A Cross-sectional Study Comparing the Oswestry and Roland-Morris Functional Disability Scales in Two Populations of Patients With Low Back Pain of Different Levels of Severity

Leclaire, Richard; Blier, François; Fortin, Luc; Proulx, Roland

doi:10.1097/00007632-199701010-00011

Cited by 140 publications

(81 citation statements)

References 14 publications

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“…Convergent validity was examined by investigating the strength of the relationship between the ODI and various other indices of disability (RM score and Likert scale ratings) and LBP intensity. The ODI showed a somewhat higher correlation with the RM (r=0.80) than has been previously reported {r=0.66 (LBP patients with radicular pain), r=0.72 (low back sprain) [30]; r=0.73 [10]}. However, it was noticed that extrapolation of the regression equation for the relationship between ODI and RM, to a maximum RM score (24 points), yielded an ODI score of just 70 points.…”

Section: Construct Validity Of the Odimentioning

confidence: 53%

“…The number and nature of both the items and their response categories differ between the two questionnaires, but their purpose is generally the same; namely to indicate the extent to which a person's activities of daily living are disrupted or restricted by low-back pain (LBP). It has been suggested that the RM may be better suited to settings in which patients have mild to moderate disability and the ODI to situations in which patients may have persistent severe disability [34], although studies in which the two questionnaires have been directly compared in a range of patient types are actually rare [30,37].…”

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confidence: 99%

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Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity

et al. 2005

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Patient-orientated assessment methods are of paramount importance in the evaluation of treatment outcome. The Oswestry Disability Index (ODI) is one of the condition-specific questionnaires recommended for use with back pain patients. To date, no German version has been published in the peerreviewed literature. A cross-cultural adaptation of the ODI for the German language was carried out, according to established guidelines. One hundred patients with chronic low-back pain (35 conservative, 65 surgical) completed a questionnaire booklet containing the newly translated ODI, along with a 0-10 pain visual analogue scale (VAS), the Roland Morris Disability Questionnaire, and Likert scales for disability, medication intake and pain frequency [to assess ODI's construct (convergent) validity]. Thirty-nine of these patients completed a second questionnaire within 2 weeks (to assess test-retest reliability). The intraclass correlation coefficient for the test-retest reliability of the questionnaire was 0.96. In test-retest, 74% of the individual questions were answered identically, and 21% just one grade higher or lower. The standard error of measurement (SEM) was 3.4, giving a ''minimum detectable change'' (MDC 95% ) for the ODI of approximately 9 points, i.e. the minimum change in an individual's score required to be considered ''real change'' (with 95% confidence) over and above measurement error. The ODI scores correlated with VAS pain intensity (r=0.78, P<0.001) and Roland Morris scores (r=0.80, P<0.001). The mean baseline ODI scores differed significantly between the surgical and conservative patients (P<0.001), and between the different categories of the Likert scales for disability, medication use and pain frequency (in each case P<0.001). Our German version of the Oswestry questionnaire is reliable and valid, and shows psychometric characteristics as good as, if not better than, the original English version. It should represent a valuable tool for use in future patient-orientated outcome studies in German-speaking lands.

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Section: Construct Validity Of the Odimentioning

confidence: 53%

mentioning

confidence: 99%

Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity

et al. 2005

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“…Repeated measurements performed on the same day and at 3 weeks are highly correlated [9,16,22,28]. The RolandMorris scale has good criterion-based construct and discriminant validity and is the most responsive disability questionnaire for back pain currently available [3,9,10,16,18,22,[27][28][29]. Raw scores, recorded on an integer scale ranging from 0 (no disability) to 24 (severe disability), are transformed into percentages.…”

Section: Functional Limitationsmentioning

confidence: 99%

Patterns of sick-leave and health outcomes in injured workers with back pain

et al. 2008

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Little is known about the sick-leave experiences of workers who make a workers' compensation claim for back pain. Our objective is to describe the 1-year patterns of sick-leave and the health outcomes of a cohort of workers who make a workers' compensation claim for back pain. We studied a cohort of 1,831 workers from five large US firms who made incident workers' compensation claims for back pain between January 1, 1999 and June 30, 2002. Injured workers were interviewed 1 month (n = 1,321), 6 months (n = 810) and 1 year (n = 462) following the onset of their pain. We described the course of back pain using four patterns of sick-leave: (1) no sick-leave, (2) returned to worked and stayed, (3) multiple episodes of sick-leave and (4) not yet returned to work. We described the health outcomes as back and/or leg pain intensity, functional limitations and health-related quality of life. We analyzed data from participants who completed all followup interviews (n = 457) to compute the probabilities of transition between patterns of sick-leave. A significant proportion of workers experienced multiple episodes of sick-leave (30.2%; 95% CI 25.0-35.1) during the 1-year follow-up. The proportion of workers who did not report sick-leave declined from 42.4% (95% CI 39.0-46.1) at 1 month to 33.6% (28.0-38.7) at 1 year. One year after the injury, 2.9% (1.6-4.9) of workers had not yet returned to work. Workers who did not report sick-leave and those who returned and stayed at work reported better health outcomes than workers who experienced multiple episodes of sick-leave or workers who had not returned to work. Almost a third of workers with an incident episode of back pain experience recurrent spells of work absenteeism during the following year. Our data suggest that stable patterns of sick-leave are associated with better health.

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“…This self-rating scale evaluates the degree of functional impairment caused by pain in activities of daily living [30,31,32].…”

Section: Minnesota Multiphasic Personality Inventory (Mmpi-2)mentioning

confidence: 99%

Development of a self-report screening instrument for assessing potential opioid medication misuse in chronic pain patients

Adams

Gatchel

Robinson

et al. 2004

Journal of Pain and Symptom Management

198

179

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This study comprised the first step in the psychometric development of a self-report screening instrument for risk of opioid medication misuse among chronic pain patients. A 26-item instrument, the Pain Medication Questionnaire (PMQ), was constructed based on suspected behavioral correlates of opioid medication misuse, which heretofore have received limited empirical investigation. The PMQ was administered to 184 patients at an interdisciplinary pain treatment center. Reliability coefficients for the PMQ were found to be of moderate but acceptable strength. Construct and concurrent validity were examined through correlation of PMQ scores to measures of substance abuse, physical and psychological functioning, and physicians' risk assessments. To explore high and low cutoff points for misuse risk, subgroups were formed according to the upper and lower thirds of PMQ scores and compared on validity measures. Higher PMQ scores were associated with history of substance abuse, higher levels of psychosocial distress, and poorer functioning. Future psychometric analyses will consider predictive validity and examine shortened versions of the instrument.

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A Cross-sectional Study Comparing the Oswestry and Roland-Morris Functional Disability Scales in Two Populations of Patients With Low Back Pain of Different Levels of Severity

Abstract: The authors conclude that both functional disability scales accurately discriminated between these two groups of patients with low back pain of very different clinical and electromyographic severity.

Cited by 140 publications

References 14 publications

Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity

Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity

Patterns of sick-leave and health outcomes in injured workers with back pain

Development of a self-report screening instrument for assessing potential opioid medication misuse in chronic pain patients

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