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Self-rated joint hypermobility: the five-part questionnaire evaluated in a Swedish non-clinical adult population
BMC Musculoskeletal Disorders ( IF 2.3 ) Pub Date : 2020-03-17 , DOI: 10.1186/s12891-020-3067-1
Martin Glans , Mats B. Humble , Marie Elwin , Susanne Bejerot

The conventional way to identify generalised joint hypermobility is by a physical examination according to the Beighton Score. However, a physical examination is time-consuming in clinical practise and may be unfeasible in population-based studies. The self-assessment five-part questionnaire on hypermobility (5PQ) offers a more practicable way to identify GJH. The aim of this study was to test validity and reliability of the five-part questionnaire on hypermobility (5PQ) translated into Swedish on a non-clinical adult population. A structured procedure was used for the translation of the 5PQ into Swedish. The Beighton Score was used as reference standard for generalised joint hypermobility. Test-retest reliability was tested in a separate group who filled in the questionnaire twice with a ten-week interval. Participants consisted of a convenience sample recruited in Stockholm, Sweden (2017). A total of 328 participants were included in the study, 297 participants in the validity group and 31 participants in the reliability group. When evaluated against a present Beighton Score with an age-dependent cut-off, the Swedish 5PQ attained a sensitivity of 91%, a specificity of 75% and an area under the curve of 0.87. The Swedish 5PQ showed substantial to almost perfect test-retest reliability. The Swedish 5PQ is a valid and reliable instrument to screen for or to identify generalised joint hypermobility.

中文翻译:

自我评估的关节过度活动:在瑞典非临床成人人群中评估的五部分问卷

识别全身关节过度活动的常规方法是根据Beighton评分进行身体检查。但是,体格检查在临床实践中非常耗时,在基于人群的研究中可能不可行。关于运动过度(5PQ)的自我评估五部分问卷提供了一种更实用的方法来识别GJH。这项研究的目的是测试在非临床成年人口上分为瑞典语的关于高机动性(5PQ)的五部分问卷的有效性和可靠性。使用结构化程序将5PQ翻译成瑞典语。Beighton评分用作全身关节过度活动的参考标准。重测信度是在一个单独的小组中进行的,该小组以十周的间隔两次填写问卷。参与者包括在瑞典斯德哥尔摩(2017)招募的便利样本。研究共包括328名参与者,有效性组有297名参与者,可靠性组有31名参与者。当根据当前的Beighton分数进行评估时,瑞典的5PQ的敏感性为91%,特异性为75%,曲线下面积为0.87,与年龄相关的临界值得到了确定。瑞典5PQ表现出相当高的至几乎完美的重测可靠性。瑞典5PQ是一种有效且可靠的工具,可以筛查或识别广义关节过度活动症。当根据当前的Beighton评分(随年龄变化的临界值)进行评估时,瑞典5PQ的灵敏度为91%,特异性为75%,曲线下面积为0.87。瑞典5PQ表现出相当高的至几乎完美的重测可靠性。瑞典5PQ是一种有效且可靠的工具,可以筛查或识别广义关节过度活动症。当根据当前的Beighton分数进行评估时,瑞典的5PQ的敏感性为91%,特异性为75%,曲线下面积为0.87,与年龄相关的临界值得到了确定。瑞典5PQ表现出相当高的至几乎完美的重测可靠性。瑞典5PQ是一种有效且可靠的工具,可以筛查或识别广义关节过度活动症。
更新日期:2020-03-19
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