Cultural adaptation, validity and reliability of the Turkish version of the Örebro Musculoskeletal Pain Questionnaire in acute and subacute neck pain

2021 ◽  
Vol 28 (10) ◽  
pp. 1-12
Author(s):  
Şule Şimşek ◽  
Nesrin Yağcı ◽  
Hande Şenol

Background/aims The Örebro Musculoskeletal Pain Questionnaire is categorised as a ‘yellow flag’ pain-associated psychological distress screening tool, which predicts long-term disability. The aim of this study was to assess the validity and reliability of the Turkish translation of the Örebro Musculoskeletal Pain Questionnaire in patients with acute and subacute neck pain. Methods The test–retest reliability and internal consistency were assessed with the intraclass correlation coefficient and Cronbach's α. Construct validity was assessed with a visual analogue scale, the Neck Disability Index and the Fear Avoidance Belief Questionnaire. Results Cronbach's α value was found to be 0.790, test–retest reliability was 0.99. The intraclass correlation coefficient was 0.999 (95% confidence interval: 0.998–0.999; P=0.000). The Örebro Musculoskeletal Pain Questionnaire showed a moderate positive correlation with the Neck Disability Index (r=0.544; P=0.0001), a weak correlation with the Fear Avoidance Belief Questionnaire (r=0.264; P=0.0001) but no correlation with the visual analogue scale. Conclusions The Turkish version of the Örebro Musculoskeletal Pain Questionnaire is a valid, reliable and acceptable screening tool in patients with acute and subacute neck pain.

2020 ◽  
Vol 32 (4) ◽  
pp. 533-541
Author(s):  
Dana L. Cruz ◽  
Ethan W. Ayres ◽  
Matthew A. Spiegel ◽  
Louis M. Day ◽  
Robert A. Hart ◽  
...  

OBJECTIVENeck and back pain are highly prevalent conditions that account for major disability. The Neck Disability Index (NDI) and Oswestry Disability Index (ODI) are the two most common functional status measures for neck and back pain. However, no single instrument exists to evaluate patients with concurrent neck and back pain. The recently developed Total Disability Index (TDI) combines overlapping elements from the ODI and NDI with the unique items from each. This study aimed to prospectively validate the TDI in patients with spinal deformity, back pain, and/or neck pain.METHODSThis study is a retrospective review of prospectively collected data from a single center. The 14-item TDI, derived from ODI and NDI domains, was administered to consecutive patients presenting to a spine practice. Patients were assessed using the ODI, NDI, and EQ-5D. Validation of internal consistency, test-retest reproducibility, and validity of reconstructed NDI and ODI scores derived from TDI were assessed.RESULTSA total of 252 patients (mean age 55 years, 56% female) completed initial assessments (back pain, n = 115; neck pain, n = 52; back and neck pain, n = 55; spinal deformity, n = 55; and no pain/deformity, n = 29). Of these patients, 155 completed retests within 14 days. Patients represented a wide range of disability (mean ODI score: 36.3 ± 21.6; NDI score: 30.8 ± 21.8; and TDI score: 34.1 ± 20.0). TDI demonstrated excellent internal consistency (Cronbach’s alpha = 0.922) and test-retest reliability (intraclass correlation coefficient = 0.96). Differences between actual and reconstructed scores were not clinically significant. Subanalyses demonstrated TDI’s ability to quantify the degree of disability due to back or neck pain in patients complaining of pain in both regions.CONCLUSIONSThe TDI is a valid and reliable disability measure in patients with back and/or neck pain and can capture each spine region’s contribution to total disability. The TDI could be a valuable method for total spine assessment in a clinical setting, and its completion is less time consuming than that for both the ODI and NDI.


2014 ◽  
Vol 5 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Jan Borre Johansen ◽  
Cecilie Roe ◽  
Eva Bakke ◽  
Anne Marit Mengshoel ◽  
Nada Andelic

AbstractBackground and aimThe Norwegian version of the Neck Disability Index (NDI) has been widely used in previous studies. To our knowledge, the test–retest reliability and responsiveness of the NDI have not been investigated. Thus, the aim of the present study was to investigate the test–retest reliability and responsiveness of the Norwegian version of the NDI in neck pain patients seen in a specialized outpatient clinic.MethodsThis study included patients referred to the neck and back outpatient clinic at Oslo University Hospital. A total of 255 patients were included in the study, of which 42 participated in the test–retest portion of the study. The intraclass correlation coefficient (ICC) was used to assess test-retest reliability. A total of 113 patients participated in the responsiveness analyses. Based on their responses on the Global Rating Scale of Change (GRS), patients were categorized into the following groups: worsened (n = 24), unchanged (n = 7) and improved (n = 62). The minimal detectable change (MDC) for the NDI was calculated. Responsiveness was assessed by constructing a Receiver Operating Characteristic curve (ROC curve) to distinguish patients who had improved or worsened from those who remained unchanged. The minimum clinically important difference (MCID) was estimated.ResultsThe test–retest reliability between the baseline scores and the retest NDI scores was very good (ICC = 0.84; 95% CI 0.72–0.91). The ability of the NDI to discriminate between improved and unchanged patients (responsiveness) over time was acceptable based on the ROC curve analysis (AUC = 0.70; 95% CI 0.58–0.82). The estimated MDC for the Norwegian version of the NDI is 12.3%, and the MCID is 16.6%.ConclusionThe Norwegian version of the NDI proved to be an instrument with good test–retest reliability and acceptable responsiveness for assessing neck pain-related disability among neck pain patients in a specialized outpatient clinic


2015 ◽  
Vol 32 (1) ◽  
pp. 109-118 ◽  
Author(s):  
Cho In Lee ◽  
Jae Soo Kim ◽  
Yun Kyu Lee ◽  
Seong Chul Lim ◽  
Tae Young Jung ◽  
...  

2021 ◽  
Vol 10 (24) ◽  
pp. 5858
Author(s):  
Noelia Zagalaz-Anula ◽  
Carmen María Sánchez-Torrelo ◽  
Faustino Acebal-Blanco ◽  
Roger Alonso-Royo ◽  
Alfonso Javier Ibáñez-Vera ◽  
...  

The Short Form of the Fonseca Anamnestic Index (SFAI) is a simple and quick questionnaire used for screening temporomandibular disorders (TMDs). The present study aimed to validate the Spanish version of the SFAI in patients with TMDs. The study sample comprised 112 subjects (50 TMDs and 52 controls). Test–retest reliability, factorial validity, internal consistency, concurrent validity, and the SFAI’s ability to discriminate between TMDs subjects and healthy controls were analyzed using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD protocol) as the reference. Factor analysis showed a single factor that explained 63% of the total variance. Cronbach’s alpha was 0.849. The reliability of the items measured with the Kappa index showed values from 0.767 to 0.888. Test–retest reliability was substantial (intraclass correlation coefficient = 0.837). The total SFAI score showed a significant correlation with orofacial pain, vertigo, and neck disability measurements. For a cut-off point of >10 points, the SFAI showed a sensitivity of 78% and specificity of 78.85% at differentiating between TMDs patients and healthy subjects, with an area under the curve (AUC) of 0.852. The Spanish version of the SFAI is a valid and reliable instrument for diagnosing people with TMDs and shows generally good psychometric properties.


2021 ◽  
Author(s):  
Muhammad Z. Alrwaily ◽  
Fahad Alanazi

Abstract BACKGROUND: The Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) assesses the psychosocial factors in people with complaints of musculoskeletal disorders and predict those likely to develop persistent symptoms. OBJECTIVE: To culturally-adapt and assess the validity of the ÖMPQ in an Arabic population with low back pain (LBP).METHODS: The ÖMPQ was translated into Arabic. Eighty-four patients completed the questionnaires at baseline, 2 days later, and 3 months follow-up. The test-retest reliability, interclass correlation coefficient (ICC), specific agreement, predictive validity and content validity were assessed.RESULTS: For construct validity, the Arabic ÖMPQ (A-ÖMPQ) had a moderate (r ≥ 0.3, < 0.5) to high (r ≥ 0.5) correlation with pain, disability, fear-avoidance and catastrophizing questionnaires. The test-rest reliability showed was high ICC2,1=0.92 (95% CI: .83 - .96). The A-ÖMPQ score at baseline can significantly predict disability at 3 months F(1,82)=33.87, p<.01; R2=.29.CONCLUSIONS: The translation of the A-ÖMPQ into Arabic was successful. The A-ÖMPQ showed very good psychometric properties, and thus can be used to evaluate the psychosocial factors amongst patients with LBP.


Author(s):  
I Rezaei ◽  
M Razeghi ◽  
S Ebrahimi ◽  
S Kayedi ◽  
A Rezaeian Zadeh

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Taweewat Wiangkham ◽  
Nattawan Phungwattanakul ◽  
Patcharin Tedsombun ◽  
Isara Kongmee ◽  
Wanisara Suwanmongkhon ◽  
...  

AbstractObjectivesFear-avoidance beliefs questionnaire (FABQ) is a self-report, valid and reliable questionnaire to quantify fear and avoidance beliefs related to physical activity and work. Furthermore, it can be used to predict prolong disability in patients with non-specific neck pain. Although it was originally developed to manage patients with low back pain, it has also been studied in individuals with neck pain. This questionnaire was translated into several languages following reports of potential benefits in patients with neck pain. Recently, Thai neck clinical trials, international multi-centre trials and data sharing are growing throughout the world but no validated Thai version of the FABQ is available for clinical and research uses. Our objectives were to translate and cross-culturally adapt the FABQ into Thai version and evaluate its psychometric properties in Thai patients with non-specific neck pain.MethodsCross-cultural translation and adaptation of the FABQ were conducted according to standard guidelines. A total of 129 participants with non-specific neck pain were invited to complete the Thai versions of the FABQ (FABQ-TH), neck disability index and visual analogue scale for pain intensity. Psychometric evaluation included exploratory factor analysis, internal consistency, test-retest reliability, agreement, and convergent validity. Thirty participants completed the FABQ-TH twice with a 48-h interval between tests to assess the test-retest reliability.ResultsFactor analysis identified four components for the FABQ-TH (66.69% of the total variance). The intraclass correlation coefficient of test-retest reliability was excellent for the total score (0.986), work attitudes (0.995), physical activity attitudes (0.958), physical activity experiences (0.927), and expected recovery (0.984). Cronbach’s alpha for internal consistency was excellent (range 0.87–0.88) for all items. The minimal detectable change of the FABQ-TH was 5.85. The FABQ-TH correlated to its subscales (range 0.470–0.936), indicating the strongest association with work attitude. The weakest correlation was observed between the FABQ-TH and disability (rs=0.206, p=0.01). Missing data and significant floor or ceiling effects were not found.ConclusionsThe Thai version of the FABQ for non-specific neck pain was successfully adapted. It is a valid and reliable instrument to quantify fear and avoidance beliefs among patients with non-specific neck pain who speak and read Thai.


2021 ◽  
Author(s):  
Qi Zhang ◽  
Ke Zhang ◽  
Miao Li ◽  
Jiaxin Gu ◽  
Xintong Li ◽  
...  

Abstract Objectives To examine the validity and reliability of the Mandarin version of the Treatment Burden Questionnaire (TBQ) among stroke patients. Background Stroke patients need long-term management of symptoms and life situation, and treatment burden has recently emerged as a new concept that can influence the health outcomes during the rehabilitation process. Methods The convenience sampling method was used to recruit 187 cases of stroke patients in a tertiary grade hospital in Tianjin for a formal investigation. Item analysis, reliability and validity tests were carried out. The reliability test included internal consistency and test–retest reliability. And as well as content, structure and convergent validity were performed for the validity test. Results Of the 187 completed questionnaires, only 180 (96.3%) were suitable for analysis. According to the experts’ evaluation, the I-CVI of each item was from 0.833 to 1.000, and the S-CVI was 0.967. The exploratory factor analysis yielded three-factor components with a cumulative variation of 53.054%. Convergent validity was demonstrated using measures of Morisky’s Medication Adherence Scale 8 (r = –0.450, P &lt; 0.01). All correlations between items and global scores ranged from 0.403 to 0.638. Internal consistency reliability and test–retest reliability were found to be acceptable, as indicated by a Cronbach’s α of 0.824 and an intraclass correlation coefficient of 0.846, respectively. Conclusions The Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.


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