Factors Influencing Disability due to Low Back Pain Using the Oswestry Disability Questionnaire and the Quebec Back Pain Disability Scale

2014 ◽  
Vol 20 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Gyoung-mo Kim ◽  
Chung-hwi Yi ◽  
Heon-seock Cynn
2002 ◽  
Vol 82 (1) ◽  
pp. 8-24 ◽  
Author(s):  
Megan Davidson ◽  
Jennifer L Keating

Abstract Background and Purpose. The aim of this study was to examine 5 commonly used questionnaires for assessing disability in people with low back pain. The modified Oswestry Disability Questionnaire, the Quebec Back Pain Disability Scale, the Roland-Morris Disability Questionnaire, the Waddell Disability Index, and the physical health scales of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) were compared in patients undergoing physical therapy for low back pain. Subjects and Methods. Patients with low back pain completed the questionnaires during initial consultation with a physical therapist and again 6 weeks later (n=106). Test-retest reliability was examined for a group of 47 subjects who were classified as “unchanged” and a subgroup of 16 subjects who were self-rated as “about the same.” Responsiveness was compared using standardized response means, receiver operating characteristic curves, and the proportions of subjects who changed by at least as much as the minimum detectable change (MDC) (90% confidence interval [CI] of the standard error for repeated measures). Scale width was judged as adequate if no more than 15% of the subjects had initial scores at the upper or lower end of the scale that were insufficient to allow change to be reliably detected. Results. Intraclass correlation coefficients (2,1) calculated to measure reliability for the subjects who were classified as “unchanged” and those who were self-rated as “about the same” were greater than .80 for the Oswestry and Quebec questionnaires and the SF-36 Physical Functioning scale and less than .80 for the Waddell and Roland-Morris questionnaires and the SF-36 Role Limitations–Physical and Bodily Pain scales. None of the scales were more responsive than any other. Discussion and Conclusion. Measurements obtained with the modified Oswestry Disability Questionnaire, the SF-36 Physical Functioning scale, and the Quebec Back Pain Disability Scale were the most reliable and had sufficient width scale to reliably detect improvement or worsening in most subjects. The reliability of measurements obtained with the Waddell Disability Index was moderate, but the scale appeared to be insufficient to recommend it for clinical application. The Roland-Morris Disability Questionnaire and the Role Limitations–Physical and Bodily Pain scales of the SF-36 appeared to lack sufficient reliability and scale width for clinical application.


2001 ◽  
Vol 81 (2) ◽  
pp. 776-788 ◽  
Author(s):  
Julie M Fritz ◽  
James J Irrgang

Abstract Background and Purpose. The quality of a disability scale should dictate when it is used. The purposes of this study were to examine the validity of a global rating of change as a reflection of meaningful change in patient status and to compare the measurement properties of a modified Oswestry Low Back Pain Disability Questionnaire (OSW) and the Quebec Back Pain Disability Scale (QUE). Subjects. Sixty-seven patients with acute, work-related low back pain referred for physical therapy participated in the study. Methods. The 2 scales were administered initially and after 4 weeks of physical therapy. The Physical Impairment Index, a measure of physical impairment due to low back pain, was measured initially and after 2 and 4 weeks. A global rating of change survey instrument was completed by each subject after 4 weeks. Results. An interaction existed between patients defined as improved or stable based on the global rating using a 2-way analysis of variance for repeated measures on the impairment index. The modified OSW showed higher levels of test-retest reliability and responsiveness compared with the QUE. The minimum clinically important difference, defined as the amount of change that best distinguishes between patients who have improved and those remaining stable, was approximately 6 points for the modified OSW and approximately 15 points for the QUE. Conclusion and Discussion. The construct validity of the global rating of change was supported by the stability of the Physical Impairment Index across the study period in patients defined as stable by the global rating and by the decrease in physical impairment across the study period in patients defined as improved by the global rating. The modified OSW demonstrated superior measurement properties compared with the QUE.


Ozone Therapy ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Luca Morelli ◽  
Simona Carla Bramani ◽  
Marco Cantaluppi ◽  
Mara Pauletto ◽  
Alessandro Scuotto

Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear<sup>®</sup> therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the <em>Oswestry low back pain disability questionnaire</em> to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar<sup>®</sup> therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.


Spine ◽  
2011 ◽  
Vol 36 (26) ◽  
pp. E1730-E1735 ◽  
Author(s):  
Kelly Payares ◽  
Luz Helena Lugo ◽  
Victoria Morales ◽  
Alejandro Londoño

2021 ◽  
Vol 15 (3) ◽  
pp. 35-42
Author(s):  
Vladimir A. Parfenov ◽  
Irina A. Lamkova

The aim of this study was to evaluate the effectiveness of physical therapy (kinesiotherapy or KT) for chronic non-specific low back pain (CNSLBP) in managing pain, improving functional and emotional state, and overall physical activity. Materials and methods. The study included 71 patients (17 men and 54 women) aged 1875 years (mean age 55.09 13.0 years) with CNSLBP, of whom 34 patients received standard KT and 37 patients received enhanced KT. Patients were asked to complete the Numeric Pain Rating Scale (NPRS), the Oswestry Low Back Pain Disability Questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the International Physical Activity Questionnaire (IPAQ-SF) at baseline, after 7 days and 90 days. Results. In patients who received treatment, we observed a reduction in pain intensity as measured by the NPRS, from a score of 8 at baseline (68) to 3 (24) points after 7 days and down to 2 (04) after 3 months (p 0.0001). Depression severity decreased from 7 (59) points to 5 (37) after 7 days (p = 0.002) and 4 (36) points after 90 days (p = 0.002). Anxiety decreased from 7 (510) to 6 (48) after 7 days (p = 0.0003) and 5 (37) points after 90 days (p = 0.0003). The Oswestry Low Back Pain Disability Questionnaire score decreased from 46% (3457.77) to 28% (1235.55) after 7 days (p 0.0001), and then to 11.11% (4.4426) after 90 days (p 0.0001). Physical activity as measured by the IPAQ-SF increased from 11 (716) to 16 (1319) points after 7 days (p = 0.001) and to 23 (1526) points after 90 days (p = 0.0002). The patient group receiving enhanced KT had a more significant reduction in pain as measured by the NPRS after 7 days and 3 months (p = 0.02 and p = 0.055, respectively), depression as measured by the HADS (p 0.05), and disability as measured by the Oswestry Questionnaire (p = 0.015), accompanied by an increase in physical activity as measured by the IPAQ-SF after 90 days (p = 0.0002), as compared to the patient group receiving standard KT. Conclusion. KT not only reduces pain but also improves the functional and emotional state, and increases physical activity in patients with CNSLBP. Enhancing KT by using a personalized approach and educational programmes improves long-term treatment outcomes.


2019 ◽  
Vol 53 (2) ◽  
pp. 126
Author(s):  
Bolanle A. Nottidge ◽  
Adesola C. Odole ◽  
Nse A. Odunaiya ◽  
Matthew O. Akpa ◽  
Olufunmilayo I. Fawole ◽  
...  

2019 ◽  
Vol 1 (1) ◽  
pp. 6-16
Author(s):  
Siti Khadijah ◽  
Ilham Setya Budi

Tujuan: Mengidentifikasi efektivitas neural mobilization terhadap peningkatan kemampuan fungsional pada pasien ischialgia et causa compression fractures.Metode: Metode penelitian meliputi studi kasus “case report” yang dilakukan pada 2 orang pria dengan kondisi ischialgia et causa compression fractures. Alat ukur yang digunakan seperti VAS untuk derajat nyeri, pita ukur untuk ROM trunk, SLR test untuk pemeriksaan sensitivitas jaringan neurologis terhadap tekanan mekanis, MMT untuk kekuatan otot, dan modified oswestry low back pain disability questionnaire untuk kemampuan fungsional. Intervensi fisioterapi dengan neural mobilization. Evaluasi diukur setelah 2 kali perlakuan dengan menggunakan alat ukur yang sama. Outcome yang digunakan adalah modified oswestry low back pain disability questionnaire untuk mengukur kemampuan fungsional pasien.Hasil: Setelah dilakukannya terapi sebanyak 2 kali didapatkan hasil penilaian pada pasien 1 dan 2 ialah adanya perubahan pada derajat nyeri, ROM trunk, namun belum adanya perubahan pada kekuatan otot.Kesimpulan: Adanya perubahan terhadap derajat nyeri dan ROM trunk, namun belum adanya perubahan pada kekuatan otot yang menunjang peningkatan aktivitas dan kemampuan fungsional pasien. Merujuk pada hasil penelitian, perlu dilakukannya penelitian dengan waktu yang cukup lama untuk menyelesaikan permasalahan pada ischialgia et causa compression fractures.


2020 ◽  
Author(s):  
Hamad S. Al Amer ◽  
Fahad Alanazi ◽  
Mohamed ELdesoky ◽  
Ayman Honin

Sign in / Sign up

Export Citation Format

Share Document