مجال التميز | تميز دراسي وبحثي |
البحوث المنشورة |
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البحث (1): | |
عنوان البحث: |
Outcome measures evaluating physical functioning and their measurement properties in adolescent idiopathic scoliosis: a protocol for a systematic review |
رابط إلى البحث: |
https://bmjopen.bmj.com/content/bmjopen/10/4/e034286.full.pdf |
تاريخ النشر: |
01/04/2020 |
موجز عن البحث: |
Introduction Physical functioning (PF) is the ability to carry out the physical activity of daily living. It is an important outcome that provides a meaningful evaluation of individuals’ life. PF can be assessed using patient-reported outcome measures, performance-based outcome measures or body structure and function measure. Measures need to be valid, reliable and responsive to change to evaluate the effects of an intervention. Adolescent idiopathic scoliosis (AIS) is the most common deformity among the paediatric population and impacts on individuals’ lives. This systematic review will appraise evidence on the measurement properties of PF tools in individuals with AIS. Methods/analysis A protocol for systematic review and meta-analysis informed by Cochrane guidelines is reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analysis-P. MEDLINE, PsycINFO, EMBASE, CINAHL, SPORTdiscus, Web of Science and PubMed will be searched in two stages, from inception until December 2019. Search 1 will inventory all studies that assessed PF in participants with AIS, without any limitations. The search terms will be scoliosis, adolescent and PF-related terms. Search 2 will include studies which investigated instrument measurement properties in the same population for measures identified in search one. Two reviewers will independently perform study selection, data extraction, risk of bias and overall quality assessment. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias and a modified Grading of Recommendations, Assessment, Development and Evaluation (GRADE) guidelines will be used. A meta-analysis will be conducted if possible, or the evidence will be synthesised and summarised per measurement property per outcome measure per measurement type. Ethics and dissemination This review will provide recommendations for practice and future research, considering psychometric properties of outcome measures of PF in AIS. The results of this study will be disseminated through a peer-reviewed publication and conference presentation. |
البحث (2): | |
عنوان البحث: |
Physical functioning in adolescents with idiopathic scoliosis: A systematic review of outcome measures and their measurement properties |
رابط إلى البحث: | |
تاريخ النشر: |
25/01/2021 |
موجز عن البحث: |
Study design: A systematic review. Objective: To summarise evidence on measurement properties of outcome measures (OM) used to assess physical functioning in Adolescents with Idiopathic Scoliosis (AIS). Summary of background data: The AIS is a common spine deformity in those aged 10 to 18 years old. Associated health problems (e.g., back pain) significantly impact the quality of life (QoL). One important domain in QoL is physical functioning, which can be measured with Patient-Reported Outcome Measures (PROM), Performance-Based Outcome Measures (PBOM), and body structure and function OM. Adequate measurement properties of outcome measures (OM) are important for precision in research and practice. Methods: A two-search strategy performed on electronic databases up to December 2019. Search one revealed list of OM were used for physical functioning assessment in AIS. Search two identified studies that evaluated measurement property in AIS; using list identified in search one. Two independent reviewers determined study eligibility, risk of bias assessment (COSMIN checklist), and data extraction. The level of evidence was established using modified GRADE approach. Results: Search one yielded: 28 PROM, 20 PBOM, and 10 body structure and function OM. Search two revealed: 16 measurement properties studies of PROM, 1 for PBOM and 3 for body structure and function measure. Construct validity, reliability and responsiveness of most PROMs established in AIS, but not content validity or internal consistency (Moderate evidence). Construct validity was sufficient for the Timed up and Go test and, body structure and function measures (very low to low evidence). Conclusion: Currently, physical functioning evaluated with variety of measures in AIS. Majority of measurement properties studies were evaluating PROM with paucity of information on measurement properties of PBOM and body structure and function OM. Based on COSMIN methodology, none of OM identified in this review can be recommended for use in individuals with AIS.Level of Evidence: 2 |
المؤتمرات العلمية |
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المؤتمر (1): | |
عنوان المؤتمر: |
World physiotherapy conference 2021 |
تاريخ الإنعقاد: |
09/04/2021 |
مكان الإنعقاد: |
UK |
طبيعة المشاركة: | Platform presentation |
عنوان المشاركة: |
Physical functioning in adolescents with idiopathic scoliosis: A systematic review of outcome measures and their measurement properties |
ملخص المشاركة: |
Background: Adolescents with Idiopathic Scoliosis (AIS) is the most common spine deformity among children aged 10 to 18 years old. It associates with health problems that are potentially impacting significantly quality of life. One of the important domains in QoL measurements is Physical functioning (PF), which can be measured by different types of Outcome Measures(OM). Adequate measurement properties of these OM are important to ensure the accuracy of the test results, and the results are trustworthy. Purpose: To summarise evidence on the measurement properties of OM used to assess physical functioning in AIS. Methods: Based on previously registered and published protocols, a two-search strategy was performed on MEDLINE, PsycINFO, EMBASE, CINAHL, SPORTdiscus, Web of Science, and PubMed databases, from inception until December 2019. Search one identified all types of OM used for assessment of physical functioning in individuals with AIS. A list of OM generated from this search was used to identify studies on the measurement properties of OM in search two. Studies not in the English language were excluded. Two reviewers independently performed study screening, study selection, risk of bias assessment (COnsensus-based Standards for the selection of health Measurement INstruments tool), and data extraction. The level of evidence was established using a modified GRADE approach. Results: A list of OM was generated from search one and classified into: 28 Patient-Reported Outcome Measures (PROM), 20 Performance-Based Outcome Measures (PBOM), and 16 outcome measures of body structure and function. Search two revealed 16 studies of measurement properties for PROM, 1 for PBOM and 3 for body structure and function. High to moderate-quality evidence supported the construct validity of PROMs. Very low to low quality of evidence showed that the Scoliosis Research Society (SRS)-22 questionnaire was responsive and SRS-22revised was not responsive to change. Very low evidence indicated that the Timed up and Go test has sufficient construct validity. Body structure and function measures have sufficient construct validity, supported with very low to low quality of evidence. Conclusion: There is a gap in the evidence to support the recommendation of an outcome measure for use in individuals with AIS based on COSMIN methodology. Further evaluation of the outcome measures identified in this review is required to ensure that the measures used in this population have adequate measurement properties. This would enable high quality, evidence-based practice for individuals with AIS. Implications : This review highlights the gaps in the current research agenda regarding the measurement properties of physical functioning measures. More high-quality studies are needed for better defining the measurement properties of these tools to be recommended for assessment PF in individuals with AIS. Keywords: Scoliosis, Adolescent, Systematic review, psychometric, Outcome Assessment |
المؤتمر (2): | |
عنوان المؤتمر: |
Physiotherapy UK 2020 |
تاريخ الإنعقاد: |
13/11/2020 |
مكان الإنعقاد: |
UK |
طبيعة المشاركة: |
Poster presentation |
عنوان المشاركة: |
Measurement properties of outcome measure evaluating physical functioning among adolescent with idiopathic scoliosis: a systematic review |
ملخص المشاركة: |
Purpose: Physical functioning (PF) is the ability to carry out the physical activity of daily living such as walking and self-care. It is an important outcome that provides a meaningful evaluation of individuals’ life. Adolescent Idiopathic Scoliosis (AIS) is the most common deformity among the paediatric population. Limitations in PF are reported by indviduals with AIS as well as pain, which may cause functional limitation. This review aims to summarise outcome measures used for assessment of PF (patient-reported, performance-based and body structure and function) for individuals with AIS and their respective measurement properties. |
سامية عطية سليمان العمراني
دكتوراه
الطب والخدمات الصحية
University of Birmingham