Psychometric properties of the global rating of change scales in patients with low back pain, upper and lower extremity disorders. A systematic review with meta-analysis.

The purpose of this systematic review was to critically appraise and synthesize the psychometric properties of the Global Rating of Change (GRoC) scales on the assessment of patients with low back pain (LBP), upper extremity and lower extremity disorders. A search was performed in 4 databases (MEDLI...

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Publicado en:Journal of Orthopaedics Vol. 21; pp. 40 - 49
Autores principales: Bobos, Pavlos, Ziebart, Christina, Furtado, Rochelle, Lu, Ze, MacDermid, Joy C.
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Professor PK Surendran Memorial Education Foundation Sep2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2020
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      pub: Professor PK Surendran Memorial Education Foundation
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        10.1016/j.jor.2020.01.047
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        atl: Psychometric properties of the global rating of change scales in patients with low back pain, upper and lower extremity disorders. A systematic review with meta-analysis.
      aug:
        au:
          Bobos, Pavlos
          Ziebart, Christina
          Furtado, Rochelle
          Lu, Ze
          MacDermid, Joy C.
        affil: Western's Bone and Joint Institute, School of Physical Therapy, Department of Health and Rehabilitation Sciences, Western University, London, Ontario, Canada
      sug:
        subj:
          Psychometrics
          Scales
          Low Back Pain
          Upper Extremity Pathology
          Lower Extremity Pathology
          Instrument Validation
          Human
          Systematic Review
          Meta Analysis
          Medline
          Embase
          CINAHL Database
          Descriptive Statistics
          Lumbar Vertebrae Pathology
          Confidence Intervals
          Test-Retest Reliability
          Musculoskeletal Diseases
          Validation Studies
      ab: The purpose of this systematic review was to critically appraise and synthesize the psychometric properties of the Global Rating of Change (GRoC) scales on the assessment of patients with low back pain (LBP), upper extremity and lower extremity disorders. A search was performed in 4 databases (MEDLINE, EMBASE, CINAHL, SCOPUS) until February 2019. Eligible articles were appraised using Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist and the Quality Appraisal for Clinical Measurement Research Reports Evaluation Form. The 8 eligible studies included participants with orthopedic lumbar spine impairments (n = 52,767), patients with work-related musculoskeletal disorders (n = 1944), patients with low back pain (n = 183) and individuals with upper extremity disorders (n = 151). Risk of bias was ranging from "adequate" to "very good" and quality was found excellent for all studies. Based on pooled data, test-retest reliability of 11-item GRoC for patients with low back pain was found excellent ICC = 0.84, 95% CI: 0.65 to 0.94. Test-retest reliability in patients with shoulder pain was found fair to good ICC of 0.62 in a 15-point GRoC scale. Seven studies (n = 7) examined the convergent validity between GRoC and another outcome measure. Minimum important change on the Portuguese version of Global Perceived Effect (GPE) for patients with LBP was 2.5 points out of 11 points. The current pool of clinical measurement studies indicates that the GRoC has excellent test-retest reliability for patients with low back pain, shoulder pain and with lumbar spine disorders. However, the validity of it as a reference standard in responsiveness studies or as an accurate overall assessment of change has been questioned. While future studies might provide more insight into its measurement properties, this limitation is unlikely to change. Therefore, we suggest that future responsiveness in the studies that want a global indicator measure need to use an additional measure to mitigate recall bias. CRD 42020149122.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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