Association between the 10 item Örebro Musculoskeletal Pain Screening Questionnaire and physiotherapists' perception of the contribution of biopsychosocial factors in patients with musculoskeletal pain

Beales, Darren; Kendell, Michelle; Chang, Ruth P; Håmsø, M.; Gregory, Lisa; Richardson, Kayla Kim; O’Sullivan, Peter

doi:10.1016/j.math.2016.03.010

Cited by 35 publications

(27 citation statements)

References 39 publications

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“…There was no difference in any correlation between PTs with clinical experience �4 years and those with clinical experience <4 years. These results differ from the findings in a previous study that included Australian PTs [6]. These differences might have resulted from potential differences in the clinical skills of PTs between Australia and Japan, which can be assumed by limited use of an evidence database and an attitude that focuses more on biomedical perspectives than biopsychosocial perspectives among Japanese PTs [25,26] and limited practice permitted to Japanese PTs [27].…”

Section: Discussioncontrasting

confidence: 93%

“…However, the correlation was weak and there was no statistically significant correlation in binary score of the PCS. These results indicate that it is difficult for PTs to estimate the psychological PROM scores through physical therapy evaluation, and this is consistent with previous findings [4,6,23,24]. We investigated whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores.…”

Section: Discussionsupporting

confidence: 87%

“…In order to investigate whether the clinical experiences of PTs influence correlations between the total and binary psychosocial PROM scores and the corresponding PT NRS scores, we categorized PTs into two subgroups (PTs with �4 years and those with <4 years of clinical experience, as 4-year clinical experience is necessary to supervise students with regard to clinical placement in Japan). We compared correlations between the two subgroups using independent correlation comparisons performed with Simple Interactive Statistical Analysis online software (www.quantitativeskills.com/sisa/statistics/corrhlp.htm, accessed June 13, 2019), similar to the approach in a previous study [6]. In the present study, ρ values of � .40, .40-.75, and � .75 were considered to indicate weak or no correlation, moderate correlation, and strong correlation, respectively [22].…”

Section: Discussionmentioning

confidence: 99%

“…It is demonstrated that the clinical experiences of PTs influenced the accuracy of PT estimates for the patient anxiety rating scale in the 10-item Ö rebro Musculoskeletal Pain Screening Questionnaire (OMSQ) [6]. However, this study [6] had limitations as psychological deficits were not evaluated with established measures and cutoff values were not considered. Therefore, a new study involving PROMs that are commonly used in research and clinical practice with cutoff scores is required to further understand whether the clinical experiences of PTs influence the accuracy of PT estimates for the psychological PROM scores in patients with LBP through physical therapy evaluation.…”

Section: Introductionmentioning

confidence: 98%

“…The clinical experiences of PTs can be a confounding factor of the ability to estimate some psychological features through physical therapy evaluation [6]. It is demonstrated that the clinical experiences of PTs influenced the accuracy of PT estimates for the patient anxiety rating scale in the 10-item Ö rebro Musculoskeletal Pain Screening Questionnaire (OMSQ) [6].…”

Section: Introductionmentioning

confidence: 99%

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Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain

Miki¹,

Kondo²,

Takebayashi³

et al. 2020

PLoS ONE

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Minimizing the number of patient-reported outcome measures (PROMs) can reduce patient burden. The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The secondary aims were; 1) to investigate whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores, and 2) to investigate the sensitivity and specificity of PT estimates for the psychological features detected by the PROMs. We recruited hospitalized patients owing to LBP, who underwent evaluation by PTs on the initial day of hospitalization. Patients completed PROMs, including the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale immediately before the initial physical therapy session. PTs rated the magnitude of patient kinesiophobia, pain catastrophizing, anxiety, and depression using an 11-point numerical rating scale (NRS; 0 = not detected at all, 10 = very highly detected) through physical therapy evaluation immediately after the initial session. The PTs were blinded to the PROM results. We categorized PTs into two subgroups (PTs with �4 years and those with <4 years of clinical experience). Data from 78 patients (mean [SD] age = 60.5 [16.3] years) and 21 PTs were analyzed. A statistically significant but weak correlation (P = .04, Spearman's ρ = .24) was detected only in the total PCS scores and PT NRS scores in a dataset of all patients and PTs. Further, there were no statistically significant differences in correlations (all P >.05) between the two subgroups of PTs in all measures. Low sensitivity and high specificity of PT estimates for psychological features through physical therapy evaluation were identified in all PROMs when PT NRS scores were categorized into the binary score by 5 (negative: <5; positive: �5).

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Section: Discussioncontrasting

confidence: 93%