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Published in: European Spine Journal 3/2011

01-03-2011 | Original Article

Responsiveness of the Chinese version of the Oswestry disability index in patients with chronic low back pain

Authors: Chao Ma, Shaoling Wu, Lingjun Xiao, Yunlian Xue

Published in: European Spine Journal | Issue 3/2011

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Abstract

The Oswestry Disability Index (ODI) is one of the most widely used questionnaires that assess disability in patients with low back pain (LBP). Responsiveness is both an important psychometric property of an instrument and a key issue for clinicians when choosing suitable outcome measures. The objective of this study was to examine the responsiveness of the Chinese version of the ODI (ODI-Chinese) for subjects with chronic LBP following a physical therapy program. In total, 76 patients with chronic LBP completed the ODI-Chinese, a visual analog scale (VAS) of pain, and the Chinese version of Short Form-36 (SF-36) before and after treatment. All patients also completed a global perception of change Likert scale in condition after the program. The scale was collapsed to produce a dichotomous variable outcome, improved or non-improved. The responsiveness of the instruments was determined using the standardized response means (SRM) and receiver operating characteristics (ROC). After treatment, 56 patients considered themselves to be improved. The SRM of the ODI-Chinese was −1.2 in the improved group and −0.4 in the non-improved group. The area of the ROC curve for the ODI-Chinese was 0.77 (95% CI 0.66–0.89). Therefore, the Chinese version of the ODI is both responsive and appropriate for use in chronic LBP patients after conservative therapy.
Literature
1.
go back to reference Beaton DE (2000) Understanding the relevance of measured change through studies of responsiveness. Spine 25:3192–3199 (PMID: 11124736)PubMedCrossRef Beaton DE (2000) Understanding the relevance of measured change through studies of responsiveness. Spine 25:3192–3199 (PMID: 11124736)PubMedCrossRef
2.
go back to reference Beurskens AJ, de Vet HC, Köke AJ (1996) Responsiveness of functional status in low back pain: a comparison of different instruments. Pain 65:71–76 (PMID: 8826492)PubMedCrossRef Beurskens AJ, de Vet HC, Köke AJ (1996) Responsiveness of functional status in low back pain: a comparison of different instruments. Pain 65:71–76 (PMID: 8826492)PubMedCrossRef
3.
go back to reference Coelho RA, Siqueira FB, Ferreira PH, Ferreira ML (2008) Responsiveness of the Brazilian-Portuguese version of the Oswestry Disability Index in subjects with low back pain. Eur Spine J 17:1101–1106. (PMID: 18512083). doi:10.1007/s00586-008-0690-1 PubMedCrossRef Coelho RA, Siqueira FB, Ferreira PH, Ferreira ML (2008) Responsiveness of the Brazilian-Portuguese version of the Oswestry Disability Index in subjects with low back pain. Eur Spine J 17:1101–1106. (PMID: 18512083). doi:10.​1007/​s00586-008-0690-1 PubMedCrossRef
4.
go back to reference Costa LO, Maher CG, Latimer J (2007) Self-report outcome measures for low back pain: searching for international cross-cultural adaptations. Spine 32:1028–1037 (PMID: 17450079)PubMedCrossRef Costa LO, Maher CG, Latimer J (2007) Self-report outcome measures for low back pain: searching for international cross-cultural adaptations. Spine 32:1028–1037 (PMID: 17450079)PubMedCrossRef
5.
go back to reference Davidson M, Keating JL (2002) A comparison of five low back disability questionnaires: reliability and responsiveness. Phys Ther 82:8–24 (PMID: 11784274)PubMed Davidson M, Keating JL (2002) A comparison of five low back disability questionnaires: reliability and responsiveness. Phys Ther 82:8–24 (PMID: 11784274)PubMed
6.
go back to reference Deyo RA, Centor RM (1986) Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis 39:897–906 (PMID: 2947907)PubMedCrossRef Deyo RA, Centor RM (1986) Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis 39:897–906 (PMID: 2947907)PubMedCrossRef
7.
go back to reference Fairbank JC, Couper J, Davies JB, O’Brien JP (1980) The Oswestry low back pain questionnaire. Physiotherapy 66:271–273 (PMID: 6450426)PubMed Fairbank JC, Couper J, Davies JB, O’Brien JP (1980) The Oswestry low back pain questionnaire. Physiotherapy 66:271–273 (PMID: 6450426)PubMed
8.
go back to reference Fairbank JC, Pynsent PB (2000) The Oswestry Disability Index. Spine 25:2940–2952 (PMID: 11074683)PubMedCrossRef Fairbank JC, Pynsent PB (2000) The Oswestry Disability Index. Spine 25:2940–2952 (PMID: 11074683)PubMedCrossRef
9.
go back to reference Frost H, Lamb SE, Stewart-Brown S (2008) Responsiveness of a patient specific outcome measure compared with the Oswestry Disability Index v2.1 and Roland and Morris Disability Questionnaire for patients with subacute and chronic low back pain. Spine 33:2450–2458 (PMID: 18824951)PubMedCrossRef Frost H, Lamb SE, Stewart-Brown S (2008) Responsiveness of a patient specific outcome measure compared with the Oswestry Disability Index v2.1 and Roland and Morris Disability Questionnaire for patients with subacute and chronic low back pain. Spine 33:2450–2458 (PMID: 18824951)PubMedCrossRef
10.
go back to reference Grotle M, Brox JI, Vøllestad NK (2004) Concurrent comparison of responsiveness in pain and functional status measurements used for patients with low back pain. Spine 29:E492–E501 (PMID: 15507789)PubMedCrossRef Grotle M, Brox JI, Vøllestad NK (2004) Concurrent comparison of responsiveness in pain and functional status measurements used for patients with low back pain. Spine 29:E492–E501 (PMID: 15507789)PubMedCrossRef
11.
go back to reference Guyatt GH, Berman LB, Townsend M, Taylor DW (1985) Should study subjects see their previous responses? J Chronic Dis 38:1003–1007 (PMID: 4066888)PubMedCrossRef Guyatt GH, Berman LB, Townsend M, Taylor DW (1985) Should study subjects see their previous responses? J Chronic Dis 38:1003–1007 (PMID: 4066888)PubMedCrossRef
12.
go back to reference Hashimoto H, Komagata M, Nakai O, Morishita M, Tokuhashi Y, Sano S, Nohara Y, Okajima Y (2006) Discriminative validity and responsiveness of the Oswestry Disability Index among Japanese outpatients with lumbar conditions. Eur Spine J 15:1645–1650. doi:10.1007/s00586-005-0022-7 PubMedCrossRef Hashimoto H, Komagata M, Nakai O, Morishita M, Tokuhashi Y, Sano S, Nohara Y, Okajima Y (2006) Discriminative validity and responsiveness of the Oswestry Disability Index among Japanese outpatients with lumbar conditions. Eur Spine J 15:1645–1650. doi:10.​1007/​s00586-005-0022-7 PubMedCrossRef
14.
go back to reference Jin K, Sorock GS, Courtney T, Liang Y, Yao Z, Matz S, Ge L (2000) Risk factors for work-related low back pain in the People’s Republic of China. Int J Occup Environ Health 6:26–33 (PMID: 10637534)PubMed Jin K, Sorock GS, Courtney T, Liang Y, Yao Z, Matz S, Ge L (2000) Risk factors for work-related low back pain in the People’s Republic of China. Int J Occup Environ Health 6:26–33 (PMID: 10637534)PubMed
15.
go back to reference Lauridsen HH, Hartvigsen J, Manniche C, Korsholm L, Grunnet-Nilsson N (2006) Responsiveness and minimal clinically important difference for pain and disability instruments in low back pain patients. BMC Musculoskelet Disord 7:82. doi:10.1186/1471-2474-7-82 PubMedCrossRef Lauridsen HH, Hartvigsen J, Manniche C, Korsholm L, Grunnet-Nilsson N (2006) Responsiveness and minimal clinically important difference for pain and disability instruments in low back pain patients. BMC Musculoskelet Disord 7:82. doi:10.​1186/​1471-2474-7-82 PubMedCrossRef
16.
go back to reference Liu H, Tao H, Luo Z (2009) Validation of the simplified Chinese version of the Oswestry Disability Index. Spine 34:1211–1217 (PMID: 19444069)PubMedCrossRef Liu H, Tao H, Luo Z (2009) Validation of the simplified Chinese version of the Oswestry Disability Index. Spine 34:1211–1217 (PMID: 19444069)PubMedCrossRef
17.
go back to reference Li L, Wang HM, Shen Y (2003) Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalization. J Epidemiol Community Health 57:259–263 (PMID: 12646540)PubMedCrossRef Li L, Wang HM, Shen Y (2003) Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalization. J Epidemiol Community Health 57:259–263 (PMID: 12646540)PubMedCrossRef
18.
19.
go back to reference Merkesdal S, Mau W (2005) Prediction of costs-of-illness in patients with low back pain undergoing orthopedic outpatient rehabilitation. Int J Rehabil Res 28:119–126 (PMID: 15900181)PubMedCrossRef Merkesdal S, Mau W (2005) Prediction of costs-of-illness in patients with low back pain undergoing orthopedic outpatient rehabilitation. Int J Rehabil Res 28:119–126 (PMID: 15900181)PubMedCrossRef
20.
go back to reference Norman GR, Stratford P, Regehr G (1997) Methodological problems in the retrospective computation of responsiveness to change: the lesson of Cronbach. J Clin Epidemiol 50:869–879 (PMID: 9291871)PubMedCrossRef Norman GR, Stratford P, Regehr G (1997) Methodological problems in the retrospective computation of responsiveness to change: the lesson of Cronbach. J Clin Epidemiol 50:869–879 (PMID: 9291871)PubMedCrossRef
21.
go back to reference Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M, Bouter LM, de Vet HC (2008) Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine 33:90–94 (PMID: 18165753)PubMedCrossRef Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M, Bouter LM, de Vet HC (2008) Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine 33:90–94 (PMID: 18165753)PubMedCrossRef
22.
go back to reference Taylor SJ, Taylor AE, Foy MA, Fogg AJ (1999) Responsiveness of common outcome measures for patients with low back pain. Spine 24:1805–1812 (PMID: 10488511)PubMedCrossRef Taylor SJ, Taylor AE, Foy MA, Fogg AJ (1999) Responsiveness of common outcome measures for patients with low back pain. Spine 24:1805–1812 (PMID: 10488511)PubMedCrossRef
23.
go back to reference Vianin M (2008) Psychometric properties and clinical usefulness of the Oswestry Disability Index. J Chiropr Med 7:161–163 (PMID: 19646379)PubMedCrossRef Vianin M (2008) Psychometric properties and clinical usefulness of the Oswestry Disability Index. J Chiropr Med 7:161–163 (PMID: 19646379)PubMedCrossRef
24.
go back to reference Walsh TL, Hanscom B, Lurie JD, Weinstein JN (2003) Is a condition-specific instrument for patients with low back pain/leg symptoms really necessary? The responsiveness of the Oswestry Disability Index, MODEMS, and the SF-36. Spine 28:607–615 (PMID: 12642770)PubMedCrossRef Walsh TL, Hanscom B, Lurie JD, Weinstein JN (2003) Is a condition-specific instrument for patients with low back pain/leg symptoms really necessary? The responsiveness of the Oswestry Disability Index, MODEMS, and the SF-36. Spine 28:607–615 (PMID: 12642770)PubMedCrossRef
25.
go back to reference Wells G, Beaton D, Shea B, Boers M, Simon L, Strand V, Brooks P, Tugwell P (2001) Minimal clinically important differences: review of methods. J Rheumatol 28:406–412 (PMID:11246688)PubMed Wells G, Beaton D, Shea B, Boers M, Simon L, Strand V, Brooks P, Tugwell P (2001) Minimal clinically important differences: review of methods. J Rheumatol 28:406–412 (PMID:11246688)PubMed
Metadata
Title
Responsiveness of the Chinese version of the Oswestry disability index in patients with chronic low back pain
Authors
Chao Ma
Shaoling Wu
Lingjun Xiao
Yunlian Xue
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/s00586-010-1624-2

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