"Minimal clinically important difference" estimates of 6 commonly-used performance tests in patients with chronic musculoskeletal pain completing a work-related multidisciplinary rehabilitation program.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_E242283A8F0C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
"Minimal clinically important difference" estimates of 6 commonly-used performance tests in patients with chronic musculoskeletal pain completing a work-related multidisciplinary rehabilitation program.
Périodique
BMC musculoskeletal disorders
Auteur(s)
Benaim C., Blaser S., Léger B., Vuistiner P., Luthi F.
ISSN
1471-2474 (Electronic)
ISSN-L
1471-2474
Statut éditorial
Publié
Date de publication
05/01/2019
Peer-reviewed
Oui
Volume
20
Numéro
1
Pages
16
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Observational Study
Publication Status: epublish
Résumé
Functional tests are widely used to measure performance in patients with chronic musculoskeletal pain. Our objective was to determine the Minimal Clinically Important Differences (MCID) for the 6-min walk test (6MWT), the Steep Ramp Test (SRT), the 1-min stair climbing test (1MSCT), the sit-to-stand test (STS), the Jamar dynamometer test (JAM) and the lumbar Progressive Isoinertial Lifting Evaluation (PILE) in chronic musculoskeletal pain patients.
A single-center prospective observational study was conducted in a rehabilitation center. Patients with upper-limb, lower-limb or neck/back lesions were included over a period of 21 months. We used the anchor-based method as a reference method, supplemented by the distribution-based and opinion-based approaches, to determine the MCIDs.
838 chronic musculoskeletal pain patients were included. The estimation method and thelesion location had a significant influence on the results. MCIDs were estimated at +75m and +60m for the 6MWT (lower-limb and neck/back lesions, respectively), +18 steps for the 1MSCT (lower-limb and neck/back lesions) and +6kg for the JAM (upper limb lesions). The anchor-based method could not provide valid estimations for the three other scales, but distribution and opinion-based methods provided rough values of MCIDs for the SRT (+39w to +61w), the STS (-5 sec to -7 sec) and the PILE (+4kg to +7kg).
The above MCID estimations for the 6MWT, 1MSCT and JAM can be used in chronic musculoskeletal pain patients participating in vocational multidisciplinary rehabilitation programs or in therapeutic trials. The use of specific anchors might give better estimations of MCIDs for the three other scales in future research.
Mots-clé
Adolescent, Adult, Aged, Chronic Pain/diagnosis, Chronic Pain/physiopathology, Chronic Pain/rehabilitation, Disability Evaluation, Female, Health Status, Humans, Male, Middle Aged, Minimal Clinically Important Difference, Muscle Strength Dynamometer, Musculoskeletal Pain/diagnosis, Musculoskeletal Pain/physiopathology, Musculoskeletal Pain/rehabilitation, Pain Measurement, Predictive Value of Tests, Prospective Studies, Treatment Outcome, Walk Test, Young Adult, Chronic musculoskeletal pain, Functional tests, MCID
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/01/2019 18:22
Dernière modification de la notice
20/08/2019 17:06
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