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Published in: European Spine Journal 3/2011

01-03-2011 | Original Article

Responsiveness of the 24-, 18- and 11-item versions of the Roland Morris Disability Questionnaire

Authors: Luciana Gazzi Macedo, Chris G. Maher, Jane Latimer, Mark J. Hancock, Luciana A. C. Machado, James H. McAuley

Published in: European Spine Journal | Issue 3/2011

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Abstract

Several versions of the 24-item Roland Morris Disability Questionnaire (RMDQ) have been proposed; however, their responsiveness has not been extensively explored. The objective of this study was to compare the responsiveness of four versions of the RMDQ. Perceived disability was measured using the 24-item, two 18-item and an 11-item RMDQ on 1,069 low back pain patients from six randomised controlled trials. Responsiveness was calculated using effect size, Guyatt’s responsiveness index (GRI) and receiver operating characteristics (ROC) curves. Effect size analyses showed that both 18-item versions of the RMDQ were superior to the 24- and 11-item versions of the RMDQ. GRI showed that the 24- and 18-item versions of the RMDQ were similar but more responsive than the 11-item. ROC curves revealed that the 11-item was less responsive than the other three versions, which had similar responsiveness. The results of this study demonstrate that the 24-item and both 18-item versions of the RMDQ have similar responsiveness with all having superior responsiveness to the 11-item.
Literature
1.
go back to reference Roland M, Morris R, 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 8:141–144PubMedCrossRef Roland M, Morris R, 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 8:141–144PubMedCrossRef
2.
go back to reference Guyatt G, Walter S, Norman G (1987) Measuring change over time: assessing the usefulness of evaluative instruments. J Chronic Dis 40:171–178PubMedCrossRef Guyatt G, Walter S, Norman G (1987) Measuring change over time: assessing the usefulness of evaluative instruments. J Chronic Dis 40:171–178PubMedCrossRef
3.
go back to reference Lauridsen HH, Hartvigsen J, Manniche C, Korsholm L, Grunnet-Nilsoon N (2006) Responsiveness and minimal clinically important difference for pain and disability instruments in low back pain patients. BMC Musculoskelet Disord 7:1–16CrossRef Lauridsen HH, Hartvigsen J, Manniche C, Korsholm L, Grunnet-Nilsoon N (2006) Responsiveness and minimal clinically important difference for pain and disability instruments in low back pain patients. BMC Musculoskelet Disord 7:1–16CrossRef
4.
go back to reference Jordan K, Dunn KM, Lewis M, Croft P (2006) A minimal clinically important difference was derived for the Roland–Morris disability questionnaire for low back pain. J Clin Epidemiol 59:45–52PubMedCrossRef Jordan K, Dunn KM, Lewis M, Croft P (2006) A minimal clinically important difference was derived for the Roland–Morris disability questionnaire for low back pain. J Clin Epidemiol 59:45–52PubMedCrossRef
5.
go back to reference Stroud MW, McKnight PE, Jensen MP (2004) Assessment of self-reported physical activity in patients wiht chronic pain: development of an abbreviated Roland–Morris disability scale. J Pain 5:257–263PubMedCrossRef Stroud MW, McKnight PE, Jensen MP (2004) Assessment of self-reported physical activity in patients wiht chronic pain: development of an abbreviated Roland–Morris disability scale. J Pain 5:257–263PubMedCrossRef
6.
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 22:2416–2421PubMedCrossRef Stratford PW, Binkley JM (1997) Measurement properties of the RM-18. A modified version of the Roland–Morris disability scale. Spine 22:2416–2421PubMedCrossRef
7.
go back to reference Williams RM, Myers AM (2001) Support for a shortened Roland–Morris Disability Questionnaire for patietns with acute low back pain. Physiother Can 53:60–66 Williams RM, Myers AM (2001) Support for a shortened Roland–Morris Disability Questionnaire for patietns with acute low back pain. Physiother Can 53:60–66
8.
go back to reference Brouwer S, Kuijer W, Dijkstra P, Goeken L, Groothoff J, Geertzen J (2004) Reliability and stability of the Roland Morris disability questionnaire: intra class correlation and limits of agreement. Disabil Rehabil 26:162–165PubMedCrossRef Brouwer S, Kuijer W, Dijkstra P, Goeken L, Groothoff J, Geertzen J (2004) Reliability and stability of the Roland Morris disability questionnaire: intra class correlation and limits of agreement. Disabil Rehabil 26:162–165PubMedCrossRef
9.
go back to reference Ostelo RWJG, de Vet HCW, Knol DL, van den Brandt PA (2004) 24-item Roland Morris disability questionnaire was preferred out of six functional status questionnaires for post-lumbar disc surgery. J Clin Epidemiol 57:268–276PubMedCrossRef Ostelo RWJG, de Vet HCW, Knol DL, van den Brandt PA (2004) 24-item Roland Morris disability questionnaire was preferred out of six functional status questionnaires for post-lumbar disc surgery. J Clin Epidemiol 57:268–276PubMedCrossRef
10.
go back to reference Riddle DL, Stratford PW (2002) Roland-Morris scale reliability. Phys Ther 82:512–515 (author reply 515–517)PubMed Riddle DL, Stratford PW (2002) Roland-Morris scale reliability. Phys Ther 82:512–515 (author reply 515–517)PubMed
11.
go back to reference Chansirinukor W, Maher CG, Latimer J, Hush J (2005) Comparison of the functional rating index and the 18-item Roland–Morris disability questionnaire: responsiveness and reliability. Spine 30:141–145PubMed Chansirinukor W, Maher CG, Latimer J, Hush J (2005) Comparison of the functional rating index and the 18-item Roland–Morris disability questionnaire: responsiveness and reliability. Spine 30:141–145PubMed
12.
go back to reference Pengel LHM, Refshauge KM, Maher CG, Nicholas MK, Herbert RD, McNair P (2007) Physiotherapist-directed exercise, advice, or both for subacute low back pain: a randomized trial. Ann Intern Med 146:787–796PubMed Pengel LHM, Refshauge KM, Maher CG, Nicholas MK, Herbert RD, McNair P (2007) Physiotherapist-directed exercise, advice, or both for subacute low back pain: a randomized trial. Ann Intern Med 146:787–796PubMed
13.
go back to reference Hancock MJ, Maher CG, Latimer J, McLachlan AJ, Cooper CW, Day RO, Spindler MF, McAuley JH (2007) Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. Lancet 370:1638–1643PubMedCrossRef Hancock MJ, Maher CG, Latimer J, McLachlan AJ, Cooper CW, Day RO, Spindler MF, McAuley JH (2007) Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. Lancet 370:1638–1643PubMedCrossRef
14.
go back to reference Macedo LG, Latimer J, Maher CG, Hodges PW, Nicholas M, Tonkin L, McAuley JH, Stafford R (2008) Motor control or graded activity exercises for chronic low back pain? A randomised controlled trial. BMC Musculoskelet Disord 9 [Epub ahead of print] Macedo LG, Latimer J, Maher CG, Hodges PW, Nicholas M, Tonkin L, McAuley JH, Stafford R (2008) Motor control or graded activity exercises for chronic low back pain? A randomised controlled trial. BMC Musculoskelet Disord 9 [Epub ahead of print]
15.
go back to reference Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD, Maher CG, Refshauge KM, Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD, Maher CG, Refshauge KM (2007) Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain 131:31–37PubMedCrossRef Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD, Maher CG, Refshauge KM, Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD, Maher CG, Refshauge KM (2007) Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain 131:31–37PubMedCrossRef
16.
go back to reference Costa LOP, Maher CG, Latimer J, Hodges PW, Herbert RD, Refshauge KM, McAuley JH, Jennings MD (2009) Motor control exercises for chronic low back pain: a randomized placebo-controlled trial. Phys Ther 89:1275–1286PubMedCrossRef Costa LOP, Maher CG, Latimer J, Hodges PW, Herbert RD, Refshauge KM, McAuley JH, Jennings MD (2009) Motor control exercises for chronic low back pain: a randomized placebo-controlled trial. Phys Ther 89:1275–1286PubMedCrossRef
17.
go back to reference Machado LAC, Maher CG, Herbert RD, Clare H, McAuley JH (2010) The effectiveness of the McKenzie method in addition to first-line care for acute low back pain: a randomized controlled trial. BMC Med 8:10PubMedCrossRef Machado LAC, Maher CG, Herbert RD, Clare H, McAuley JH (2010) The effectiveness of the McKenzie method in addition to first-line care for acute low back pain: a randomized controlled trial. BMC Med 8:10PubMedCrossRef
18.
go back to reference Machado LAC, Kamper SJ, Herbert RD, Maher CG, Mcauley JH (2009) Analgesic effects of treatments for non-specific low back pain: a meta-analysis of placebo-controlled randomized trials. Rheumatology 48:520–527PubMedCrossRef Machado LAC, Kamper SJ, Herbert RD, Maher CG, Mcauley JH (2009) Analgesic effects of treatments for non-specific low back pain: a meta-analysis of placebo-controlled randomized trials. Rheumatology 48:520–527PubMedCrossRef
20.
go back to reference Pengel LHM, Refshauge KM, Maher CG (2004) Responsiveness of pain, disability, and physical impairment outcomes in patients with low back pain. Spine 29:879–883PubMedCrossRef Pengel LHM, Refshauge KM, Maher CG (2004) Responsiveness of pain, disability, and physical impairment outcomes in patients with low back pain. Spine 29:879–883PubMedCrossRef
21.
go back to reference Tryon W (2001) Evaluating statistical difference, equivalence, and indeterminancy using inferential confidence intervals: an integrated alternative method of conducting null hypothesis statistical tests. Psychol Methods 6:371–386PubMedCrossRef Tryon W (2001) Evaluating statistical difference, equivalence, and indeterminancy using inferential confidence intervals: an integrated alternative method of conducting null hypothesis statistical tests. Psychol Methods 6:371–386PubMedCrossRef
22.
go back to reference Cohen J, Cohen P (1983) Applied multiple regression/correlation analysis for the behavioral sciences. Erlbaum Associates, Hillsdale Cohen J, Cohen P (1983) Applied multiple regression/correlation analysis for the behavioral sciences. Erlbaum Associates, Hillsdale
23.
go back to reference DeLong E, DeLong D, Clarke-Pearson D (1988) Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44:837–845PubMedCrossRef DeLong E, DeLong D, Clarke-Pearson D (1988) Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44:837–845PubMedCrossRef
24.
go back to reference Davidson M (2009) Rasch analysis of 24- 18- and 11-item versions of the Roland–Morris disability questionnaire. Qual Life Res 18:473–481PubMedCrossRef Davidson M (2009) Rasch analysis of 24- 18- and 11-item versions of the Roland–Morris disability questionnaire. Qual Life Res 18:473–481PubMedCrossRef
Metadata
Title
Responsiveness of the 24-, 18- and 11-item versions of the Roland Morris Disability Questionnaire
Authors
Luciana Gazzi Macedo
Chris G. Maher
Jane Latimer
Mark J. Hancock
Luciana A. C. Machado
James H. McAuley
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/s00586-010-1608-2

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