Clinimetric Testing of the Lumbar Spine Instability Questionnaire
Autor: | Chad Cook, Paul W. Hodges, Bruno T Saragiotto, Charles H New, Mark J. Catley, Christopher G. Maher, Mark J. Hancock |
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Přispěvatelé: | Saragiotto, Bruno T, Maher, Chris G, New, Charles H, Catley, Mark, Hancock, Mark J, Cook, Chad E, Hodges, Paul W |
Rok vydání: | 2018 |
Předmět: |
psychometrics
Joint Instability Male musculoskeletal diseases medicine.medical_specialty Lumbar spine instability Psychometrics Measure (physics) Physical Therapy Sports Therapy and Rehabilitation clinimetrics Instability 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Aged Lumbar Vertebrae outcome measure business.industry Chronic pain Outcome measures Reproducibility of Results General Medicine stability Middle Aged medicine.disease clinical measurement Physical therapy Female Self Report Chronic Pain chronic pain business Low Back Pain 030217 neurology & neurosurgery |
Zdroj: | Journal of Orthopaedic & Sports Physical Therapy. 48:915-922 |
ISSN: | 1938-1344 0190-6011 |
Popis: | The Lumbar Spine Instability Questionnaire (LSIQ) is a self-report measure of 15 items. Previous studies have used the LSIQ as a measure of clinical instability; however, a comprehensive evaluation of its clinimetric properties has not been conducted.The aim of this study was to evaluate the clinimetric properties of the LSIQ in patients with chronic nonspecific low back pain (LBP).In this clinical measurement study, the authors included patients with nonspecific LBP presenting to primary care clinicians in Australia. Rasch analysis was conducted to assess item hierarchy, targeting, unidimensionality, person fit, internal consistency, and differential item functioning. The researchers assessed test-retest reliability of total scores and individual item scores, as well as convergent and divergent validity.A total of 107 participants with LBP (60 men and 47 women) were recruited. The results were variable. The LSIQ appeared to constitute a unidimensional measure, targeted the sample well, and showed adequate test-retest reliability. However, the scale had poor internal consistency, did not appear to function as an interval-level measure, and had unclear construct validity. Although no items appeared to be redundant, several items were biased by factors other than the proposed construct of the measure.The LSIQ does not seem to be ready to be implemented in clinical practice and may require theoretical reconsideration. Although the LSIQ provided satisfactory estimates for some clinimetric features, the authors do not consider the instrument to be useful as an interval-level measure but rather as an index. Future studies are needed to investigate whether the LSIQ could measure clinical instability or some other construct. J Orthop Sports Phys Ther 2018;48(12):915-922. Epub 22 Jun 2018. doi:10.2519/jospt.2018.7866. |
Databáze: | OpenAIRE |
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