Objective measures of functional impairment for degenerative diseases of the lumbar spine: a systematic review of the literature

The accurate determination of a patient's functional status is necessary for therapeutic decision-making and to critically appraise treatment efficacy. Current subjective patient-reported outcome measure (PROM)–based assessments have limitations and can be complimented by objective measures of...

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Bibliographic Details
Published in:The spine journal 2019-07, Vol.19 (7), p.1276-1293
Main Authors: Stienen, Martin N., Ho, Allen L., Staartjes, Victor E., Maldaner, Nicolai, Veeravagu, Anand, Desai, Atman, Gautschi, Oliver P., Bellut, David, Regli, Luca, Ratliff, John K., Park, Jon
Format: Article
Language:English
Subjects:
Disability
Functional test
Humans
Intervertebral Disc Degeneration - diagnosis
Intervertebral Disc Displacement - diagnosis
Lumbar Vertebrae - pathology
Movement
Objective functional impairment
Objective outcome measure
Pain Measurement - standards
Patient Reported Outcome Measures
Physical function
Postural Balance
Reproducibility of Results
Systematic review
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Summary:The accurate determination of a patient's functional status is necessary for therapeutic decision-making and to critically appraise treatment efficacy. Current subjective patient-reported outcome measure (PROM)–based assessments have limitations and can be complimented by objective measures of function. To systematically review the literature and provide an overview on the available objective measures of function for patients with degenerative diseases of the lumbar spine. Systematic review of the literature. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Two reviewers independently searched the PubMed, Web of Science, EMBASE, and SCOPUS databases for permutations of the words “objective,” “assessment,” “function,” “lumbar,” and “spine” including articles on human subjects with degenerative diseases of the lumbar spine that reported on objective measures of function, published until September 2018. Risk of bias was not assessed. No funding was received. The authors report no conflicts of interest. Of 2,389 identified articles, 82 were included in the final analysis. There was a significant increase of 0.12 per year in the number of publications dealing with objective measures of function since 1989 (95% CI 0.08–0.16, p
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2019.02.014