Purpose

This review aimed to identify effective physical performance tests (PPT) as clinical outcome indicators for detecting and monitoring degenerative cervical myelopathy (DCM).

Methods

A comprehensive literature search was performed on seven electronic databases on the effectiveness in detection and monitoring of DCM by PPT. All included studies were reviewed and undergone quality assessments on the risk-of-bias by Newcastle-Ottawa Scale and were pooled by random-effect analysis with level of significance at 0.05. Homogeneity among studies was assessed by I²-statistics and effect of PPT was confirmed by Cohen’s d effect size and confidence intervals.

Results

Totally, 3111 articles were retrieved, and 19 studies were included for review and meta-analysis. There were 13 studies investigating PPT regarding the upper limbs and 12 studies regarding the lower limbs. Performance in 10-second-Grip-and-Release Test (G&R) and 9-Hole-Peg Test (9HPT) was studied in 10 and 3 articles, respectively, while 10-second-Stepping Test (SST), 30-meter-Walking Test (30MWT) and Foot-Tapping Test (FTT) for lower limbs were studied in 5, 4, and 3 articles correspondingly. Only 1 study utilized the Triangle-Stepping Test. High-quality study with fair risk-of-bias was revealed from Newcastle-Ottawa scale. Large effect size facilitated detection and monitoring in DCM was unveiling for G&R, 9HPT, SST, and 30MWT. FTT, while also effective, was hindered by a high-degree heterogeneity in the meta-analysis.

Conclusion

Effective PPT including G&R, 9HPT, SST, 30MWT, and FTT was identified for disease detection and monitoring in DCM.

中文翻译：

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定量体能测试可有效检测退行性脊髓型颈椎病：一项系统评价和荟萃分析

目的

本综述旨在确定有效的身体机能测试 (PPT) 作为检测和监测退行性脊髓型颈椎病 (DCM) 的临床结果指标。

方法

对七个电子数据库进行了全面的文献检索，以了解 PPT 检测和监测 DCM 的有效性。所有纳入的研究均经过审查，并通过纽卡斯尔-渥太华量表对偏倚风险进行了质量评估，并通过显着性水平为 0.05 的随机效应分析进行了汇总。研究之间的同质性由 I ² -统计评估，PPT 的效果由 Cohen's d 效应大小和置信区间确认。

结果

总共检索到 3111 篇文章，并纳入 19 项研究进行综述和荟萃分析。有 13 项关于上肢的 PPT 研究和 12 项关于下肢的研究。10 秒抓握和释放测试 (G&R) 和 9 孔钉测试 (9HPT) 的性能分别在 10 篇和 3 篇文章中进行了研究，而 10 秒步进测试 (SST)、30 米- 5、4、3篇文章分别对下肢步行试验（30MWT）和足踏试验（FTT）进行了研究。只有一项研究使用了三角步进测试。纽卡斯尔-渥太华量表揭示了具有公平偏倚风险的高质量研究。G&R、9HPT、SST 和 30MWT 的大效应量促进了 DCM 中的检测和监测。FTT 虽然也有效，但受到荟萃分析中高度异质性的阻碍。

结论

确定了有效的 PPT，包括 G&R、9HPT、SST、30MWT 和 FTT，用于 DCM 中的疾病检测和监测。