High test-retest reliability coefficients have generally been reported for the scores obtained with the 5 questionnaires. With 30+ sites in Illinois, we may be closer than you think! Bethesda, MD 20894, Web Policies Best Pract Res Clin Rheumatol 19(4): 593-607. Before It is a self-reported outcome measure containing 12 short and understandable items used in determining the functional . Ko, Meltem MSc; Bayar, Banu PT, PhD; Bayar, Klhan PT, PhD. The https:// ensures that you are connecting to the Many questionnaires focusing on function have been developed in patients with low back pain. Reliability coefficients for a group of 37 subjects with back pain of more than 6 months' duration were similar or identical to the coefficients for the group that was classified as unchanged.. Fairbank All rights reserved. Medtronic has the only MIS+ portfolio that blends AI powered data science, robotics, navigation, spinal access, patient-specific implants and biologics to revolutionize streamlined workflows all under one roof. The time taken to return the questionnaires at both pretest and posttest was a median of 8 days. The back pain functional scale: Features and applications To identify and compare low back pain functional assessment tools and to determine their characteristics and the selection criteria for their use. The Oswestry, Quebec, Roland-Morris, and Waddell questionnaires were all developed to measure activity limitation in people with low back problems and take only a few minutes to complete and score. FOIA The Pain Self-Efficacy Questionnaire (PSEQ) is a 10-item questionnaire developed to assess the confidence people with ongoing pain have in performing activities while in pain. We calculated the ICCs as .74 (95% CI=.58.85) for the unchanged group and .79 (95% CI=.51.92) for the subgroup and the MDC as around 3 points, which constitutes one third of the available range of the scale. Total Score (Adjusted) with Interpretations. , Ware JE Jr, Lu RJF, Sherbourne CD. Patrick Error estimates in scale points were obtained. Find it on PubMed, Kopec, J. The SRM is typical of the distribution-based or overall-change approach, and the ROC curve is representative of the criterion-based or valid-change approach. National Institute of Neurological Disorders and Stroke. Self-Rated Change in Questionnaire Scores (n=101)a. SF-36=Medical Outcomes Study 36-Item Short-Form Health Survey.13,14 Positive scores reflect improvement, except for the SF-36 for which negative scores indicate improvement. 2006 Oct;12(10):CR435-9. The reliable-change method based on the MDC for the group originally classified as unchanged and for the subgroup of 16 subjects showed no differences among the questionnaires, with overlap of all of the 95% CIs. Questionnaires sent by mail had a higher rate of incomplete questionnaires (10.8%). Investigators and qualified colleagues translated the English version of the QBPDS into Dutch, Iranian, Brazilian Portuguese, Turkish, Chinese, Greek, Polish, Korean, and Arabic. It has been demonstrated, however, that even severely abnormal distributions have little effect on the result of the t test or the F test when the samples come from the same population, and violation of the homogeneity of variance assumption has little effect on the result provided the sample sizes are the same.34 To check the validity of measurements obtained with our post hoc method of identifying a stable group of subjects, we calculated ICCs for another group of subjects, those with back pain of more than 6 months' duration, who a priori could be expected to experience little change over a 6-week retest period. [2][3], The original purpose of the questionnaire is to take into account the functional limitations related to pain, to monitor the progress of individual patients and to compare the evolution of LBP subjects incorporated in rehabilitation programs. Georgiana F. asks if massage is . Criterion-based methods require the sample to be dichotomized into those subjects who are unchanged and those who have improved by a certain amount.27,28 The use of patients' self-ratings of overall change as the criterion of meaningful clinical change has several limitations: the measurements have unknown reliability and validity; recall of initial states tend to be inflated, which tends to inflate the perceived magnitude of change; and the scale is completed at the same time as the follow-up questionnaires and is therefore not independent.52 In our study, subjects were asked to complete the rating of change scale before the questionnaires, and the completion of the questionnaires may have been influenced by the overall rating. (1995). Scott The SF-36 Role LimitationsPhysical scale scores were positively skewed at pretest and posttest for the unchanged group. An official website of the United States government. Unless otherwise stated, statistical analyses were performed using SPSS for Macintosh Version 6.1. The results of the reliability portion of our study indicated that the modified Oswestry Disability Questionnaire, the SF-36 Physical Functioning scale, and the Quebec Low Back Disability Scale were the most reliable and had sufficient scale width to detect improvement or worsening in most subjects. Back Pain: Questions and Expert Answers - WebMD J Int Med Res. The MDC was 33 or 41 points, and scale width was beyond the 15% criterion limit at the lower end of the scale range. , Follette WC, Revensdort D. Christensen (2000). (Grade of recommendation: A) [2][4], Content and face validity: The questionnaire contains various domains of activities that patients and care providers deem important. This site needs JavaScript to work properly. Unauthorized use of these marks is strictly prohibited. Kristen Gasnick, PT, DPT, is a medical writer and a physical therapist at Holy Name Medical Center in New Jersey. Along with results from a physical examination performed by a physical therapist, the patients score on the Oswestry Disability Index and severity of symptoms can help healthcare providers determine an appropriate treatment plan. The aim of this study, therefore, was to compare the reliability of measurements obtained with and responsiveness of the modified Oswestry, Quebec, Roland-Morris, and Waddell questionnaires and the SF-36 physical health scales in an ambulatory clinical population seeking physical therapy for low back pain in hospital outpatient departments, community clinics, and private practices. Furthermore, treating back pain involves considering the biopsychosocial model into aspect [1]. Med Lav. Burbridge C, Randall JA, Abraham L, Bush EN. We are unaware of any studies that have explored this issue, although Fairbank and Pynsent54 recently reported that patients prefer a format such as that of the Oswestry questionnaire in which the time frame now is made explicit. (Grade of recommendation: B) [7] Internal construct validity: Kopec, the author of the Quebec back pain disability scale, found an inter-item correlation (r) between 0,24 and 0,87 (a relatively high correlation) and an item-total correlation (r) ranged from 0,59 to 0,86 (a relatively very high correlation). The site is secure. This study showed that the responsiveness of the questionnaires was similar, and we conclude that one questionnaire cannot be preferred over another based on the magnitude of the absolute values of responsiveness indexes. Search for other works by this author on: The third method of evaluating responsiveness relates responsiveness to reliability and has not previously been used to compare concurrently administered questionnaires. Based on these data, the Physical Functioning scale is the most relevant of the SF-36 physical health scales, and it can be easily hand-scored. [Low back pain disability assessment tools] - PubMed The aim of this study is to investigate the correlation of BPFS with RMQ, ODI, and SF-36. http:///index.php?title=Back_Pain_Functional_Scale&oldid=323185, Usual work, housework, or school activities, Usual hobbies, recreational, or sporting activities, Performance of heavy activities around your home, Lifting a box of groceries from the floor, Going up or down 2 flights of stairs (about 20 steps), The higher the score the greater the patient's functional ability. For the modified Oswestry Disability Questionnaire, the ICC value of .84 (95% CI=.73.91) that we found is comparable to the reliability coefficient reported by Baker et al9 for same-day administration of this questionnaire (r=.89). Find it on PubMed, Jordan, K., Dunn, K. M., et al. Third, we identified another group of subjects, those with back pain of more than 6 months' duration, who a priori could be expected to experience little change over a 6-week retest period. , Pynsent PB. PDF OSWESTRY LOW BACK DISABILITY QUESTIONNAIRE - American Academy of Your message has been successfully sent to your colleague. The manuscript submitted does not contain information about medical device(s)/drug(s). 2023 May 1. doi: 10.1007/s00402-023-04881-3. Before Measures of function in low back pain/disorders: Low Back Pain Rating The Quebec questionnaire has more content relating to upper-limb activities (pulling/pushing, throwing/catching, reaching) than the other scales. The scale covers 3 domains: back and leg pain (60 points), disability (30 points), and physical impair-ment (40 points). Do you see an error or have a suggestion for this instrument summary? Subjects seeking treatment for low back pain from general practitioner: (Jordan et al, 2006;n= 443; mean age=46.8 (8.12); questionnaires at consultation and 6 months later. Therefore, the Roland-Morris questionnaire would not be able to reliably detect improvement in half of the sample. Later updated bySabina Beckler, SPT, Elizabeth Burnette, SPT, Cara Hehn, SPT, Mae Langford, SPT, Reid Medlin, SPT, Bryan Mull, SPT, Jessica Skeeter, SPT in November 2013. Instructions: this questionnaire has been designed to give us information as to how your back pain has affected your ability to manage everyday life. These are 'Roland-Morris disability scale', 'Oswestry disability scale', and 'Short form 36 surveys'. A Comparison of Back Pain Functional Scale With Roland : Spine MeSH Spine (Phila Pa 1976) 20(3): 341-352. . Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Med Sci Monit. Unable to load your collection due to an error, Unable to load your delegates due to an error. All questionnaires have a possible score range of 0100, except for the Roland-Morris Disability Questionnaire (024) and the Waddell Disability Index (09). BPFS, RMQ, ODI, and SF-36 questionnaires were used to assess the disability in low back pain. Measures of function in low back pain/disorders: Low Back Pain Rating Scale (LBPRS), Oswestry Disability Index (ODI), Progressive Isoinertial Lifting Evaluation (PILE), Quebec Back Pain Disability Scale (QBPDS), and Roland-Morris Disability Questionnaire (RDQ) Rob Smeets, Corresponding Author. [1], The scale exists of one central question: Do you have trouble today with? followed by 20 activities of daily life. Norman and colleages52 identified one study of quality of life in childhood asthma53 where the criterion of change was determined by an independent evaluation of all patient data. It is simple and easy to understand and administer by the patients. MH Objectives: To identify and compare low back pain functional assessment tools and to determine their characteristics and the selection criteria for their use. Five questionnaires met these criteria: the modified Oswestry Disability Questionnaire,8,9 the Quebec Back Pain Disability Scale,10 the Roland-Morris Disability Questionnaire,11 the Waddell Disability Index,12 and the physical health scales of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).13,14 We limited the study to 5 questionnaires because we estimated that the questionnaires would take up to 30 minutes to complete and we felt this was the most we could expect from respondents. Please enable it to take advantage of the complete set of features! We are the first authors to report on reliability and responsiveness for these 5 questionnaires in a sample drawn from the range of settings in which patients with low back pain seek physical therapy interventions. PMC It is a self -administered questionnaire consisting of 12 items that . . Smeets R, Kke A, Lin CW, Ferreira M, Demoulin C. Schoppink LE, van Tulder MW, Koes BW, Beurskens SA, de Bie RA. 2003 Apr 28;165(18):1875-80. and transmitted securely. . The sample in our study included a greater proportion of female subjects, were on average older, had lower initial Roland-Morris questionnaire scores, and had a longer duration of back pain than the samples in the studies by Stratford and colleagues.17,25 If sample differences were sufficient to explain poorer test-retest reliability for the Roland-Morris questionnaire, we would expect to have seen a similar effect with the other questionnaires, but this was not the case. sharing sensitive information, make sure youre on a federal Along with other changes, such as improvements in range of motion, strength, and quality of movement, a decrease in total score on the Oswestry Disability Index can help show the positive impact treatment is having in managing low back pain. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. A comparison study of Back Pain Functional Scale (BPFS) with Roland Morris Questionnaire (RMQ), Oswestry Disability Index (ODI), and Short Form 36-Health Survey (SF-36). Validation of the Turkish version of the Quebec back pain disability scale for patients with low back pain. The 95% confidence intervals that are presented in Table 7 indicate that there are no differences in the estimate of the mean SRM across instruments. , Stratford PW, Regehr G. Juniper PW Perhaps we are currently overestimating the SEM (and therefore the MDC) derived from small samples. C Kersten RFMR, Fikkers J, Wolterbeek N, ner FC, van Gaalen SM. Efficacy of ultra-micronized palmitoylethanolamide (um-PEA) in geriatric patients with chronic pain: study protocol for a series of N-of-1 randomized trials. JA Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. Please enable it to take advantage of the complete set of features! Thanks for helping us invest in our patients. All scales scored 0100, except Roland-Morris Disability Questionnaire (024) and Waddell Disability Index (09). Effect of Progressive Postural Control Exercise Versus Core Stability Exercise in Young Adults with Chronic Low Back Pain: A Randomized Controlled Trial. The relationship of the Functional Rating Index with disability, pain, and quality of life in patients with low back pain. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. Wilhelm F, Fayolle-Minon I, Phaner V, Le-Quang B, Rimaud D, Bthoux F, et al. Whether the single-item global change scale used in this study yields reliable measurements is unknown, and it is likely that the rating was not independent of the activity limitation questionnaire responses. HHS Vulnerability Disclosure, Help DJ A tool often used to assess back pain and functional abilities in athletes is the Micheli Functional Scale (MFS) [48], whereas the Athletes Disability Index [10] is employed to evaluate disability due to LBP. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. At the time of the initial measurements, 51% of the subjects scored less than the MDC. . Evaluating the correlation and responsiveness of patient-reported pain with function and quality-of-life outcomes after spine surgery. PDF Evaluation Instruments for Assessing Back Pain in Athletes: A Calmels P, Bthoux F, Condemine A, Fayolle-Minon I. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. If the patient has a score of greater than 7, then the MCID = 3 points. Disclaimer. More reliable and responsive methods need to be developed for measuring activity limitation in people with low back pain. PW For the subgroup of 16 subjects who rated themselves as about the same, the reliability coefficient for the Oswestry questionnaire was higher, based on the 95% CIs, than that obtained for the Roland-Morris questionnaire and the SF-36 Role LimitationsPhysical scale. to maintaining your privacy and will not share your personal information without Objectives: The BPFS and RMQ were administered on multiple occasions to 153 patients with low back pain attending physical therapy. Client groups receiving the services of other health care professionals (eg, orthopedic surgeons) are unlikely to be representative of the population receiving physical therapy. 1-844-355-ABLE. 2 Mild Pain You are aware of the lower back pain but it is very easy to ignore. There are also a number of generic health status measures available. Deyo Longo, U. G., Loppini, M., et al. For example, we believe that if a questionnaire has a possible range in scores from 0 to 100 and an MDC of 15 points, then no more than 15% of subjects should score less than 15 or more than 85. 2020 Mar;36(3):227. doi: 10.1097/AJP.0000000000000796. This site needs JavaScript to work properly. Petersen (1982) and adjusted to Turkish by Savar and ahin (1997) and Automatic Thoughts Questionnaire developed by Hollon and Kendall (1980) and adjusted to Turkish by ahin and ahin (1992) are used. Spearman and Pearson Correlation were used to compare the data obtained in the study. 6 MIPS PRO Questionnaires Disabilities of the Arm Shoulder and Hand (Quick DASH) Outcomes Available in English and Spanish Knee Outcomes Survey (KOS) Available in English and Spanish Lower Extremity Functional Scale (LEFS) Available in English and Spanish Modified Oswestry Low Back Pain Disability (MDQ) Available in English and Spanish Our data indicate that the Oswestry Disability Questionnaire, the SF-36 Physical Functioning scale, and the Quebec Back Pain Disability Scale have sufficient reliability and scale width to be applied in an ambulatory clinical population with low back problems. of specic instruments to evaluate back pain in athletes is necessary. You can read the full text of this article if you: Flash Player 9.0.0 is required for this Video. If the score is less than 7, thenthe MCID = 30% change in score. Test-retest reliability results for the Roland-Morris Disability Questionnaire differed from those of earlier reports, and this highlights the importance of examining reliability in the population to which the measurement tool will be applied in practice. Whiplash Injuries: Causes, Symptoms, Treatment. 2009 Mar 15;34(6):E219-24. That is, the SRM is recalculated n times with each subject removed in turn. If the aim is to quantify the responsiveness of an outcome measure to be used in research, then we believe that a distribution-based method would be most appropriate, as this information could be used to estimate sample size and statistical power. The battery of questionnaires were bundled together with a paper clip.
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