AIM: To validate the culturally-adapted Persian Functional Rating Index(PFRI) for assessing neck pain(NP) in athletes. METHODS: In this cross-sectional study, 100 athletes with NP and 50 healthy athletes participated ...AIM: To validate the culturally-adapted Persian Functional Rating Index(PFRI) for assessing neck pain(NP) in athletes. METHODS: In this cross-sectional study, 100 athletes with NP and 50 healthy athletes participated and responded to the PFRI. Fifty athletes with NP completed the PFRI for at least 7 d later to establish test-retest reliability. RESULTS: The athletes with NP responded to all items, indicating excellent clinical utility. No floor and ceiling effects were found, indicating content validity and responsiveness. The PFRI revealed capability to discriminate between the athletes with NP and healthy athletes. The PFRI demonstrated strong correlation with the Numerical Rating Scale(Spearman's rho = 0.94), and the Persian Neck Disability Index(Pearson r = 0.995), supporting criterion and construct validity. Internal consistency reliability was high(Cronbach's α coefficient: 0.97). The test-retest reliability was excellent(ICCagreement = 0.96). The absolute reliability values of standard error of measurement and smallest detectable change were 3.2 and 8.84, respectively. An exploratory factor analysis yielded one factor explaining 78.03% of the total variance. CONCLUSION: The PFRI is a valid and reliable measure of functional status in athletes with NP.展开更多
目的通过荟萃分析探讨慢性颈肩痛(chronic neck and shoulder pain,CNSP)患者的脑自发活动改变特点,从而揭示CNSP可能的中枢神经机制,为后期定位CNSP患者疼痛治疗中枢靶点及客观评估治疗效果奠定基础。方法在线检索14年4月至24年4月发表...目的通过荟萃分析探讨慢性颈肩痛(chronic neck and shoulder pain,CNSP)患者的脑自发活动改变特点,从而揭示CNSP可能的中枢神经机制,为后期定位CNSP患者疼痛治疗中枢靶点及客观评估治疗效果奠定基础。方法在线检索14年4月至24年4月发表在PubMed、Web of Science、EMBase、The Cochrane Library、CNKI、CBM、维普网、万方数据库中采用低频振幅(amplitude of low-frequency fluctuation,ALFF)/比率低频振幅(fractional amplitude of low-frequency fluctuation,fALFF)及局部一致性(regional homogeneity,ReHo)分析方法研究CNSP患者脑自发活动改变的文献。采用激活似然估计法(activation likelihood estimation,ALE)对纳入研究中CNSP患者相对于健康对照组(healthy controls,HCs)脑自发活动出现异常改变的脑区进行元分析。结果共纳入11篇文献,包括6项ALFF/fALFF、5项ReHo研究(CNSP患者445例,健康受试者384例)的数据。分析结果显示:CNSP患者相对于健康对照组(HCs)左侧岛叶皮层和纹状体的脑自发活动增高,而左侧中央前回、左侧中央后回和左侧顶上小叶的脑自发活动减低。结论慢性颈肩痛患者在与感觉、运动、情感以及疼痛的上行传导和下行调控方面相关的多个大脑区域存在脑自发活动的异常改变,这些变化可能是长期的慢性颈肩痛所导致的,本研究为后期通过CNSP患者的脑自发活动改变定位CNSP患者疼痛治疗中枢靶点以及客观评估CNSP治疗效果提供了重要参考。展开更多
文摘AIM: To validate the culturally-adapted Persian Functional Rating Index(PFRI) for assessing neck pain(NP) in athletes. METHODS: In this cross-sectional study, 100 athletes with NP and 50 healthy athletes participated and responded to the PFRI. Fifty athletes with NP completed the PFRI for at least 7 d later to establish test-retest reliability. RESULTS: The athletes with NP responded to all items, indicating excellent clinical utility. No floor and ceiling effects were found, indicating content validity and responsiveness. The PFRI revealed capability to discriminate between the athletes with NP and healthy athletes. The PFRI demonstrated strong correlation with the Numerical Rating Scale(Spearman's rho = 0.94), and the Persian Neck Disability Index(Pearson r = 0.995), supporting criterion and construct validity. Internal consistency reliability was high(Cronbach's α coefficient: 0.97). The test-retest reliability was excellent(ICCagreement = 0.96). The absolute reliability values of standard error of measurement and smallest detectable change were 3.2 and 8.84, respectively. An exploratory factor analysis yielded one factor explaining 78.03% of the total variance. CONCLUSION: The PFRI is a valid and reliable measure of functional status in athletes with NP.
文摘目的通过荟萃分析探讨慢性颈肩痛(chronic neck and shoulder pain,CNSP)患者的脑自发活动改变特点,从而揭示CNSP可能的中枢神经机制,为后期定位CNSP患者疼痛治疗中枢靶点及客观评估治疗效果奠定基础。方法在线检索14年4月至24年4月发表在PubMed、Web of Science、EMBase、The Cochrane Library、CNKI、CBM、维普网、万方数据库中采用低频振幅(amplitude of low-frequency fluctuation,ALFF)/比率低频振幅(fractional amplitude of low-frequency fluctuation,fALFF)及局部一致性(regional homogeneity,ReHo)分析方法研究CNSP患者脑自发活动改变的文献。采用激活似然估计法(activation likelihood estimation,ALE)对纳入研究中CNSP患者相对于健康对照组(healthy controls,HCs)脑自发活动出现异常改变的脑区进行元分析。结果共纳入11篇文献,包括6项ALFF/fALFF、5项ReHo研究(CNSP患者445例,健康受试者384例)的数据。分析结果显示:CNSP患者相对于健康对照组(HCs)左侧岛叶皮层和纹状体的脑自发活动增高,而左侧中央前回、左侧中央后回和左侧顶上小叶的脑自发活动减低。结论慢性颈肩痛患者在与感觉、运动、情感以及疼痛的上行传导和下行调控方面相关的多个大脑区域存在脑自发活动的异常改变,这些变化可能是长期的慢性颈肩痛所导致的,本研究为后期通过CNSP患者的脑自发活动改变定位CNSP患者疼痛治疗中枢靶点以及客观评估CNSP治疗效果提供了重要参考。
