Quebec Back Pain Disability Scale, Low Back Outcome Score and Revised Oswestry Low Back Pain Disability Scale for Patients With Low Back Pain Due to Degenerative Disc Disease

Misterska, Ewa; Jankowski, Ron; Głowacki, Maciej

doi:10.1097/brs.0b013e318216ad48

Cited by 37 publications

(43 citation statements)

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“…We found an excellent, significant correlation between the Hungarian versions of the ODI and QDS (r 0.81) which was similar to the previously published French (0.9) [17], English (0.82) [39] and (0.80) [14] and Polish (0.82) [23] versions of the questionnaires. Greek [31], Turkish [32] and Korean [34] studies reported weaker correlations between the ODI and the QDS (r: 0.78, 0.67 and 0.72, respectively).…”

Section: Discussionsupporting

confidence: 73%

“…The Oswestry Disability Index (ODI) [12,13] and the Quebec Back Pain Disability Scale (QDS) [14,15] are two reliable, valid and widely used PROMs in spine care that have been validated for use with numerous languages since first being reported in English. Validation studies of the Spanish [16], French-Canadian [17], Danish [18], Chinese [19,20], German [21], Korean [22], Polish [23], Italian [24], Persian [25], Finnish [26], Turkish [27], Brazilian-Portuguese [28], Norwegian [29] and Greek [30] versions of the ODI have all been published. Nine validation studies on national versions of the QDS (Greek [31], Turkish [32], Polish [23], Persian [25], Portuguese [33], Korean [34], Dutch [35], French [36] and Arabic [37]) have been reported so far.…”

Section: Introductionmentioning

confidence: 99%

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Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

et al. 2013

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Purpose Patient-reported outcome measurements (PROMs) are widely used in spine care. The development of reliable and valid National versions of spine-related disability questionnaires is strongly recommended from both the clinical and scientific points-of-view. The aims of this study were to adapt and validate the Oswestry Disability Index (ODI) and the Quebec Back Pain Disability Scale (QDS) for use with the Hungarian language. Methods After translating and culturally adapting the ODI and QDS, 133 patients with lumbar degenerative spinal disorder filled in the questionnaire booklet twice within 2 weeks. Subjects completed the Hungarian versions of the two PROMs as well as the WHOQoL-BREF validated as a general life quality questionnaire and Visual Analogue Scale of pain. Internal consistency, reliability and construct validity of the questionnaires were determined, as were the standard error of measurement (SEM) and minimal detectable change (MDC) scores. Results The Hungarian ODI consisted of one factor that showed good internal consistency (Cronbach-a 0.890). The QDS showed a four-factor structure with Cronbach-a values between 0.788 and 0.917. No significant floor or ceiling effects were observed. The test-retest analysis showed excellent reliability of the Hungarian ODI and QDS. The intraclass correlation coefficients (ICC) were 0.927 and 0.923, respectively. SEM values of 4.8 and 5.2 resulted in a MDC of 13 and 14 points in the Hungarian ODI and QDS, respectively. The correlation coefficient (r) between pain and ODI was 0.680 (p \ 0.001) and the correlation between the ODI and the physical subscale of WHOQoL was also very good (r = -0.705, p \ 0.001). The QDS total score and its four subscales correlated significantly with pain and with the physical subscale of WHOQoL (r [ 0.4, p \ 0.001). The level of disability measured by the Hungarian ODI and QDS was significantly higher in the surgical subgroup than in non-surgically treated patients (p \ 0.001). Conclusions Translation and cultural adaptation of the ODI and QDS were successful. Hungarian versions of the ODI and QDS proved to be reliable, valid PROMs confirming that they can be used in future clinical and scientific work with Hungarian-speaking spine patients.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

et al. 2013

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“…7 The Cronbach ␣ ‡ References 5, 7-10, 14 -18, 21, 23-27, 29 -31, 33, 35, 37, 41-45. § References 5,[8][9][10][14][15][16][17][18]21,[23][24][25][26][27][29][30][31] 33, 35,[41][42][43][44][45][8][9][10]14,15,18,21,23,24,26,27, 29, 30, 35,[41][42][43][44][45] # References 5,9,24,25,27, 31, 35, 37, 44, 45. ** References 5,7,9,16,21,24,25,27, 31, 33, 35, 37, 41,[43][44][45].…”

Section: Reliability Internal Consistencymentioning

confidence: 99%

“…The possible overall rating for a measurement property is "positive," "indeterminate," or "negative," accompanied with a level of evidence ("strong," "moderate," "limited," "conflicting," and "unknown"). To give a positive or negative rating for the results of the measurement properties, criteria for good mea- [15][16][17][18]21,23,[25][26][27] 29, 33,[41][42][43]7,14,24, 30, 31, 35, 37, 44, 45. Meta-analyses were not performed because there were no more than 2 studies per measurement property per language version.…”

Section: Data Synthesis Levels Of Evidence and Meta-analysesmentioning

confidence: 99%

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Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain: Systematic Review

et al. 2016

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Background. The Quebec Back Pain Disability Scale (QBPDS) has been translated into different languages, and several studies on its measurement properties have been done.Purpose. The purpose of this review was to critically appraise and compare the measurement properties, when possible, of all language versions of the QBPDS by systematically reviewing the methodological quality and results of the available studies.Method. Bibliographic databases (PubMed, Embase, CINAHL, and PsycINFO) were searched for articles with the key words "Quebec," "back," "pain," and "disability" in combination with a methodological search filter for finding studies on measurement properties concerning the development or evaluation of the measurement properties of the QBPDS in patients with nonspecific low back pain. Assessment of the methodological quality was carried out by the reviewers using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist for both the original language version of the QBPDS in English and French and all translated versions. The results of the measurement properties were rated based on criteria proposed by Terwee et al. Results.The search strategy resulted in identification of 1,436 publications, and 27 articles were included in the systematic review. There was limited-to-moderate evidence of good reliability, validity, and responsiveness of the QBPDS for the different language versions, but for no language version was evidence available for all measurement properties. Conclusion.For research and clinical practice, caution is advised when using the QBPDS to measure disability in patients with nonspecific low back pain. Strong evidence is lacking on all measurement properties for each language version of the QBPDS. O ne of the leading causes of disability worldwide is low back pain (LBP). Most of the time, LBP is benign and self-limiting and can be considered as nonspecific LBP, as no specific musculoskeletal pathology is found. [1][2][3] It occurs in similar proportions in all cultures, interferes with quality of life and work performance, and is the most common reason for medical consultation. 4,5 To measure the construct of disability in patients with LBP, several self-report back-specific questionnaires have been developed. They are recommended by the World Health Organization as instruments to evaluate the efficacy of treatments. 4 Two of the most commonly investigated questionnaires are the Roland-Morris Disability Questionnaire (RMDQ) 6 -10 and the Oswestry Low Back Pain Disability Index (ODI). 11-15 However, previous systematic reviews on available questionnaires to measure disability in patients with LBP indicate that the Quebec Back Pain Disability Scale (QBPDS) 16 -18 is another well-validated and often recommended questionnaire. 17,19 -21 The QBPDS also is commonly used in randomized controlled trials. 20,[22][23][24] The QBPDS (Appendix) was developed in 1995 in English and French. 16,17,25,26 Contrary to the RMDQ and ODI, the QBPDS is based on a concept...

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In vivo correlates between daily physical activity and intervertebral disc health

Bowden

Wang

et al. 2018

Journal Orthopaedic Research

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Physical activity impacts health and disease in multiple body tissues including the intervertebral discs. Fluid flow within the disc is an indicator of disc health that can be observed using diffusion weighted magnetic resonance imaging. We monitored activity levels of 26 participants, age 35-55 yrs, using Actigraph accelerometers for 4 days to evaluate vigorous-intensity activity, moderate to vigorous intensity activity, and sedentary time. Participants underwent structural and diffusion weighted magnetic resonance imaging to evaluate intervertebral disc health and fluid flow. They also underwent bone density scans, carotid artery ultrasounds, a treadmill test, and a physical exam for pain, range of motion, and instability. These measures were used to correlate MRI indicators of intervertebral disc health with participant activity levels. Participants with any vigorous-intensity physical activity compared with no vigorous-intensity activity had significantly greater L5/S1 apparent diffusion coefficient values (p = 0.002), corresponding to higher freedom of diffusive movement for cellular nutrients and metabolic waste. Sagittal T2 values in the L5/S1 were also higher (p = 0.004), corresponding to a higher water content in the discs. Higher apparent diffusion coefficients were also found in participants with more than 30 min compared with less than 30 min of daily moderate to vigorous physical activity (p = 0.03), and in participants with less than 67% awake time as sedentary time compared with more than 67% sedentary time (p = 0.03). Increased dynamic loading through physical activity and decreased static loading from sedentary time benefit intervertebral disc health. Physical activity, particularly vigorous activity, is beneficial in helping maintain intervertebral disc health. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1313-1323, 2018.

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Quebec Back Pain Disability Scale, Low Back Outcome Score and Revised Oswestry Low Back Pain Disability Scale for Patients With Low Back Pain Due to Degenerative Disc Disease

Cited by 37 publications

References 28 publications

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

Reliability and validity study on the Hungarian versions of the Oswestry Disability Index and the Quebec Back Pain Disability Scale

Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain: Systematic Review

In vivo correlates between daily physical activity and intervertebral disc health

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