Evidence map›Paper›PMID 40679769›Full record

SynthesisEuropean geriatric medicine2025

Reliability of the Short Physical Performance Battery (SPPB): a systematic review with meta-analysis.

Davide Eusepi, Leonardo Pellicciari, Alessandro Ugolini, Lorenzo Graziani, Andrea Coppari, Alessandra Carlizza, Serena Caselli, Fabio La Porta, Matteo Paci, Mauro Di Bari and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Davide Eusepi *UniCamillus, International Medical University in Rome, Rome, Italy.
Leonardo Pellicciari *IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy. leonardo.pellicciari@gmail.com.ORCID http://orcid.org/0000-0002-9521-3759
Alessandro UgoliniIndependent Researcher, Empoli, FI, Italy.
Lorenzo GrazianiProgram in Physical Therapy, University of Florence, Florence, Italy.
Andrea CoppariPhysical and Rehabilitation Medicine Unit, Azienda Sanitaria Territoriale, Jesi, AN, Italy.
Alessandra CarlizzaUniCamillus, International Medical University in Rome, Rome, Italy.
Serena CaselliUnità Operativa Complessa di Medicina Riabilitativa, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Fabio La PortaIRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Matteo PaciDepartment of Allied Health Professions, Azienda USL Toscana Centro, Florence, Italy.
Mauro Di BariDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Daniele PiscitelliDepartment of Kinesiology, University of Connecticut, Storrs, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform a systematic review with meta-analysis on reliability of Short Physical Performance Battery (SPPB) in adult patients.

methodsFive databases were queried until March 2025 to identify studies evaluating SPPB intra- and inter-rater reliability and measurement error. Two independent reviewers performed study selection, data extrapolation and assessment of methodological quality and quality of evidence (QoE). Random effect meta-analyses were performed when at least two studies assessed the same property of the same subscale.

resultsTwenty-two studies were included. Regarding total score, intra-rater (ICC = 0.88) and inter-rater reliability (ICC = 0.86) were rated sufficiently with high QoE, while the measurement error (MDC = 1.90) was rated insufficiently with high QoE. Regarding the balance subscale, intra-rater (ICC = 0.69) and inter-rater reliability (ICC = 0.77) were rated inconsistently with low QoE, while the measurement error (MDC = 1.32) was rated as indeterminate with high QoE. Regarding the walking subscale, intra-rater (ICC = 0.88) and inter-rater reliability (ICC = 0.86) were rated sufficiently with moderate and high QoE, respectively, while the measurement error (MDC = 0.51 points) was rated indeterminately with moderate QoE. Regarding the chair subscale, intra-rater (ICC = 0.83) and inter-rater reliability (ICC = 0.94) were rated sufficiently with moderate and high QoE, respectively. In contrast, the measurement error (MDC = 2.14 points, equal to 53.4% of the total score) was rated indeterminately with high QoE.

conclusionIntra- and inter-reliability of the SPPB were supported for assessing physical performance in different populations. Measurement error of each subscale (except for the walking subscale) is higher than the measurement error of the total score; these results suggest using the total score in clinical practice. PROSPERO registration: CRD420251003320.

Indexed as

Physical Functional PerformanceHumansPostural BalanceReproducibility of ResultsGeriatric assessmentHealth careOutcome and process assessmentPsychometricsReproducibility of results

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.