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Structural and Psychometric Properties of Neck Pain Questionnaires Through Patient-Reported Outcome Measures: A
Manuel Gonzalez-Sanchez1,2, Álvaro Jesús Reina-Ruiz1, Guadalupe Molina-Torres3
1Department of Physiotherapy, Faculty of Health Sciences, University of Málaga, Avda. Cervantes, 2, 29071 Malaga, Spain.
Medicina (Kaunas, Lithuania)
|July 30, 2025
Summary
This systematic review found that neck pain questionnaires demonstrate good reliability and internal consistency. Further research is recommended to explore their construct validity more thoroughly.
Area of Science:
- Rehabilitation Medicine
- Health Outcomes Research
Background:
- Patient-reported outcome measures (PROMs) like questionnaires require rigorous validation.
- Questionnaires have evolved from single-condition focus to broader health assessments.
Purpose of the Study:
- To systematically review the structural and psychometric characteristics of neck pain questionnaires.
- To assess the reliability and replicability of these patient-reported outcome measures.
Main Methods:
- Systematic review following PRISMA guidelines.
- Searched multiple databases (PubMed, Cochrane, EMBASE, etc.) using specific keywords.
- COSMIN criteria applied to evaluate psychometric properties.
Main Results:
- 15 articles were reviewed, assessing disability, dizziness, anxiety, depression, fear-avoidance beliefs, and post-surgical symptoms.
- Neck pain questionnaires show excellent reliability and internal consistency.
- High variability was observed in the construct validity of these questionnaires.
Conclusions:
- Neck pain questionnaires exhibit good psychometric properties, particularly reliability and internal consistency.
- Despite structural heterogeneity, their performance is generally strong.
- Further investigation into construct validity is warranted.

