & Go tasks showed limited evidence for positive ratings of responsiveness.Limitations The COSMIN 4-point checklist was originally developed for patient-reported outcome measures and not physical capacity tasks.Conclusions The 5-repetition sit-to-stand, 50-ft walk, 5-minute walk, Progressive Isoinertial Lifting Evaluation, Timed Up & Go, and 1-minute stair-climbing tasks are promising tests for the measurement of functioning in patients with chronic low back pain. However, more research on the measurement error and responsiveness of these tasks is needed to be able to fully recommend them as outcome measures in research and clinical practice.
AB - Background Physical capacity tasks (ie, observer-administered outcome measures that comprise a standardized activity) are useful for assessing functioning in patients with low back pain.Purpose The purpose of this study was to systematically review the level of evidence for the reliability, validity, and responsiveness of physical capacity tasks.Data Sources MEDLINE, CINAHL, PsycINFO, Scopus, the Cochrane Library, and relevant reference lists were used as data sources.Study Selection Two authors independently selected articles addressing the reliability, validity, and responsiveness of physical capacity tasks, and a third author resolved discrepancies.Data Extraction and Quality Assessment One author performed data extraction, and a second author independently checked the data extraction for accuracy. Two authors independently assessed the methodological quality with the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) 4-point checklist, and a third author resolved discrepancies.Data Synthesis and Analysis Data synthesis was performed by all authors to determine the level of evidence per measurement property per physical capacity task. The 5-repetition sit-to-stand, 5-minute walk, 50-ft (approximate to 15.3-m) walk, Progressive Isoinertial Lifting Evaluation, and Timed Up & Go tasks displayed moderate to strong evidence for positive ratings of both reliability and construct validity. The 1-minute stair-climbing, 5-repetition sit-to-stand, shuttle walking, and Timed Up & Go tasks showed limited evidence for positive ratings of responsiveness.Limitations The COSMIN 4-point checklist was originally developed for patient-reported outcome measures and not physical capacity tasks.Conclusions The 5-repetition sit-to-stand, 50-ft walk, 5-minute walk, Progressive Isoinertial Lifting Evaluation, Timed Up & Go, and 1-minute stair-climbing tasks are promising tests for the measurement of functioning in patients with chronic low back pain. However, more research on the measurement error and responsiveness of these tasks is needed to be able to fully recommend them as outcome measures in research and clinical practice.
KW - OSWESTRY DISABILITY INDEX
KW - REPORTED OUTCOME MEASURES
KW - LUMBAR SPINAL STENOSIS
KW - PERFORMANCE TESTS
KW - NEUROGENIC CLAUDICATION
KW - METHODOLOGICAL QUALITY
KW - KNEE OSTEOARTHRITIS
KW - WALKING CAPACITY
KW - HEALTH-STATUS
KW - DISEASE
U2 - 10.1093/ptj/pzy159
DO - 10.1093/ptj/pzy159
M3 - (Systematic) Review article
C2 - 30566577
SN - 0031-9023
VL - 99
SP - 457
EP - 477
JO - Physical Therapy
JF - Physical Therapy
IS - 4
ER -