The Örebro Musculoskeletal Screening Questionnaire: Validation of a modified primary care musculoskeletal screening tool in an acute work injured population
Author(s)
Gabel, Charles Philip
Melloh, Markus
Burkett, Brendan
Osborne, Jason
Yelland, Michael
Year published
2012
Metadata
Show full item recordAbstract
The original ֲebro Musculoskeletal Pain Questionnaire (original-֍PQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the ֲebro Musculoskeletal Screening Questionnaire (֍SQ), evolved and progressed the original-֍PQ to broaden application and improve practicality. This study evaluated and validated the ֍SQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort ...
View more >The original ֲebro Musculoskeletal Pain Questionnaire (original-֍PQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the ֲebro Musculoskeletal Screening Questionnaire (֍SQ), evolved and progressed the original-֍PQ to broaden application and improve practicality. This study evaluated and validated the ֍SQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort of 143 acute musculoskeletal injured workers from ten Australian physiotherapy clinics. Baseline-֍SQ scores were concurrently recorded with functional status and problem severity outcomes, then compared at six months along with absenteeism, costs and recovery time to 80% of pre-injury functional status. The ֍SQ demonstrated face and content validity with high reliability (ICC2.1 젰.978, p < 0.001). The score range was broad (40e174 ֍SQ-points) with normalised distribution. Factor analysis revealed a six-factor model with internal consistency a 젰.82 (construct range a 젰.26e0.83). Practical characteristics included completion and scoring times (7.5 min), missing responses (5.6%) and FlescheKincaid readability (sixth-grade and 70% reading-ease). Predictive ability ֍SQ-points cut-off scores were: 114 for absenteeism, functional impairment, problem severity and high cost; 83 for no-absenteeism; and 95 for low cost. Baseline-֍SQ scores correlated strongly with recovery time to 80% functional status (r 젰.73, p < 0.01). The ֍SQ was validated prospectively in an acute work-injured musculoskeletal population. The ֍SQ cut-off scores retain the predictive capacity intent of the original-֍PQ and provide clinicians and insurers with identification of patients with potentially high and low risks of unfavourable outcomes.
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View more >The original ֲebro Musculoskeletal Pain Questionnaire (original-֍PQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the ֲebro Musculoskeletal Screening Questionnaire (֍SQ), evolved and progressed the original-֍PQ to broaden application and improve practicality. This study evaluated and validated the ֍SQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort of 143 acute musculoskeletal injured workers from ten Australian physiotherapy clinics. Baseline-֍SQ scores were concurrently recorded with functional status and problem severity outcomes, then compared at six months along with absenteeism, costs and recovery time to 80% of pre-injury functional status. The ֍SQ demonstrated face and content validity with high reliability (ICC2.1 젰.978, p < 0.001). The score range was broad (40e174 ֍SQ-points) with normalised distribution. Factor analysis revealed a six-factor model with internal consistency a 젰.82 (construct range a 젰.26e0.83). Practical characteristics included completion and scoring times (7.5 min), missing responses (5.6%) and FlescheKincaid readability (sixth-grade and 70% reading-ease). Predictive ability ֍SQ-points cut-off scores were: 114 for absenteeism, functional impairment, problem severity and high cost; 83 for no-absenteeism; and 95 for low cost. Baseline-֍SQ scores correlated strongly with recovery time to 80% functional status (r 젰.73, p < 0.01). The ֍SQ was validated prospectively in an acute work-injured musculoskeletal population. The ֍SQ cut-off scores retain the predictive capacity intent of the original-֍PQ and provide clinicians and insurers with identification of patients with potentially high and low risks of unfavourable outcomes.
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Journal Title
Manual Therapy
Volume
17
Issue
6
Subject
Clinical sciences
Sports science and exercise