Top

Published in:

01-03-2011 | Original Article

Predictive ability of a modified Örebro Musculoskeletal Pain Questionnaire in an acute/subacute low back pain working population

Authors: Charles Philip Gabel, Markus Melloh, Michael Yelland, Brendan Burkett, Anne Roiko

Published in: European Spine Journal | Issue 3/2011

Abstract

The original ‘Örebro Musculoskeletal Pain Questionnaire’ (original-ÖMPQ) has been shown to have limitations in practicality, factor structure, face and content validity. This study addressed these concerns by modifying its content producing the ‘Örebro Musculoskeletal Screening Questionnaire’ (ÖMSQ). The ÖMSQ and original-ÖMPQ were tested concurrently in acute/subacute low back pain working populations (pilot n = 44, main n = 106). The ÖMSQ showed improved face and content validity, which broadened potential application, and improved practicality with two-thirds less missing responses. High reliability (0.975, p < 0.05, ICC: 2.1), criterion validity (Spearman’s r = 0.97) and internal consistency (α = 0.84) were achieved, as were predictive ability cut-off scores from ROC curves (112–120 ÖMSQ-points), statistically different ÖMSQ scores (p < 0.001) for each outcome trait, and a strong correlation with recovery time (Spearman’s, r = 0.71). The six-component factor structure reflected the constructs originally proposed. The ÖMSQ can be substituted for the original-ÖMPQ in this population. Further research will assess its applicability in broader populations.

Available only for authorised users

Bot SD, Terwee CB, van der Windt DA, Bouter LM, Dekker J, de Vet HC (2004) Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature. Ann Rheum Dis 63:335–341PubMedCrossRef

Carey TS, Garrett JM, Jackman AM (2000) Examination of an inception cohort of patients with chronic low back pain. Spine 25:115–120PubMedCrossRef

Du Bois M, Donceel P (2008) A screening questionnaire to predict no return to work within 3 months for low back pain claimants. Eur Spine J 17:380–385PubMedCrossRef

Dunstan D, Covic T, Tyson GA, Lennie IG (2005) Does the Orebro musculoskeletal pain questionnaire predict outcomes following a work-related compensable injury? Int J Rehabil Res 28:369–370PubMedCrossRef

Elfering A (2006) Work-related outcome assessment instruments. Eur Spine J 15(Suppl 1):S32–S43PubMedCrossRef

Fabrigar LR, Wegener DT, MacCallum RC, Strahan EJ (1999) Evaluating the use of exploratory factor analysis in psychological research. Psychol Methods 4:272–299CrossRef

Fields A (2005) Discovering statistics using SPSS. SAGE Publications Ltd, London

Gabel CP, Burkett B, Neller A (2004) Comparative performance of a new lumbar self report outcome measure (SROM)—a pilot investigation. Aust J Physiother 50:S17. http://ajp.physiotherapy.asn.au/AJP/50-3/AustJPhysiotherv50i3Supplement.pdf

Gabel CP, Burkett B, Neller A, Yelland M (2008) Can long term impairment in general practitioner whiplash patients be predicted using screening and patient report outcomes? Int J Rehabil Res 31:79–80PubMedCrossRef

10.

Gabel P, Barden L, Burkett B, Neller L (2006) Integrating injury screening with measurement and monitoring: a conceptual approach using a patient global assessment of body and limbs scale. S Afr J Physiother 62:2–8

11.

Gjesdal S, Bratberg E, Mæland JG (2009) Musculoskeletal impairments in the norwegian working population: the prognostic role of diagnoses and socioeconomic status: a prospective study of sickness absence and transition to disability pension. Spine 34:1519–1525PubMedCrossRef

12.

Grotle M, Brox JI, Veierod MB, Glomsrod B, Lonn JH, Vollestad NK (2005) Clinical course and prognostic factors in acute low back pain: patients consulting primary care for the first time. Spine 30:976–982PubMedCrossRef

13.

Grotle M, Vøllestad N, Brox JI (2006) Screening for yellow flags in first-time acute low back pain: reliability and validity of a norwegian version of the acute low back pain screening questionnaire. Clin J Pain 22:458–467PubMedCrossRef

14.

Heitz CAM, Hilfiker R, Bachmann LM, Joronen H, Lorenz T, Uebelhart D, Klipstein A, Brunner F (2009) Comparison of risk factors predicting return to work between patients with subacute and chronic non-specific low back pain: systematic review. Eur Spine J 18:1829–1835PubMedCrossRef

15.

Helmhout PH, Staal JB, Heymans MW, Harts CC, Hendriks EJM, de Bie RA (2010) Prognostic factors for perceived recovery or functional improvement in non-specific low back pain: secondary analyses of three randomized clinical trials. Eur Spine J 19:650–659PubMedCrossRef

16.

Heneweer H, Aufdemkampe G, van Tulder MW, Kiers H, Stappaerts KH, Vanhees L (2007) Psychosocial variables in patients with (sub)acute low back pain: an inception cohort in primary care physical therapy in The Netherlands. Spine 32:586–592PubMedCrossRef

17.

Heneweer H, van Woudenberg NJ, van Genderen F, Vanhees L, Wittink H (2010) Measuring psychosocial variables in patients with (sub) acute low back pain complaints, at risk for chronicity: a validation study of the acute low back pain screening Questionnaire-Dutch language version. Spine 35:447–452PubMedCrossRef

18.

Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, York J, Das A, McAuley J (2008) Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ 337

19.

Hestbaek L, Leboeuf-Yde C, Manniche C (2003) Low back pain: what is the long-term course? A review of studies of general patient populations. Eur Spine J 12:149–165PubMed

20.

Hill JC, Dunn KM, Main CJ, Hay EM (2009) Subgrouping low back pain: a comparison of the STarT back tool with the orebro musculoskeletal pain screening questionnaire. Eur J Pain Epub

21.

Hockings RL, McAuley JH, Maher CG (2008) A systematic review of the predictive ability of the Orebro musculoskeletal pain questionnaire. Spine 33:E494–E500PubMedCrossRef

22.

Hurley DA, Dusoir TE, McDonough SM, Moore AP, Baxter GD (2001) How effective is the acute low back pain screening questionnaire for predicting 1-year followup in patients with low back pain? Clin J Pain 17:256–263PubMedCrossRef

23.

Ijzelenberg WAB (2005) Risk factors for musculoskeletal symptoms and ensuing health care use and sick leave. Spine 30:1550–1556PubMedCrossRef

24.

Janowski K, Steuden S, Kuryłowicz J (2010) Factors accounting for psychosocial functioning in patients with low back pain. Eur Spine J 19:613–623PubMedCrossRef

25.

Jellema P, van der Windt DA, van der Horst HE, Stalman WA, Bouter LM (2007) Prediction of an unfavourable course of low back pain in general practice: comparison of four instruments. Br J Gen Pract 57:15–22PubMed

26.

Kendall NAS, Linton SJ, Main CJ (1997) Guide to assessing psychosocial yellow flags in acute low back pain: risk factors for long-term disability and work loss. In: International association for the study of pain. IASP Press, Seattle, Washington, pp 527–536

27.

Liebenson C, Yeomans S (2007) Assessment of psychosocial risk factors of chronicity—yellow flags. In: Liebenson C (ed) Rehabilitation of the spine: a practitioner’s manual Lippincott. Wilkins and Williams, Baltimore, MD, pp 183–200

28.

Linton SJ, Boersma K (2003) Early identification of patients at risk of developing a persistent back problem: the predictive validity of the Orebro musculoskeletal pain questionnaire. Clin J Pain 19:80–86PubMedCrossRef

29.

Linton SJ, Hallden K (1998) Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. Clin J Pain 14:209–215PubMedCrossRef

30.

Maher CG, Grotle M (2009) Evaluation of the predictive validity of the Orebro Musculoskeletal pain screening questionnaire. Clin J Pain 25:666–670PubMedCrossRef

31.

Margison DA, French DJ (2007) Predicting treatment failure in the subacute injury phase using the Orebro musculoskeletal pain questionnaire: an observational prospective study in a workers’ compensation system. J Occup Environ Med 49:59–67PubMedCrossRef

32.

Melloh M, Elfering A, Egli Presland C, Roeder C, Barz T, Rolli Salathé C, Tamcan O, Mueller U, Theis JC (2009) Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments. Int Orthop 33:301–313PubMedCrossRef

33.

Nordeman L, Nilsson B, Möller M, Gunnarsson R (2006) Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial. Clin J Pain 22:505–511PubMedCrossRef

34.

Stanton TR, Latimer J, Maher CG, Hancock MJ (2010) How do we define the condition ‘recurrent low back pain’? A systematic review. Eur Spine J 19:533–539PubMedCrossRef

35.

Truchon M, Côté D, Schmouth M, Leblond J, Fillion L, Dionne C (2010) Validation of an adaptation of the stress process model for predicting low back pain related long-term disability outcomes: a cohort study. Spine 35:1307–1315PubMed

36.

van Tulder M, Becker A, Beckering T, Breen A, Gil del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A (2006) Cost BB13 chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 15:S169–S191PubMedCrossRef

37.

Vos CJ, Verhagen AP, Koes BW (2009) The ability of the acute low back pain screening questionnaire to predict sick leave in patients with acute neck pain. J Manip Physiol Ther 32:178–183CrossRef

38.

Wand BM, Chiffelle LA, O’Connell NE, McAuley JH, DeSouza LH (2010) Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain. Eur Spine J 19:633–640PubMedCrossRef

39.

Westman A, Linton SJ, Ohrvik J, Wahlén P, Leppert J (2008) Do psychosocial factors predict disability and health at a 3-year follow-up for patients with non-acute musculoskeletal pain? A validation of the orebro musculoskeletal pain screening questionnaire. Eur J Pain 12:641–649PubMedCrossRef

40.

World Health Organisation (WHO) (2001) International classification of functioning, disability and health (ICF). World Health Organisation (WHO), Geneva

Title: Predictive ability of a modified Örebro Musculoskeletal Pain Questionnaire in an acute/subacute low back pain working population
Authors: Charles Philip Gabel
Markus Melloh
Michael Yelland
Brendan Burkett
Anne Roiko
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 3/2011
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-010-1509-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictive ability of a modified Örebro Musculoskeletal Pain Questionnaire in an acute/subacute low back pain working population

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2011

Diffusion tensor imaging in the cervical spinal cord

Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis

Low grade lytic spondylolisthesis L4/L5 treated with PLIF

Outcome of thoracolumbar burst fractures treated with indirect reduction and fixation without fusion

Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study

Mid-term results of PLIF/TLIF in trauma