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A systematic review of psychometric evaluations of outcome assessments for complex regional pain syndrome

机译：对复杂区域性疼痛综合征结果评估的心理测评的系统评价

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Purpose: To conduct a systematic review of the quality and extent of psychometric examinations of disease-specific outcome measures for complex regional pain syndrome (CRPS). Methods: Health database searches yielded 23 papers covering 19 assessment instruments. Each article was scored for quality using a 12-item structured tool; data were also extracted for comparison of tool content. Results: Article quality ratings ranged from 25 to 88%. Six of the tools were specific to the upper extremity; 5 for the lower extremities while the remaining 8 were general. Many 'general' tools focused on a single construct, such as pain, skin temperature or allodynia. Most psychometric data was based on small studies (mean n=33); only one study addressed all relevant issues of reliability, validity and responsiveness. Conclusions: Despite the variety of outcome measurement tools reported for CRPS rehabilitation, large gaps in both comprehensiveness and supporting psychometric evidence remain. Comprehensive, relevant and psychometrically sound tools for monitoring treatment outcomes are needed to address the pain and functional limitations experienced by this population. Implications for Rehabilitation Complex regional pain syndrome (CRPS) is a neurological disorder with signs and symptoms that vary with activity, environment and stress. Although there is no diagnostic test for this syndrome, a need exists for tools to monitor treatment outcomes that address the pain and functional limitations experienced by this population. This review suggests that at present, there is no single comprehensive outcome measure for clinical practice and/or research which has strong supporting psychometric evidence for the evaluation of persons with CRPSAPPENDIX, a scoring sheet and scoring guidelines for critical appraisals for the evaluation of persons with CRPS.
机译：目的：对复杂的区域性疼痛综合症（CRPS）针对特定疾病的预后指标进行心理测量的质量和范围进行系统的审查。方法：健康数据库搜索产生23篇论文，涵盖19种评估工具。使用12项结构化工具对每篇文章进行质量评分;还提取数据以比较工具内容。结果：文章质量评级范围为25％至88％。其中有六个工具是针对上肢的。下肢5个，其余8个是一般的。许多“通用”工具专注于单一结构，例如疼痛，皮肤温度或异常性疼痛。大多数心理测量数据基于小型研究（平均值n = 33）;只有一项研究解决了可靠性，有效性和响应性的所有相关问题。结论：尽管报告了用于CRPS康复的成果测量工具多种多样，但在综合性和支持的心理计量学证据方面仍存在巨大差距。需要用于监测治疗结果的综合，相关和心理上合理的工具，以解决该人群遭受的疼痛和功能限制。康复的含义复杂的区域性疼痛综合征（CRPS）是一种神经系统疾病，其症状和体征随活动，环境和压力而变化。尽管没有针对该综合征的诊断测试，但仍需要一种工具来监测可解决该人群所经历的疼痛和功能限制的治疗结果。这项审查表明，目前尚没有针对临床实践和/或研究的单一综合结果衡量指标，它为CRPSAPPENDIX的评估提供了有力的心理支持证据，评分表和对SCA评估的关键评估的评分准则。 CRPS。

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