Back Pain Functional Scale is one of these in the form of questionnaires. Rocchi MB, Sisti D, Benedetti P, Valentini M, Bellagamba S, Federici A. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. Spine (Phila Pa 1976). The manuscript submitted does not contain information about medical device(s)/drug(s). The relationship of lumbar flexion to disability in patients with low back pain. Standard Response Mean = 0.55 (95% CI = -0.54 to 1.64). Spine (Phila Pa 1976) 2005; 30:130140. The different results, therefore, may relate to differences in sample characteristics (eg, variance differences), but scale characteristics may also help explain the different results. The ICCs for the Role LimitationsPhysical and Bodily Pain scales of the SF-36 in our study were considerably lower than those reported by Patrick et al22 (ICC=.80 and .67). It is important for physical therapists to incorporate this outcome measure into a patient's treatment plan. Conclusion: In the study by Patrick et al, subjects rated the overall change in their leg pain rather than the change in their overall condition. The reliability coefficient reported as a value between 0 and 1 does not allow us, in our view, to judge whether the measurement has sufficient reliability for a particular purpose. Responsiveness for Italian version of RMDQ ranged from 2.5 to 5 points without any significant clinical differences. The Waddell Disability Index has insufficient scale width for clinical utility. Methods: Level of evidence: ), Participants classified: as unchanged (Davidson et al, 2002, version = RMDQ-24), (Brouwer et al, 2004;n= 30, mean age=40 (8.1); The duration of pain was between 5-10 years; questionnaire was filled out before beginning therapy and at two weeks follow-up), Chronic and Acute Low Back Pain:(Italian version), (Monticone et al, 2012;n= 179; mean age=47.7 (12.3); patients had a median duration of pain of 6 months; questionnaires were administered at the beginning and end of eight weeks of rehabilitation. Before , Koes BW, van Eijk JTM, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. "Rating scales for low back pain." Please try again soon. Subjects were 77 patients with low back pain who were referred by physicians to 10 outpatient physical therapy clinics located in Canada and the United States. Used for assessing physical functions during stages weeks of back pain, The patient can easily understand and use this scale, Cannot be used in patients having back pain after two weeks. It is simple and easy to understand and administer by the patients. 1173185. Spine, 20(3): 341-352. of specic instruments to evaluate back pain in athletes is necessary. Bethesda, MD 20894, Web Policies Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Internal consistency for the RMQ and BPFS were 0.87 and 0.93, respectively. 2022 Oct;50(10):3000605221129031. doi: 10.1177/03000605221129031. , Pynsent PB. Scale content also provides a point of differentiation. You can read the full text of this article if you: Flash Player 9.0.0 is required for this Video. Luis F. feels pain after lifting weights. An official website of the United States government. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. Kristen Gasnick, PT, DPT, is a medical writer and a physical therapist at Holy Name Medical Center in New Jersey. http:///index.php?title=Back_Pain_Functional_Scale&oldid=323185, Usual work, housework, or school activities, Usual hobbies, recreational, or sporting activities, Performance of heavy activities around your home, Lifting a box of groceries from the floor, Going up or down 2 flights of stairs (about 20 steps), The higher the score the greater the patient's functional ability. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. The functioning of patients in everyday life assessed using Back Pain Functional Scale (BPFS) shows the biggest improvement in the combination therapy group consisting of manual therapy and PNF method. Petersen (1982) and adjusted to Turkish by Savar and ahin (1997) and Automatic Thoughts Questionnaire developed by Hollon and Kendall (1980) and adjusted to Turkish by ahin and ahin (1992) are used. Deyo Before Coakes (Grade of recommendation: C) [8], The QBPDS is highly sensitive to change for the score of the individual domains as for the total score (SRM= 0,80 and effect size= 0,62). A Comparison of Back Pain Functional Scale With Roland Morris An official website of the United States government. PDF The Back Pain Function Scale (BPFS) of Stratford et al - Yola , Finch E, Solomon P, et al. Measures of Function in Low Back Pain/Disorders Results: The results of this study indicate that the ' Back pain functional scale' has a good correlation with other outcomes measures used in clinical setting for assessing low back pain, Conclusion: 'Back pain functional scale' can be used in the clinics for evaluating, examining, and assessing low back pain. [1][3], The Quebec back pain disability scale has been developed for several populations of patients with various disability levels who suffer diseases such as acute LBP, chronic disabling pain, sacroiliac joint dysfunction, lumbar spinal stenosis, disc surgery, and posterior surgical decompression and settings. Thanks for helping us invest in our patients. American Academy of Orthopedic Surgeons. BPFS is one of these questionnaires. Instructions: this questionnaire has been designed to give us information as to how your back pain has affected your ability to manage everyday life. Whether the single-item global change scale used in this study yields reliable measurements is unknown, and it is likely that the rating was not independent of the activity limitation questionnaire responses. 8600 Rockville Pike Table 7 shows the point estimates and 95% CIs for the 3 methods of quantifying responsiveness. Search for other works by this author on: The third method of evaluating responsiveness relates responsiveness to reliability and has not previously been used to compare concurrently administered questionnaires. Costa LOP, Chris GM, Jane L. Self-report outcome measures for low back pain: searching for international cross-cultural adaptations. That is usually the journal article where the information was first stated. Spine, 20, 341-352. Many questionnaires have been developed to measure activity limitations in people with low back pain, but there is little evidence that physical therapists routinely use these tools. Disclaimer. 2023 Feb 6;20(4):2850. doi: 10.3390/ijerph20042850. This study was conducted with 120 patients receiving outpatient and inpatient treatment in physiotherapy and rehabilitation units of a state hospital. The rating scale, previously used in a study by Patrick and colleagues,22 had 7 response options: 1=completely gone, 2=much better, 3=better,Z 4=a little better, 5=about the same, 6=a little worse, and 7=much worse. Many scales have been used to rate global change, from a simple 3-level better/the same/worse scale10 to a 15-level scale with 7 levels of improvement and worsening.10,17,21 We decided to steer what we considered a middle course between a very parsimonious scale that lacked any distinction in the magnitude of change and a complex scale that subjects may have found difficult to interpret and complete without assistance. Cohen Therefore, a therapist would need to see a change of at least 10.5 points (and possibly as much as 15 points), in our opinion, to be 90% confident that real change had occurred. Print 2019 Aug. Rose-Dulcina K, Vuillerme N, Tabard-Fougre A, Dayer R, Dominguez DE, Armand S, Genevay S. JMIR Res Protoc. Dr. Smith explains how exercising incorrectly can hurt. , Binkley JM, Solomon P, et al. BPFS demonstrated good correlation with RMQ, ODI, SF-36 physical function, and SF-36 pain. Critical comparison of nine different self-administered questionnaires for the evaluation of disability caused by low back pain. official website and that any information you provide is encrypted . Fairbank The restoration of normal function is considered a key outcome of physical therapy for low back problems.1,2 Physical therapists, therefore, need measurement tools that accurately assess function and monitor change over time. , Guyatt GH, Feeny DH, et al. The SF-36 takes about 10 minutes to complete, and a scoring algorithm is used to calculate scores.32, Characteristics of the Oswestry Disability Questionnaire,8,9 Quebec Back Pain Disability Scale,10 Roland-Morris Disability Questionnaire,11 Waddell Disability Index,12 and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) Physical Functioning, Role Limitations-Physical, and Bodily Pain Scales13,14. Summary of Background Data. We are the first authors to report on reliability and responsiveness for these 5 questionnaires in a sample drawn from the range of settings in which patients with low back pain seek physical therapy interventions. Because of the substantial floor effect, the poor scale width, and the variability in scores in stable subjects, the SF-36 Role LimitationsPhysical and Bodily Pain scales do not appear to be useful measures of functional outcome for individual patients. Goldie and colleagues, The role of functional status questionnaires for low back pain. In those studies where test-retest reliability was evaluated over longer periods, only data from subjects who were classified as unchanged based on patient ratings10,22 or patient and therapist ratings on a retrospective change scale25 were included. Spearman and Pearson Correlation were used to compare the data obtained in the study. Therefore, it is necessary for Health Care Professionals to use valid and reliable outcome measures to evaluate and treat back pain effectively. The main disadvantage of the SF-36 is that hand-scoring of some of the 8 scales is laborious, in our view, because of the complex scoring algorithm. However, it is not possible to use all these diagnostic tools to examine back pain functional scores. Condition-specific outcome measures for low back pain. Find it on PubMed. However, these scales were designed to evaluate back pain in the general population with low physical and functional activity output (12, 16, 17). . Subjects were recruited from the physical therapy outpatient departments of 3 hospitals, 3 community health services, and 4 private physical therapy practices. Unauthorized use of these marks is strictly prohibited. Quebec Back Pain Disability Scale. That is, a subject's response to the global rating of change may have influenced the subsequent responses to the questionnaires at follow-up. There was a small improvement in SF-36 Bodily Pain scale scores over the retest period for subjects classified as unchanged and for those who rated their back condition as a little better. The SF-36 Bodily Pain scale has only 2 items, and poor reliability is more likely in very brief scales. However, the consequences of wrongly concluding that a patient with low back pain either has or has not changed by a measurable amount based on change in questionnaire scores are unlikely, in our opinion, to be substantially adverse. It is a self-reported outcome measure containing 12 short and understandable items used in determining the functional level of patients with chronic low back pain. The strength of this aforementioned study is that this article has considered the specific outcome measures ('Back pain functional scale', 'Roland-Morris scale, 'Oswestry disability scale', and 'Short form 36 surveys') used to assess physical function and found its correlation to get clear glimpses for evidence-based practice in clinical settings. Methods: In this study, questionnaire from each outcome measure was used and correlational analysis was performed using Spearman and Pearson statistics in order to compare the scores obtained from different outcome measures. The Roland Scale correlated well with the physical dimension of the SIP (Sickness Impact Profile). These are the Numerical rating scale (NRS), Roland-Morris disability questionnaire (RMDQ), Back pain functional score, Oswestry disability index (ODI), Pain self-efficacy Questionnaire (PSEQ) and the patient-specific functional scale (PSFS) in order to assess and treat back pain efficiently. In addition to the 5 questionnaires, demographic data and details of current and past medical history were also collected initially using the questionnaire designed for this study. This scale consists of a total score of 60. However, because we believe an observed change in scores must be at least equal to the MDC to be 90% confident that the observed change is not simply due to measurement error, we propose that questionnaires with more than 15% of respondents scoring within the MDC at the upper or lower end of the available range of scores should not be used. Ugeskr Laeger. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. That is usually the journal article where the information was first stated. G Itemswere pulled from already existing instruments, such as SIP, OLBPD, QBPD, Dallas Pain Questionnaire (DPQ), RMQ, MOS-36, and PSFS, and interviews with physical therapists (Longo et al., 2010). At follow-up, a 7-level global change scale was included with the questionnaires. This secondary analysis of a randomized controlled trial compared pain reduction, symptoms and functional improvement at 12 weeks. Summary of background data: Measure the following activities with the appropriate response (from the bottom this Activity Measures: (1) any of your usual work housework or school activities The Oswestry Disability Index is a useful way to gauge how low back pain may affect a patient's daily activities. Client groups receiving the services of other health care professionals (eg, orthopedic surgeons) are unlikely to be representative of the population receiving physical therapy.
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