| Title |
Construct validity of clinical spinal mobility tests in ankylosing spondylitis: a systematic review and meta-analysis
|
|---|---|
| Published in |
Clinical Rheumatology, September 2015
|
| DOI | 10.1007/s10067-015-3056-1 |
| Pubmed ID | |
| Authors |
Marcelo P. Castro, Simon M. Stebbings, Stephan Milosavljevic, Melanie D. Bussey |
| Abstract |
The study aimed to determine, using systematic review and meta-analysis, the level of evidence supporting the construct validity of spinal mobility tests for assessing patients with ankylosing spondylitis. Following the guidelines proposed in the Preferred Reporting Items for Systematic reviews and Meta-Analyses, three sets of keywords were used for data searching: (i) ankylosing spondylitis, spondyloarthritis, spondyloarthropathy, spondylarthritis; (ii) accuracy, association, construct, correlation, Outcome Measures in Rheumatoid Arthritis Clinical Trials, OMERACT, truth, validity; (iii) mobility, Bath Ankylosing Spondylitis Metrology Index-BASMI, radiography, spinal measures, cervical rotation, Schober (a further 19 keywords were used). Initially, 2558 records were identified, and from these, 21 studies were retained. Fourteen of these studies were considered high level of evidence. Compound indexes of spinal mobility showed mostly substantial to excellent levels of agreement with global structural damage. Individual mobility tests for the cervico-thoracic spine showed only moderate agreements with cervical structural damage, and considering structural damage at the lumbar spine, the original Schober was the only test that presented consistently substantial levels of agreement. Three studies assessed the construct validity of mobility measures for inflammation and low to fair levels of agreement were observed. Two meta-analyses were conducted, with assessment of agreement between BASMI and two radiological indexes of global structural damage. The spinal mobility indexes and the original Schober test show acceptable construct validity for inferring the extent of structural damage when assessing patients with ankylosing spondylitis. Spinal mobility measures do not reflect levels of inflammation at either the sacroiliac joints and/or the spine. |
Mendeley readers
The data shown below were compiled from readership statistics for 90 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 1% |
| Unknown | 89 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 17 | 19% |
| Student > Bachelor | 12 | 13% |
| Student > Ph. D. Student | 7 | 8% |
| Other | 6 | 7% |
| Student > Postgraduate | 6 | 7% |
| Other | 16 | 18% |
| Unknown | 26 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 25 | 28% |
| Nursing and Health Professions | 16 | 18% |
| Sports and Recreations | 4 | 4% |
| Social Sciences | 4 | 4% |
| Engineering | 3 | 3% |
| Other | 9 | 10% |
| Unknown | 29 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 March 2017.
All research outputs
#20,410,007
of 22,959,818 outputs
Outputs from Clinical Rheumatology
#2,659
of 3,038 outputs
Outputs of similar age
#224,708
of 267,385 outputs
Outputs of similar age from Clinical Rheumatology
#43
of 47 outputs
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