COSMIN database

A systematic review of psychometric evaluations of outcome assessments for complex regional pain syndrome

Packham, T., MacDermid, J. C., Henry, J., and Bain, J.
PURPOSE: To conduct a systematic review of the quality and extent of psychometric examinations of disease-specific outcome measures for complex regional pain syndrome (CRPS).

METHODS: Health database searches yielded 23 papers covering 19 assessment instruments. Each article was scored for quality using a 12-item structured tool; data were also extracted for comparison of tool content.

RESULTS: Article quality ratings ranged from 25 to 88%. Six of the tools were specific to the upper extremity; 5 for the lower extremities while the remaining 8 were general. Many 'general' tools focused on a single construct, such as pain, skin temperature or allodynia. Most psychometric data was based on small studies (mean n=33); only one study addressed all relevant issues of reliability, validity and responsiveness.

CONCLUSIONS: Despite the variety of outcome measurement tools reported for CRPS rehabilitation, large gaps in both comprehensiveness and supporting psychometric evidence remain. Comprehensive, relevant and psychometrically sound tools for monitoring treatment outcomes are needed to address the pain and functional limitations experienced by this population.
Disabil Rehabil
1464-5165 (Electronic)
Publication year:
Biological and physiological variables:
Biological and physiological variables
Symptom status:
Physical state
Functional status:
Physical functioning
Adults (18-65)
Children (0-18)
Seniors (65+)
Codes for special purposes
Diseases of and symptoms related to the musculoskeletal system and connective tissue
Diseases of and symptoms related to the nervous system
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
4 - Performance-based tests
6 - Clinical rating scales
8 - Imaging tests
9 - Laboratory tests
AROM - Active Range Of Motion
Brush Allodynia
Foot Function
Goniometry / Goniometer   
Grip strength
Inclinometry / Inclinometer
IR Thermometer - Infra Red Thermometer
ISS - Impairment Sum Score assessment tool
NPQ (-SF) - Neuropathic Pain Questionnaire (-Short-Form)
NPS - Neuropathic Pain Scale
Rising and Sitting Questionnaires
ROM - Range of Motion/Movement
RSD Assessment Proces
rSF-MPQ - Revised Short-form McGill Pain Questionnaire (painful neuropathy symptoms)
RSQ - Radboud Skills Questionnaire   
Skin Temperature Measurement
Soft Brush
TreND symptom inventory/Questionnaire - Trauma Related Neuronal Dysfunction symptom inventory/ questionnaire
ULAM - Upper Limb Activity Monitor
VAS - Visual Analogue Scale   
Walking Questionnaire
Walking stairs Questionnaire;
WAQ - Walking Activity Questionnaire