Medical Causes of Low Back Pain

Négrini, Stefano; Bonaiuti, Donatella; Monticone, Marco; Trevisan, Carlo P.

doi:10.1016/b978-0-7216-2872-1.50081-9

Cited by 6 publications

(1 citation statement)

References 67 publications

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“…This research engaged people attending an outpatient Hospital Rehabilitation Unit, meeting the following inclusion criteria: diagnosis of chronic non-specific LBP (i.e. a pain localised below the costal margin and above the inferior gluteal folds lasting for more than three months, without a distinguishable, specific, patho-anatomical cause or disease [ 25 ]); people speaking Italian as their first language (as well as those who had an adequate knowledge of Italian) and aged over 18. Exclusion criteria: acute (lasting up to one month) and subacute non-specific LBP (lasting up to three months); specific LBP (i.e.…”

Section: Methodsmentioning

confidence: 99%

The Fremantle Back Awareness Questionnaire: cross-cultural adaptation, reliability, and validity of the Italian version in people with chronic low back pain

Monticone,

Maurandi,

Porcu

et al. 2024

BMC Musculoskelet Disord

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Background and aim There is evidence to suggest that assessing back-specific altered self-perception may be useful when seeking to understand and manage low back pain (LBP). The Fremantle Back Awareness Questionnaire (FreBAQ) is a patient-reported measure of back-specific body perception that has never been adapted and psychometrically analysed in Italian. Hence, the objectives of this research were to cross-culturally adapt and validate the Italian version of this outcome measure (namely, the FreBAQ-I), to make it available for use with Italians suffering from chronic LBP. Methods The FreBAQ-I was developed by forward and backward translation, review by a committee skilled in patient-reported measures and test of the pre-final version to assess its clarity, acceptability, and relevance. The statistical analyses examined: structural validity based on Rasch analysis; hypotheses testing by investigating correlations of the FreBAQ-I with the Roland Morris Disability Questionnaire (RMDQ), a pain intensity numerical rating scale (PI-NRS), the Pain Catastrophising Scale (PCS), and the Tampa Scale of Kinesiophobia (TSK) (Pearson’s correlations); reliability by internal consistency (Cronbach’s alpha) and test–retest repeatability (intraclass correlation coefficient, ICC (2,1)); and measurement error by determining the minimum detectable change (MDC). After the development of a consensus-based translation of the FreBAQ-I, the new outcome measure was delivered to 100 people with chronic LBP. Results Rasch analysis confirmed the substantial unidimensionality and the structural validity of the FreBAQ-I. Hypothesis testing was considered good as at least 75% of the hypotheses were confirmed; correlations: RMDQ (r = 0.35), PI-NRS (r = 0.25), PCS (r = 0.41) and TSK (r = 0.38). Internal consistency was acceptable (alpha = 0.82) and test–retest repeatability was excellent (ICC (2,1) = 0.88, 95% CI: 0.83, 0.92). The MDC95 corresponded to 6.7 scale points. Conclusion The FreBAQ-I was found to be a unidimensional, valid, and reliable outcome measure in Italians with chronic LBP. Its application is advised for clinical and research use within the Italian speaking community.

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Section: Methodsmentioning

confidence: 99%