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Published in: European Spine Journal 1/2006

01-01-2006 | Review

Back related outcome assessment instruments

Authors: Urs Müller, Christoph Röder, Charles G. Greenough

Published in: European Spine Journal | Special Issue 1/2006

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Abstract

A literature review of the most widely used condition specific, self administered assessment questionnaires for low back pain had been undertaken. General and historic aspects, reliability, responsiveness and minimum clinically important difference, external validity, floor and ceiling effects, and available languages were analysed. These criteria, however, are only part of the consideration. Of similar importance are the content, wording of questions and answers in each of the six questionnaires and an analysis of the different score results. The issue of score bias is discussed and suggestions are given in order to increase the construct validity in the practical use of the individual questionnaires.
Literature
1.
go back to reference Baker D, Pynsent P, Fairbank J (1989) The Oswestry index revisited. In: Roland M, Jenner J (eds) Back pain: new approaches to rehabilitation and education. Manchester University Press, Manchester pp 174–186 Baker D, Pynsent P, Fairbank J (1989) The Oswestry index revisited. In: Roland M, Jenner J (eds) Back pain: new approaches to rehabilitation and education. Manchester University Press, Manchester pp 174–186
2.
go back to reference Bigos SJ, Battie MC, Spengler DM, et al. (1991) A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 16(1):1–6PubMedCrossRef Bigos SJ, Battie MC, Spengler DM, et al. (1991) A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 16(1):1–6PubMedCrossRef
3.
go back to reference Bland J, Altman D (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 8:307–310 Bland J, Altman D (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 8:307–310
4.
go back to reference Bombardier C (2000) Outcome assessment in the evaluation of treatment of spinal disorders. Summary and general recommendations. Spine 25:3100–3103PubMedCrossRef Bombardier C (2000) Outcome assessment in the evaluation of treatment of spinal disorders. Summary and general recommendations. Spine 25:3100–3103PubMedCrossRef
6.
go back to reference Boscainos P, Sapkas G, Stilianesi E (1999) Clinical relevance of specific parameters isolatecd within the Oswestry and Roland Morris functional disability index. J Bone Jourl Surg [Br] 81(Suppl):239 Boscainos P, Sapkas G, Stilianesi E (1999) Clinical relevance of specific parameters isolatecd within the Oswestry and Roland Morris functional disability index. J Bone Jourl Surg [Br] 81(Suppl):239
7.
go back to reference Boscainos PJ, Sapkas G, Stilianessi E, et al. (2003) Greek versions of the oswestry and roland-morris disability questionnaires. Clin Orthop 411:40–53PubMedCrossRef Boscainos PJ, Sapkas G, Stilianessi E, et al. (2003) Greek versions of the oswestry and roland-morris disability questionnaires. Clin Orthop 411:40–53PubMedCrossRef
9.
go back to reference Coste J, Le_Parc JM, Berge E, et al. (1993) [French validation of a disability rating scale for the evaluation of low back pain (EIFEL questionnaire)]. Rev Rhum Ed Fr 60(5):335–341PubMed Coste J, Le_Parc JM, Berge E, et al. (1993) [French validation of a disability rating scale for the evaluation of low back pain (EIFEL questionnaire)]. Rev Rhum Ed Fr 60(5):335–341PubMed
10.
go back to reference Crohnbach L (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334CrossRef Crohnbach L (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334CrossRef
11.
go back to reference Daltroy LH, Cats_Baril WL, Katz JN, et al (1996) The North American spine society lumbar spine outcome assessment instrument: reliability and validity tests. Spine 21(6):741–749PubMedCrossRef Daltroy LH, Cats_Baril WL, Katz JN, et al (1996) The North American spine society lumbar spine outcome assessment instrument: reliability and validity tests. Spine 21(6):741–749PubMedCrossRef
12.
go back to reference Davidson M, Keating JL (2002) A comparison of five low back disability questionnaires: reliability and responsiveness. Physi Ther 82(1):8–24 Davidson M, Keating JL (2002) A comparison of five low back disability questionnaires: reliability and responsiveness. Physi Ther 82(1):8–24
13.
go back to reference Deyo R, Centor R (1986) Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis 39:897–906PubMedCrossRef Deyo R, Centor R (1986) Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis 39:897–906PubMedCrossRef
14.
go back to reference Deyo RA, Battie M, Beurskens AJ, et al. (1998) Outcome measures for low back pain research A proposal for standardized use. Spine 23(18):2003–2013PubMedCrossRef Deyo RA, Battie M, Beurskens AJ, et al. (1998) Outcome measures for low back pain research A proposal for standardized use. Spine 23(18):2003–2013PubMedCrossRef
15.
go back to reference Dionne CE, Von_Korff M, Koepsell TD, et al. (1999) A comparison of pain, functional limitations, and work status indices as outcome measures in back pain research. Spine 24(22):2339–2345PubMedCrossRef Dionne CE, Von_Korff M, Koepsell TD, et al. (1999) A comparison of pain, functional limitations, and work status indices as outcome measures in back pain research. Spine 24(22):2339–2345PubMedCrossRef
16.
go back to reference Dropsy R, Marty M (1994) Quality-of-life indexes for assessment of low-back-pain. Rev Rhum 61:S44–S48 Dropsy R, Marty M (1994) Quality-of-life indexes for assessment of low-back-pain. Rev Rhum 61:S44–S48
17.
go back to reference Dubs L (1999) Everything was done---patient still not satisfied: introduction to evidence-based surgery.Swiss Surg 5(4):160–166PubMedCrossRef Dubs L (1999) Everything was done---patient still not satisfied: introduction to evidence-based surgery.Swiss Surg 5(4):160–166PubMedCrossRef
18.
go back to reference Dubs L (2000) Der score bias. Schweiz. Aertzeteitung 81(6):292–295 Dubs L (2000) Der score bias. Schweiz. Aertzeteitung 81(6):292–295
19.
go back to reference Dubs L (2000) The patient as expert---introduction to evidence-based orthopedics. Z Orthop 138(4):289–294PubMedCrossRef Dubs L (2000) The patient as expert---introduction to evidence-based orthopedics. Z Orthop 138(4):289–294PubMedCrossRef
20.
go back to reference Euroquol-Group (1990) Euroquol---a new facility for the measurement of health-related quality of life. Health Policy 16:199–208CrossRef Euroquol-Group (1990) Euroquol---a new facility for the measurement of health-related quality of life. Health Policy 16:199–208CrossRef
22.
go back to reference Fairbank JC, Couper J, Davies JB, et al. (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66(8):271–273PubMed Fairbank JC, Couper J, Davies JB, et al. (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66(8):271–273PubMed
23.
go back to reference Fisher K, Johnson M (1997) Validation of the Oswestry low back pain questionnaire, its sensitivity as a measure of change following treatment and its realtionship with other aspects of the chronic pain experience. Physiother Theory Pract 22:61–80 Fisher K, Johnson M (1997) Validation of the Oswestry low back pain questionnaire, its sensitivity as a measure of change following treatment and its realtionship with other aspects of the chronic pain experience. Physiother Theory Pract 22:61–80
24.
go back to reference Fritz JM, Irrgang JJ (2001) A comparison of a modified Oswestry low back pain disability questionnaire and the Quebec back pain disability scale. Physi Ther 81(2):776–778 Fritz JM, Irrgang JJ (2001) A comparison of a modified Oswestry low back pain disability questionnaire and the Quebec back pain disability scale. Physi Ther 81(2):776–778
25.
go back to reference Greenough CG, Fraser RD (1992) Assessment of outcome in patients with low-back pain. Spine 17(1):36–41PubMedCrossRef Greenough CG, Fraser RD (1992) Assessment of outcome in patients with low-back pain. Spine 17(1):36–41PubMedCrossRef
26.
go back to reference Grimby G, Smedby B (2001) ICF approved as the successor of ICIDH. J Rehabil Med 33–5:193–194 Grimby G, Smedby B (2001) ICF approved as the successor of ICIDH. J Rehabil Med 33–5:193–194
27.
go back to reference Gronblad M, Hupli M, Wennerstrand P, et al. (1993) Intercorrelation and test-retest reliability of the pain disability index (PDI) and the Oswestry disability questionnaire (ODQ) and their correlation with pain intensity in low back pain patients. Clin J Pain 9(3):189–195PubMedCrossRef Gronblad M, Hupli M, Wennerstrand P, et al. (1993) Intercorrelation and test-retest reliability of the pain disability index (PDI) and the Oswestry disability questionnaire (ODQ) and their correlation with pain intensity in low back pain patients. Clin J Pain 9(3):189–195PubMedCrossRef
28.
go back to reference Gronblad M, Jarvinen E, Hurri H, et al. (1994) Relationship of the pain disability index (PDI) and the Oswestry disability questionnaire (ODQ) with three dynamic physical tests in a group of patients with chronic low-back and leg pain. Clin J Pain 10(3):197–203PubMed Gronblad M, Jarvinen E, Hurri H, et al. (1994) Relationship of the pain disability index (PDI) and the Oswestry disability questionnaire (ODQ) with three dynamic physical tests in a group of patients with chronic low-back and leg pain. Clin J Pain 10(3):197–203PubMed
29.
go back to reference Hefti F (1996) Numerische “Scores” zur Evaluation von Behandlungsresultaten am Bewegungsapparat. Schweiz. Aerztezeitung 77:118–25 Hefti F (1996) Numerische “Scores” zur Evaluation von Behandlungsresultaten am Bewegungsapparat. Schweiz. Aerztezeitung 77:118–25
30.
go back to reference Holt AE, Shaw NJ, Shetty A, et al. (2002) The reliability of the low back outcome score for back pain. Spine 27(2):206–210PubMedCrossRef Holt AE, Shaw NJ, Shetty A, et al. (2002) The reliability of the low back outcome score for back pain. Spine 27(2):206–210PubMedCrossRef
31.
go back to reference Hsieh CY, Phillips RB, Adams AH, et al. (1992) Functional outcomes of low back pain: comparison of four treatment groups in a randomized controlled trial. J Manipulative Physiol Ther 15(1):4–9PubMed Hsieh CY, Phillips RB, Adams AH, et al. (1992) Functional outcomes of low back pain: comparison of four treatment groups in a randomized controlled trial. J Manipulative Physiol Ther 15(1):4–9PubMed
33.
go back to reference Johansson E, Lindberg P (1998) Subacute and chronic low back pain. Reliability and validity of a Swedish version of the Roland and Morris disability questionnaire. Scand J Rehabil Med 30(3):139–143PubMedCrossRef Johansson E, Lindberg P (1998) Subacute and chronic low back pain. Reliability and validity of a Swedish version of the Roland and Morris disability questionnaire. Scand J Rehabil Med 30(3):139–143PubMedCrossRef
34.
go back to reference Kahtri H, Greenough CG (2002) Minimum clinically important difference in the low back outcome score. Society of Back Pain Research, Leeds Kahtri H, Greenough CG (2002) Minimum clinically important difference in the low back outcome score. Society of Back Pain Research, Leeds
35.
36.
go back to reference Kopec JA, Esdaile JM, Abrahamowicz M, et al. (1995) The Quebec back pain disability scale. Measurement properties. Spine 20(3):341–352PubMedCrossRef Kopec JA, Esdaile JM, Abrahamowicz M, et al. (1995) The Quebec back pain disability scale. Measurement properties. Spine 20(3):341–352PubMedCrossRef
37.
go back to reference Kovacs FM, Llobera J, Gil_Del_Real MT, et al. (2002) Validation of the spanish version of the Roland–Morris questionnaire. Spine 27(5):538–542PubMedCrossRef Kovacs FM, Llobera J, Gil_Del_Real MT, et al. (2002) Validation of the spanish version of the Roland–Morris questionnaire. Spine 27(5):538–542PubMedCrossRef
38.
go back to reference Kucukdeveci AA, Tennant A, Elhan AH, et al. (2001) Validation of the Turkish version of the roland–morris disability questionnaire for use in low back pain. Spine 26(24):2738–2743PubMedCrossRef Kucukdeveci AA, Tennant A, Elhan AH, et al. (2001) Validation of the Turkish version of the roland–morris disability questionnaire for use in low back pain. Spine 26(24):2738–2743PubMedCrossRef
39.
go back to reference Leclaire R, Blier F, Fortin L et al (1997) 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. Spine 22(1):68–71PubMedCrossRef Leclaire R, Blier F, Fortin L et al (1997) 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. Spine 22(1):68–71PubMedCrossRef
40.
go back to reference Mannion A, Junge A, Fairbank J, et al. (2005) Development of a German version of the Oswestry disability index. Part 1: Cross-cultural adaptation, reliability, and validity. (in press) Mannion A, Junge A, Fairbank J, et al. (2005) Development of a German version of the Oswestry disability index. Part 1: Cross-cultural adaptation, reliability, and validity. (in press)
41.
go back to reference Mannion A, Junge A, Grob D, et al. (2005) Development of a German version of the Oswestry disability index. Part 2: Sensitivity. Eur Spine (in press) Mannion A, Junge A, Grob D, et al. (2005) Development of a German version of the Oswestry disability index. Part 2: Sensitivity. Eur Spine (in press)
42.
go back to reference McDowell I, Newell C (1996) The theoretical and technical foundations of health measurement. Measuring health. A guide to rating scales and questionnaires. Oxford University Press, Oxford pp 10–42 McDowell I, Newell C (1996) The theoretical and technical foundations of health measurement. Measuring health. A guide to rating scales and questionnaires. Oxford University Press, Oxford pp 10–42
43.
go back to reference Mueller U, Duetz M, Roeder C, et al. (2004) Condition specific outcome measures for low back pain. Part I: Validation. Eur Spine J 13:301–313CrossRef Mueller U, Duetz M, Roeder C, et al. (2004) Condition specific outcome measures for low back pain. Part I: Validation. Eur Spine J 13:301–313CrossRef
44.
go back to reference Mueller U, Roeder C, Dubs L, et al (2004) Condition Specific Outcome Measures for low back pain Part II: Scale construction. Eur Spine J 13:314–324 Mueller U, Roeder C, Dubs L, et al (2004) Condition Specific Outcome Measures for low back pain Part II: Scale construction. Eur Spine J 13:314–324
45.
go back to reference Nusbaum L, Natour J, Ferraz MB, et al. (2001) Translation, adaptation and validation of the Roland-Morris questionnaire---Brazil Roland–Morris. Brazilian Journal of Medical and Biological Research = Revista Brasileira de Pesquisas Medicas E Biologicas/Sociedade Brasileira de Biofisica 34(2):203–210 Nusbaum L, Natour J, Ferraz MB, et al. (2001) Translation, adaptation and validation of the Roland-Morris questionnaire---Brazil Roland–Morris. Brazilian Journal of Medical and Biological Research = Revista Brasileira de Pesquisas Medicas E Biologicas/Sociedade Brasileira de Biofisica 34(2):203–210
46.
go back to reference Padua R, Padua L, Ceccarelli E, et al. (2001) Cross-cultural adaptation of the lumbar North American Spine Society questionnaire for Italian-speaking patients with lumbar spinal disease. Spine 26(15):E344–E347PubMedCrossRef Padua R, Padua L, Ceccarelli E, et al. (2001) Cross-cultural adaptation of the lumbar North American Spine Society questionnaire for Italian-speaking patients with lumbar spinal disease. Spine 26(15):E344–E347PubMedCrossRef
47.
go back to reference Patrick DL, Deyo RA, Atlas SJ et al. (1995) Assessing health-related quality of life in patients with sciatica. Spine 20(17):1899–908-discussion 909PubMedCrossRef Patrick DL, Deyo RA, Atlas SJ et al. (1995) Assessing health-related quality of life in patients with sciatica. Spine 20(17):1899–908-discussion 909PubMedCrossRef
48.
go back to reference Porst R (2000) Question wording---Zur Formulierung von Fragebogen-Fragen. ZUMA, Mannheim 2:1–11 Porst R (2000) Question wording---Zur Formulierung von Fragebogen-Fragen. ZUMA, Mannheim 2:1–11
49.
go back to reference Pose B, Sangha O, Peters A, et al. (1999) Validation of the North American Spine Society Instrument for assessment of health status in patients with chronic backache. Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete 137(5):437–441PubMed Pose B, Sangha O, Peters A, et al. (1999) Validation of the North American Spine Society Instrument for assessment of health status in patients with chronic backache. Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete 137(5):437–441PubMed
50.
go back to reference Raspe HH (1997) Minimum requirements in medical expert assessment of occupational disability of patients with chronic nonspecific pain. Versicherungsmedizin 49(4):118–125PubMed Raspe HH (1997) Minimum requirements in medical expert assessment of occupational disability of patients with chronic nonspecific pain. Versicherungsmedizin 49(4):118–125PubMed
51.
go back to reference Roese I, Kohlmann T, Raspe H (1996) Measuring functional capacity in backache patients in rehabilitation: a comparison of standardized questionnaires 35(2):103–108 Roese I, Kohlmann T, Raspe H (1996) Measuring functional capacity in backache patients in rehabilitation: a comparison of standardized questionnaires 35(2):103–108
52.
go back to reference Roland M, Fairbank J (2000) The Roalnd–Morris disability questionnaire and the Oswestry disability index. Spine 25:3115–3124PubMedCrossRef Roland M, Fairbank J (2000) The Roalnd–Morris disability questionnaire and the Oswestry disability index. Spine 25:3115–3124PubMedCrossRef
53.
go back to reference Roland M, Morris R (1983) A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine 8(2):141–144PubMedCrossRef Roland M, Morris R (1983) A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. Spine 8(2):141–144PubMedCrossRef
54.
go back to reference Schoppink LE, van_Tulder MW, Koes BW, et al. (1996) Reliability and validity of the Dutch adaptation of the Quebec Back pain disability scale. Phys Ther 76(3):268–275PubMed Schoppink LE, van_Tulder MW, Koes BW, et al. (1996) Reliability and validity of the Dutch adaptation of the Quebec Back pain disability scale. Phys Ther 76(3):268–275PubMed
55.
go back to reference Stratford PW, Binkley J, Solomon P, et al. (1996) Defining the minimum level of detectable change for the Roland–Morris questionnaire. Physi Ther 76(4):359–365 discussion 66–8 Stratford PW, Binkley J, Solomon P, et al. (1996) Defining the minimum level of detectable change for the Roland–Morris questionnaire. Physi Ther 76(4):359–365 discussion 66–8
56.
go back to reference Stratford PW, Binkley J, Solomon P, et al. (1994) Assessing change over time in patients with low back pain. Physi Ther 74(6):528–33 Stratford PW, Binkley J, Solomon P, et al. (1994) Assessing change over time in patients with low back pain. Physi Ther 74(6):528–33
57.
go back to reference Stratford PW, Binkley JM (1997) Measurement properties of the RM-18. A modified version of the Roland–Morris disability scale. Spine 22(20):2416–2421PubMedCrossRef Stratford PW, Binkley JM (1997) Measurement properties of the RM-18. A modified version of the Roland–Morris disability scale. Spine 22(20):2416–2421PubMedCrossRef
58.
go back to reference Streiner D, Normann G (1995) Health measurement scales. A Practical Guide to their Developement and Use. Oxford Medical Publications 2 edn. ISBN o-19–262670–1 Streiner D, Normann G (1995) Health measurement scales. A Practical Guide to their Developement and Use. Oxford Medical Publications 2 edn. ISBN o-19–262670–1
59.
go back to reference Taylor SJ, Taylor AE, Foy MA, et al. (1999) Responsiveness of common outcome measures for patients with low back pain. Spine 24(17):1805–1812PubMedCrossRef Taylor SJ, Taylor AE, Foy MA, et al. (1999) Responsiveness of common outcome measures for patients with low back pain. Spine 24(17):1805–1812PubMedCrossRef
60.
go back to reference Underwood MR, Barnett AG, Vickers MR (1999) Evaluation of two time-specific back pain outcome measures. Spine 24(11):1104–1112PubMedCrossRef Underwood MR, Barnett AG, Vickers MR (1999) Evaluation of two time-specific back pain outcome measures. Spine 24(11):1104–1112PubMedCrossRef
61.
go back to reference Van Tubergen A, Landewe R, Heuft-Dorenbosch L, et al. (2003) Assessment of disability with the World Health Organisation Disability Assessment Schedule II in patients with ankylosing spondylitis. Ann Rheum Dis 62(2):140–145PubMedCrossRef Van Tubergen A, Landewe R, Heuft-Dorenbosch L, et al. (2003) Assessment of disability with the World Health Organisation Disability Assessment Schedule II in patients with ankylosing spondylitis. Ann Rheum Dis 62(2):140–145PubMedCrossRef
62.
go back to reference Ware JEJ, Sherbourne CD. (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483PubMedCrossRef Ware JEJ, Sherbourne CD. (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483PubMedCrossRef
63.
go back to reference Wiesinger GF, Nuhr M, Quittan M, et al. (1999) Cross-cultural adaptation of the Roland-Morris questionnaire for German-speaking patients with low back pain. Spine 24(11):1099–1103PubMedCrossRef Wiesinger GF, Nuhr M, Quittan M, et al. (1999) Cross-cultural adaptation of the Roland-Morris questionnaire for German-speaking patients with low back pain. Spine 24(11):1099–1103PubMedCrossRef
64.
go back to reference Zoega B, Karrholm J, Lind B (2000) Outcome scores in degenerative cervical disc surgery. Eur Spine J 9(2):137–143PubMedCrossRef Zoega B, Karrholm J, Lind B (2000) Outcome scores in degenerative cervical disc surgery. Eur Spine J 9(2):137–143PubMedCrossRef
Metadata
Title
Back related outcome assessment instruments
Authors
Urs Müller
Christoph Röder
Charles G. Greenough
Publication date
01-01-2006
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue Special Issue 1/2006
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-005-1054-8

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