Article

Measures of physical performance should address the activity dimension directly and reflect functional probelms important to patients with a defined health condition. The Pick-up test was developed for patients with back pain by the first author, and requires the patient to pick up a piece of paper from the floor. Performance is scored by a clinician along a four point ordinal scale, scores depending on dynamic flexibility and ease of motion. This study is about the development of the Pick-up test and the establishment of reliability, validity and responsiveness to change. Inter-tester reliability was acceptable (K= O,74). Test scores discriminated between groups of patients with back pain and other musculoskeletal pain, and reflected perceived difficulty in pick-up as well as dressing tasks among patients with back pain. Test scores were also related to affective pain reports. Baseline test scores did not predict return to work after 1 year. The test was responsive to clinically significant change over time. Evidence was provided that the test can be used as a functional assessment tool, and is suggested for use as an outcome measure. Whether or not hte Pick-up test reflects performance of other dynamic physical activities in back pain needs to be examined.

Langue : ANGLAIS

Tiré à part : OUI

Identifiant basis : 2001215653