OBJECTIVE To evaluate the reliability and validity of clinical tests for measuring cervical muscle strength or endurance in subjects with and without neck pain. DATA SOURCE Systematic review and meta-analysis on reliability and validity. Literature search was conducted on January 28, 2020 using five databases: MEDLINE, CINAHL, EMBASE, Sportdiscus, Scopus. STUDY SELECTION We included studies that investigated the reliability or validity of clinical tests for measuring cervical muscle strength or endurance in subjects with non-specific chronic neck pain, with or without irradiation or healthy subjects. We only included that were viable for daily practice, and of low cost. DATA EXTRACTION data were extracted as follows: (1) author and year of publication; (2) demographic values and health condition; (3) reported clinical tests; (4) inclusion and exclusion criteria; (5) description of test; (6) interrater reliability; and (7) intrarater reliability. For validity studies we also extracted the reference method (8) and (9) validity estimates. DATA SYNTHESIS Methodological quality was assessed with the Quality Appraisal of Diagnostic Reliability and The Guidelines for Reporting Reliability and Agreement Studies. Data on reliability and validity were extracted from included papers and then analyzed. RESULTS Thirty-one studies were included. Cervical flexor and extensor endurance test, craniocervical flexion test (CCFT), cervical muscle strength using a handheld dynamometer (HHD) showed moderate to good intra and interrater reliability (ICC ranging from 0.64 to 0.90). Concurrent validity was measured by only two studies, which do not provide adequate evidence for a recommendation. CONCLUSION The cervical flexor and extensor endurance tests, CCFT, and HHD for measuring cervical strength presented an acceptable interrater and intrarater reliability.

中文翻译：

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测量颈部肌肉力量或耐力的临床试验的可靠性和有效性：系统评价和荟萃分析。

目的 评估临床试验在测量有无颈痛受试者的颈肌力量或耐力时的信度和效度。数据源 关于可靠性和有效性的系统评价和荟萃分析。文献检索于 2020 年 1 月 28 日使用五个数据库进行：MEDLINE、CINAHL、EMBASE、Sportdiscus、Scopus。研究选择 我们纳入了一些研究，这些研究调查了非特异性慢性颈部疼痛受试者（无论是否接受放射治疗）或健康受试者测量颈部肌肉力量或耐力的临床试验的可靠性或有效性。我们只包括那些对日常实践可行且成本低的。数据提取数据提取如下：（1）作者和出版年份；(2) 人口学价值和健康状况；(3) 临床试验报告；（四）纳入和排除标准；(5) 试验说明；(6) 互信度；(7) 评委内信度。对于有效性研究，我们还提取了参考方法（8）和（9）有效性估计。数据综合 方法学质量通过诊断可靠性质量评估和报告可靠性和一致性研究指南进行评估。从纳入的论文中提取有关信度和效度的数据，然后进行分析。结果 共纳入 31 项研究。颈屈肌和伸肌耐力试验、颅颈屈曲试验 (CCFT)、使用手持式测力计 (HHD) 的颈肌力量显示出中等至良好的肌内和肌间可靠性（ICC 范围为 0.64 至 0.90）。同时效度仅由两项研究衡量，不能为推荐提供足够的证据。结论 用于测量颈椎强度的颈屈肌和伸肌耐力测试、CCFT 和 HHD 具有可接受的评估者间和评估者内可靠性。