临床试验的测量属性,以评估与关节相关的疼痛的个体:基于基于共识的标准来选择健康测量仪器的指导方针的系统审查
Diogo A Gomes1, Fernanda Serighelli1, Mark Scholes1
1La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Victoria, Melbourne, Australia.
Archives of physical medicine and rehabilitation
|October 29, 2025
概括
对关节疼痛的临床测试,包括单腿,下降和部曲运动范围 (ROM),显示出可靠的测量特性. 肌肉强度测试也证明了评估关节相关疼痛的良好有效性.
科学领域:
- 整形外科和体育医学
- 康复科学 康复科学 康复科学
- 临床生物力学 临床生物力学
背景情况:
- 与关节相关的疼痛影响了大量患者群体,需要准确的临床评估工具.
- 对于评估部疼痛的各种临床测试的可靠性和有效性尚未得到充分证实.
- 标准化的测量特性对于基于证据的临床决策在关节疼痛管理中至关重要.
研究的目的:
- 系统地审查和评估用于评估患有关节相关疼痛的患者的临床试验的测量特性.
- 为了确定哪些功能,强度和运动范围 (ROM) 测试表现出足够的可靠性和有效性.
- 为选择部疼痛临床评估工具提供基于证据的建议.
主要方法:
- 在多个数据库 (PubMed,Embase,Cochrane等) 中进行了系统的文献搜索. 在2025年7月之前.
- 包括评估关节疼痛患者关节测试的测量特性 (可靠性,有效性,响应性) 的研究.
- 偏见的风险和证据的确定性是使用既有方法 (COSMIN,GRADE) 进行评估的.
主要成果:
- 分析了13项涉及637名参与者的13项研究中的39项临床措施.
- 单腿坐和降级测试显示出足够的可靠性和区分有效性.
- 手持式和异动力学动力计测量肌肉强度,以及活跃部曲ROM测试显示出足够的可靠性和有效性.
结论:
- 建议进行运动质量评估 (单腿坐,下降),部肌肉强度测试 (动力测量) 和积极的部曲ROM来评估部疼痛.
- 这些测试通常表现出可靠和有效的测量特性,用于关节相关的疼痛.
- 需要进一步的研究来加强建议,并确定最佳的临床试验,以评估关节疼痛.
相关概念视频
01:19Guidelines For Measuring Vital Signs
Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
01:13Equipments Used to Measure Body Temperature
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
01:14Assessing Body Temperature - Tympanic membrane
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
01:14Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
01:14Assessing Body Temperature - Axilla
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.