Translation, adaptation and validation of the Roland-Morris questionnaire - Brazil Roland-Morris

Abstract

The purpose of the present study was to translate the Roland-Morris (RM) questionnaire into Brazilian-Portuguese and adapt and validate it. First 3 English teachers independently translated the original questionnaire into Brazilian-Portuguese and a consensus version was generated. Later, 3 other translators, blind to the original questionnaire, performed a back translation. This version was then compared with the original English questionnaire. Discrepancies were discussed and solved by a panel of 3 rheumatologists and the final Brazilian version was established (Brazil-RM). This version was then pretested on 30 chronic low back pain patients consecutively selected from the spine disorders outpatient clinic. In addition to the traditional clinical outcome measures, the Brazil-RM, a 6-point pain scale (from no pain to unbearable pain), and its numerical pain rating scale (PS) (0 to 5) and a visual analog scale (VAS) (0 to 10) were administered twice by one interviewer (1 week apart) and once by one independent interviewer. Spearmans correlation coefficient (SCC) and intraclass correlation coefficient (ICC) were computed to assess test-retest and interobserver reliability. Cross-sectional construct validity was evaluated using the SCC. In the pretesting session, all questions were well understood by the patients. The mean time of questionnaire administration was 4 min and 53 s. The SCC and ICC were 0.88 (P<0.01) and 0.94, respectively, for the test-retest reliability and 0.86 (P<0.01) and 0.95, respectively, for interobserver reliability. The correlation coefficient was 0.80 (P<0.01) between the PS and Brazil-RM score and 0.79 (P<0.01) between the VAS and Brazil-RM score. We conclude that the Brazil-RM was successfully translated and adapted for application to Brazilian patients, with satisfactory reliability and cross-sectional construct validity.

Correlação entre um questionário de desempenho funcional e capacidade física em pacientes com lombalgia

“…Despite the high reliability of the questionnaire and tests documented by the literature 23,24 and despite examiner training to apply the instruments, one of the limitations of the present study was that inter-rater reliability was not assessed. Although the Roland Morris questionnaire has been translated and validated to Portuguese 24 , the researchers noted that some patients had trouble understanding some of the questions during the tests.…”

“…This questionnaire is composed of 24 items that exemplify some functional consequences of LBP. The Roland Morris has been translated into Portuguese and adapted to the Brazilian population, and it has a high test-retest (ICC of 0.94) and inter-rater reliability (ICC of 0.95) 24 . In addition, this instrument was chosen because of its simple presentation and standardized scoring system 23,25,26 .…”

Effect of global postural re-education and isostretching in patients with nonspecific chronic low back pain: a randomized clinical trial

“…It consists of 24 questions, each statement corresponds to one point, and the inal score is determined by the sum of the obtained values. Values close to zero represent the best results, namely a lower limitation, and values close to 24 correspond to the worst results, or a higher limitation (41).…”

Associação entre recrutamento de músculos abdominais com desfechos clínicos e risco prognóstico em indivíduos com dor lombar crônica não específica: estudo preliminar

“…As a criteria for inclusion, participants had to report at least two points on the numeric pain rating scale (NRS), which ranges from 0 to 10 20 and two points on the Roland Morris disability questionnaire (RMDQ), which ranges from 0 to 24 21 . Eligible patients were also those classified with low back pain prognosis risk considered low (n=10) and medium (n =10), using the STarT Back questionnaire 19 .…”

“…Versions adapted to Brazilian Portuguese of the RMDQ 21 (score ranges from 0 to 24, with higher values meaning greater disability) and NRS 20 (score ranges from 0 to 10, with higher values meaning more pain in the last 24 hours) were used to verify eligibility of participants and assess the clinical outcomes, disability and pain of interest in this study.…”