A Study of the Natural History of Back Pain: Part I

ROLAND, MARTIN; MORRIS, RICHARD

doi:10.1097/00007632-198303000-00004

Cited by 3,395Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

A Study of the Natural History of Back Pain: Part I

ROLAND, MARTIN, MORRIS, RICHARD·1983·Spine

DOI 10.1097/00007632-198303000-00004

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Abstract

One of the problems in mounting a trial of treatment of back pain is the lack of suitable outcome measures. This paper describes the development and validation of a questionnaire designed to measure selfrated disability due to back pain. The questionnaire is short, simple, sensitive, and reliable. It would be suitable for use in future trials of treatment.

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Fairbank, J. C. T., & Pynsent, P. B. (2000) · Spine · doi:10.1097/00007632-200011150-00017 · Cited by 5,851 · see citing works
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931 · see citing works
“(1995b) found that fear of movement/(re)injury is a better predictor of self-reported disability levels as measured with the Roland disability questionnaire (RDQ; Roland and Morris, 1983; Beurskens et al., 1996) than biomedical ®ndings and pain intensity levels.”
Method
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Dworkin, R. H., Turk, D. C., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Katz, N. P., Kerns, R. D., Stucki, G., Allen, R. R., Bellamy, N., et al. (2005) · Pain · doi:10.1016/j.pain.2004.09.012 · Cited by 3,732 · see citing works
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Method
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Turk, D. C., Dworkin, R. H., Allen, R. R., Bellamy, N., Brandenburg, N., Carr, D. B., Cleeland, C., Dionne, R., Farrar, J. T., Galer, B. S., et al. (2003) · Pain · doi:10.1016/j.pain.2003.08.001 · Cited by 3,510 · see citing works
Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations
Dworkin, R. H., Turk, D. C., Wyrwich, K. W., Beaton, D., Cleeland, C. S., Farrar, J. T., Haythornthwaite, J. A., Jensen, M. P., Kerns, R. D., Ader, D. N., et al. (2008) · The Journal of Pain · doi:10.1016/j.jpain.2007.09.005 · Cited by 3,471 · see citing works
A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability.
Waddell, G., Newton, M., Henderson, I., Somerville, D., & Main, C. J. (1993) · Pain · doi:10.1016/0304-3959(93)90127-b · Cited by 3,167 · see citing works
Grading the severity of chronic pain
Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992) · Pain · doi:10.1016/0304-3959(92)90154-4 · Cited by 3,022 · see citing works
Interpreting Change Scores for Pain and Functional Status in Low Back Pain: Towards International Consensus Regarding Minimal Important Change
Ostelo, R. W. J. G., Deyo, R. A., Stratford, P., Waddell, G., Croft, P., Von Korff, M., Bouter, L. M., & de Vet, H. C. (2008) · Spine · doi:10.1097/brs.0b013e31815e3a10 · Cited by 2,009 · see citing works
The Roland–Morris Disability Questionnaire and the Oswestry Disability Questionnaire
Roland, M. O., & Fairbank, J. C. T. (2000) · Spine · doi:10.1097/00007632-200012150-00006 · Cited by 1,913 · see citing works
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Dowell, D., Ragan, K. R., Jones, C. M., Baldwin, G. T., & Chou, R. (2022) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7103a1 · Cited by 1,886 · see citing works
Generic and Disease-Specific Measures in Assessing Health Status and Quality of Life
Patrick, D. L., & Deyo, R. A. (1989) · Medical Care · doi:10.1097/00005650-198903001-00018 · Cited by 1,779 · see citing works
The pain self-efficacy questionnaire: Taking pain into account
Nicholas, M. K. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2005.12.008 · Cited by 1,656 · see citing works
“Medication for pain was being used by 86.5%, and the mean score on the modified Roland and Morris (1983) Disability Questionnaire (Asghari and Nicholas, 2001) was 13.2 (SD: 5.2).”
MethodInfluential
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Crombez, G., Vlaeyen, J. W. S., Heuts, P. H. T. G., & Lysens, R. (1999) · Pain · doi:10.1016/s0304-3959(98)00229-2 · Cited by 1,662 · see citing works
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Tan, G., Jensen, M. P., Thornby, J. I., & Shanti, B. F. (2004) · The Journal of Pain · doi:10.1016/j.jpain.2003.12.005 · Cited by 1,416 · see citing works
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Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial
Hill, J. C., Whitehurst, D. G., Lewis, M., Bryan, S., Dunn, K. M., Foster, N. E., Konstantinou, K., Main, C. J., Mason, E., Somerville, S., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60937-9 · Cited by 1,306 · see citing works
“RMDQ=Roland and Morris Disability Questionnaire. PCS=Pain Catastrophizing Scale. TSK=Tampa Scale of Kinesiophobia. HADS=Hospital Anxiety and Depression Scale. SF12=Short Form 12. *Based on major groups 5–9 of the UK Standard Occupation Classifi cation (2000) for current or most recent paid employment (inclusive of 36…”
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Keller, S., Bann, C. M., Dodd, S. L., Schein, J., Mendoza, T. R., & Cleeland, C. S. (2004) · The Clinical Journal of Pain · doi:10.1097/00002508-200409000-00005 · Cited by 1,233 · see citing works
“The RDQ consists of 24 items that refer to different ways back pain might impact the ability to carry out activities.(49) A single score is constructed by summing the number of items endorsed.”
Background
Outcome Measures for Low Back Pain Research: A Proposal for Standardized Use
Deyo, R. A., Battie, M., Beurskens, A. J. H. M., Bombardier, C., Croft, P., Koes, B., Malmivaara, A., Roland, M., Von Korff, M., & Waddell, G. (1998) · Spine · doi:10.1097/00007632-199809150-00018 · Cited by 1,229 · see citing works
Self-citation
Untitled work
(2011) · Amsterdam UMC (VU Amsterdam) - Institutional Repository · Cited by 1,209 · see citing works
Multifidus Muscle Recovery Is Not Automatic After Resolution of Acute, First-Episode Low Back Pain
Hides, J. A., Richardson, C. A., & Jull, G. A. (1996) · Spine · doi:10.1097/00007632-199612010-00011 · Cited by 1,117 · see citing works
Evaluation of clinically relevant changes in patient reported outcomes in knee and hip osteoarthritis: the minimal clinically important improvement
Tubach, F., Ravaud, P., Baron, G., Falissard, B., Logeart, I., Bellamy, N., Bombardier, C., Felson, D. T., Hochberg, M., van der Heijde, D. M. F. M., et al. (2004) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2004.022905 · Cited by 1,095 · see citing works
Back Pain and Sciatica
Frymoyer, J. W. (1988) · New England Journal of Medicine · doi:10.1056/nejm198802043180506 · Cited by 1,097 · see citing works
A primary care back pain screening tool: identifying patient subgroups for initial treatment
Hill, J. C., Dunn, K. M., Lewis, M., Mullis, R., Main, C. J., Foster, N. E., & Hay, E. M. (2008) · Arthritis Care & Research · doi:10.1002/art.23563 · Cited by 1,052 · see citing works
Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain
Boonstra, A. M., Schiphorst Preuper, H. R., Reneman, M. F., Posthumus, J. B., & Stewart, R. E. (2008) · International Journal of Rehabilitation Research · doi:10.1097/mrr.0b013e3282fc0f93 · Cited by 1,051 · see citing works
“The sum score ranges from 0 (no disability) to 24 (maximum disability) (Roland and Morris, 1983; Roland and Fairbank, 2000).”
Background
The Neck Disability Index: State-of-the-Art, 1991-2008
Vernon, H. T. (2008) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2008.08.006 · Cited by 1,015 · see citing works
A Cross-Sectional Study
Drozdzowska, B., Pluskiewicz, W., Halaba, Z. P., Misiołek, H., & Beck, B. R. (2005) · Cited by 984 · see citing works
Psychometric properties of the TSK-11: A shortened version of the Tampa Scale for Kinesiophobia
Woby, S. R., Roach, N. K., Urmston, M., & Watson, P. J. (2005) · Pain · doi:10.1016/j.pain.2005.05.029 · Cited by 923 · see citing works
The Association of Radiographically Detected Vertebral Fractures with Back Pain and Function: A Prospective Study
Nevitt, M. C., Ettinger, B., Black, D. M., Stone, K. L., Jamal, S. A., Ensrud, K. E., Segal, M. R., Genant, H. K., & Cummings, S. R. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-10-199805150-00001 · Cited by 841 · see citing works
“73) with a more extensive instrument used to assess disability caused by low back pain (24).”
Background
Decision aids for people facing health treatment or screening decisions
Stacey, D., Bennett, C. L., Barry, M. J., Col, N. F., Eden, K., Holmes-Rovner, M. M., Llewellyn‐Thomas, H. A., Lyddiatt, A., Légaré, F., & Thomson, R. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub3 · Cited by 851 · see citing works
Clinically important outcomes in low back pain
Ostelo, R. W. J. G., & de Vet, H. C. W. (2005) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2005.03.003 · Cited by 840 · see citing works
A Comparative Review of Generic Quality-of-Life Instruments
Coons, S. J., Rao, S. R., Keininger, D. L., & Hays, R. D. (2000) · PharmacoEconomics · doi:10.2165/00019053-200017010-00002 · Cited by 813 · see citing works
Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference
Krebs, E. E., Lorenz, K. A., Bair, M. J., Damush, T. M., Wu, J., Sutherland, J. M., Asch, S. M., & Kroenke, K. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-0981-1 · Cited by 782 · see citing works
Assessing the responsiveness of functional scales to clinical change: An analogy to diagnostic test performance
Deyo, R. A., & Centor, R. M. (1986) · Journal of Chronic Diseases · doi:10.1016/0021-9681(86)90038-x · Cited by 800 · see citing works
Health and Function of Patients With Untreated Idiopathic Scoliosis
Weinstein, S. L., Dolan, L. A., Spratt, K. F., Peterson, K. K., Spoonamore, M. J., & Ponseti, I. V. (2003) · JAMA · doi:10.1001/jama.289.5.559 · Cited by 763 · see citing works
“Education High school or less 55/108 (51) 26/62 (42)”
Background
A Comparison of Five Low Back Disability Questionnaires: Reliability and Responsiveness
Davidson, M., & Keating, J. L. (2002) · Physical Therapy · doi:10.1093/ptj/82.1.8 · Cited by 756 · see citing works
The role of fear of movement/(re)injury in pain disability
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Rotteveel, A. M., Ruesink, R., & Heuts, P. H. T. G. (1995) · Journal of Occupational Rehabilitation · doi:10.1007/bf02109988 · Cited by 730 · see citing works
“Roland and Morris (43) and Gamsa (51), for example, have suggested that emotional distress in pain patients is more likely to be a consequence, rather than an antecedent of the chronic pain problem.”
Background
Quality of life measures in health care. I: Applications and issues in assessment.
Fitzpatrick, R. M., FLETCHER, A. E., Gore, S. M., Jones, D., Spiegelhalter, D. J., & Cox, D. (1992) · BMJ · doi:10.1136/bmj.305.6861.1074 · Cited by 691 · see citing works
Decision aids for people facing health treatment or screening decisions
O'Connor, A. M. C., Bennett, C. L., Stacey, D., Barry, M. J., Col, N. F., Eden, K., Entwistle, V. A., Fiset, V., Holmes-Rovner, M. M., Khangura, S. D., et al. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub2 · Cited by 693 · see citing works
Decision aids for people facing health treatment or screening decisions
O'Connor, A. M. C., Bennett, C. L., Stacey, D., Barry, M. J., Col, N. F., Eden, K., Entwistle, V. A., Fiset, V., Holmes-Rovner, M. M., Khangura, S. D., et al. (2003) · doi:10.1002/14651858.cd001431 · Cited by 662 · see citing works
Low Back Pain
Delitto, A., George, S. Z., Dillen, L. V., Whitman, J. M., Sowa, G., Shekelle, P., Denninger, T. R., & Godges, J. J. (2012) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2012.42.4.a1 · Cited by 1,166 · see citing works
Assessing global pain severity by self-report in clinical and health services research
Von Korff, M., Jensen, M. P., & Karoly, P. (2000) · Spine · doi:10.1097/00007632-200012150-00009 · Cited by 649 · see citing works
Reduction of Pain Catastrophizing Mediates the Outcome of Both Physical and Cognitive-Behavioral Treatment in Chronic Low Back Pain
Smeets, R. J. E. M., Vlaeyen, J. W. S., Kester, A. D. M., & Knottnerus, J. A. (2006) · The Journal of Pain · doi:10.1016/j.jpain.2005.10.011 · Cited by 629 · see citing works
Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment
Severeijns, R., Vlaeyen, J. W. S., van den Hout, M. A., & Weber, W. E. J. (2001) · The Clinical Journal of Pain · doi:10.1097/00002508-200106000-00009 · Cited by 622 · see citing works
A Comparison of Physical Therapy, Chiropractic Manipulation, and Provision of an Educational Booklet for the Treatment of Patients with Low Back Pain
Cherkin, D. C., Deyo, R. A., Battié, M. C., Street, J. H., & Barlow, W. E. (1998) · New England Journal of Medicine · doi:10.1056/nejm199810083391502 · Cited by 602 · see citing works
Impaired Postural Control of the Lumbar Spine Is Associated With Delayed Muscle Response Times in Patients With Chronic Idiopathic Low Back Pain
Radebold, A., Cholewicki, J., Polzhofer, G. K., & Greene, H. S. (2001) · Spine · doi:10.1097/00007632-200104010-00004 · Cited by 584 · see citing works
Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients
Bair, M. J., Wu, J., Damush, T. M., Sutherland, J. M., & Kroenke, K. (2008) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318185c510 · Cited by 572 · see citing works
Efficacy and Validity of Radiofrequency Neurotomy for Chronic Lumbar Zygapophysial Joint Pain
Dreyfuss, P. H., Halbrook, B., Pauza, K., Joshi, A., McLarty, J. W., & Bogduk, N. (2000) · Spine · doi:10.1097/00007632-200005150-00012 · Cited by 583 · see citing works
Disability Resulting From Occupational Low Back Pain
Frank, J. W., Brooker, A., DeMaio, S. E., Kerr, M. S., Maetzel, A., Shannon, H. S., Sullivan, T. J., Norman, R. W., & Wells, R. P. (1996) · Spine · doi:10.1097/00007632-199612150-00025 · Cited by 582 · see citing works
Responsiveness of functional status in low back pain: a comparison of different instruments
Beurskens, A. J. H. M., de Vet, H. C. W., & Köke, A. J. A. (1996) · Pain · doi:10.1016/0304-3959(95)00149-2 · Cited by 567 · see citing works
“K~ke a,b a Department of Epidemiology, University ofLimburg, Maastricht (The Netherlands) and b Department of Physiotherapy, University Hospita~ Maastricht (The Netherlands) (Received 5 May 1995, revised version received 27 June 1995, accepted 29 June 1995) Summary This study compares the responsiveness of three instr…”
BackgroundMethodInfluential
Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests
Laslett, M., Aprill, C. N., McDonald, B. W., & Young, S. B. (2005) · Manual Therapy · doi:10.1016/j.math.2005.01.003 · Cited by 566 · see citing works
The Outcomes and Costs of Care for Acute Low Back Pain among Patients Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons
Carey, T. S., Garrett, J. M., Jackman, A., McLaughlin, C. P., Fryer, J., & Smucker, D. R. (1995) · New England Journal of Medicine · doi:10.1056/nejm199510053331406 · Cited by 562 · see citing works
An Interdisciplinary Expert Consensus Statement on Assessment of Pain in Older Persons
Hadjistavropoulos, T., Herr, K., Turk, D. C., Fine, P. G., Dworkin, R. H., Helme, R. D., Jackson, K. C., Parmelee, P. A., Rudy, T. E., Beattie, B. L., et al. (2006) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31802be869 · Cited by 555 · see citing works
A Randomized Controlled Trial of Intensive Neurophysiology Education in Chronic Low Back Pain
Moseley, G. L., Nicholas, M. K., & Hodges, P. W. (2004) · The Clinical Journal of Pain · doi:10.1097/00002508-200409000-00007 · Cited by 537 · see citing works
Evaluating Common Outcomes for Measuring Treatment Success for Chronic Low Back Pain
Chapman, J. R., Norvell, D. C., Hermsmeyer, J. T., Bransford, R. J., DeVine, J., McGirt, M. J., & Lee, M. J. (2011) · Spine · doi:10.1097/brs.0b013e31822ef74d · Cited by 551 · see citing works
“We sought to answer the following clinical questions: (1) What are the most common outcomes cited for measuring treatment success for CLBP in randomized controlled trials (RCTs)? (2) How frequently are these measures cited in all studies evaluating treatment for CLBP? (3) Among the most frequently cited measures, whic…”
Background
Mindfulness meditation for the treatment of chronic low back pain in older adults: a randomized controlled pilot study
Morone, N. E., Greco, C. M., & Weiner, D. K. (2008) · Pain · doi:10.1016/j.pain.2007.04.038 · Cited by 546 · see citing works
“Physical function was measured using three scales: the Roland and Morris Questionnaire (Roland and Morris, 1983) that assesses self-reported disability related to low back pain with lower scores indicating less disability.”
Method
Information and advice to patients with back pain can have a positive effect. A randomized controlled trial of a novel educational booklet in primary care.
Burton, A., Waddell, G., Tillotson, K., & Summerton, N. (1999) · Spine · doi:10.1097/00007632-199912010-00010 · Cited by 622 · see citing works
A Controlled Trial of Corticosteroid Injections into Facet Joints for Chronic Low Back Pain
Carette, S., Marcoux, S., Truchon, R., Grondin, C., Gagnon, J., Allard, Y., & Latulippe, M. (1991) · New England Journal of Medicine · doi:10.1056/nejm199110033251405 · Cited by 539 · see citing works
Report of the NIH Task Force on research standards for chronic low back pain.
Deyo, R. A., Dworkin, S. F., Amtmann, D., Andersson, G., Borenstein, D., Carragee, E., Carrino, J., Chou, R., Cook, K., DeLitto, A., et al. (2014) · The Journal of Pain · doi:10.1016/j.jpain.2014.03.005 · Cited by 533 · see citing works
Muscle Response Pattern to Sudden Trunk Loading in Healthy Individuals and in Patients with Chronic Low Back Pain
Radebold, A., Cholewicki, J., Panjabi, M. M., & Patel, T. C. (2000) · Spine · doi:10.1097/00007632-200004150-00009 · Cited by 523 · see citing works
OPERATIVE COMPARED WITH NONOPERATIVE TREATMENT OF A THORACOLUMBAR BURST FRACTURE WITHOUT NEUROLOGICAL DEFICIT
Wood, K. B., Butterman, G., Mehbod, A. A., Garvey, T. A., Jhanjee, R., & Sechriest, V. F. (2003) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-200305000-00001 · Cited by 512 · see citing works
United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care
UK BEAM Trial Team (2004) · BMJ · doi:10.1136/bmj.38282.669225.ae · Cited by 517 · see citing works
Transforaminal Epidural Steroid Injections in Lumbosacral Radiculopathy
Vad, V. B., Bhat, A. L., Lutz, G. E., & Cammisa, F. P. (2002) · Spine · doi:10.1097/00007632-200201010-00005 · Cited by 517 · see citing works
Contribution of vertebral deformities to chronic back pain and disability
Ettinger, B. B., Black, D. M., Nevitt, M. C., et al. (1992) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.5650070413 · Cited by 507 · see citing works
The treatment of fear of movement/(re) injury in chronic low back pain: further evidence on the effectiveness of exposure in vivo
Vlaeyen, J. W. S., de Jong, J., Geilen, M., Heuts, P. H. T. G., & van Breukelen, G. (2002) · The Clinical Journal of Pain · doi:10.1097/00002508-200207000-00006 · Cited by 499 · see citing works
Spinal Cord Stimulation in Treatment of Chronic Benign Pain: Challenges in Treatment Planning and Present Status, a 22-Year Experience
Kumar, K., Hunter, G. R. W., & Demeria, D. D. (2006) · Neurosurgery · doi:10.1227/01.neu.0000192162.99567.96 · Cited by 487 · see citing works
“The patients’ functional status and affective responses to pain were evaluated using the Oswestry Disability Index (ODI) (26), the McGill Pain Questionnaire short-form (MPQ) (53), the Beck Depression Inventory (BDI) (12, 13), and the Roland Morris Questionnaire (RMQ) (74).”
MethodInfluential
A taxonomy for responsiveness
Beaton, D. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(01)00407-3 · Cited by 486 · see citing works
Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?
Turner, J. A., Jensen, M. P., & Romano, J. M. (2000) · Pain · doi:10.1016/s0304-3959(99)00259-6 · Cited by 487 · see citing works
“Age and sex did not make a signi®cant contribution to the prediction of physical disabil- ity as measured by Roland Scale scores, but average pain intensity explained an additional 8% of the variance (P , 0:0042).”
Influential
Comparing Yoga, Exercise, and a Self-Care Book for Chronic Low Back Pain
Sherman, K. J., Cherkin, D. C., Erro, J. H., Miglioretti, D. L., & Deyo, R. A. (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-143-12-200512200-00003 · Cited by 477 · see citing works
The North American Spine Society Lumbar Spine Outcome Assessment Instrument
Daltroy, L. H., Cats‐Baril, W. L., Katz, J. N., Fossel, A. H., & Liang, M. H. (1996) · Spine · doi:10.1097/00007632-199603150-00017 · Cited by 478 · see citing works
Combined physiotherapy and education is efficacious for chronic low back pain
Moseley, L. (2002) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60169-0 · Cited by 472 · see citing works
“Experimental protocol The following items were used as outcome measures: the 18-item Roland Morris Disability Questionnaire (RMDQ; Roland and Morris 1983) and the 0-10 Numerical Rating Scale (NRS) for pain (“How would you rate your low back pain, on average, over the last three days?”).”
MethodInfluential
Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment
Jensen, M. P., Turner, J. A., & Romano, J. M. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.4.655 · Cited by 473 · see citing works
The Course of Back Pain in Primary Care
Korff, M. V., & Saunders, K. W. (1996) · Spine · doi:10.1097/00007632-199612150-00004 · Cited by 467 · see citing works
Graded exposure in vivo in the treatment of pain-related fear: A replicated single-case experimental design in four patients with chronic low back pain
Vlaeyen, J. W. S., de Jong, J., Geilen, M., Heuts, P. H. T. G., & van Breukelen, G. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00174-6 · Cited by 469 · see citing works
Core outcome measurement instruments for clinical trials in nonspecific low back pain
Chiarotto, A., Boers, M., Deyo, R. A., Buchbinder, R., Corbin, T. P., Costa, L. O. P., Foster, N. E., Grotle, M., Koes, B. W., Kovacs, F. M., et al. (2018) · Pain · doi:10.1097/j.pain.0000000000001117 · Cited by 461 · see citing works
“Nevertheless, pain-rating scales definitely present some shortcomings, such as capturing multiple dimensions of the pain experience, and not only its intensity.(39,93,109) For this reason, we decided to add the key word “intensity” in the recommended NRS, and more studies exploring the patients’ perspective on these t…”
Background
Defining the Minimum Level of Detectable Change for the Roland-Morris Questionnaire
Stratford, P. W., Binkley, J. M., Solomon, P. E., Finch, E., Gill, C., & Moreland, J. D. (1996) · Physical Therapy · doi:10.1093/ptj/76.4.359 · Cited by 459 · see citing works
Beyond pain
Asmundson, G. J. G., Norton, P. J., & Norton, G. R. (1999) · Clinical Psychology Review · doi:10.1016/s0272-7358(98)00034-8 · Cited by 461 · see citing works
Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trial
Ferreira, M. L., Ferreira, P. H., Latimer, J., Herbert, R., Hodges, P. W., Jennings, M. D., Maher, C. G., & Refshauge, K. M. (2007) · Pain · doi:10.1016/j.pain.2006.12.008 · Cited by 450 · see citing works
“Each statement was awarded 1 point if checked, giving a score out of 24 (Roland and Morris, 1983).”
Background
Randomized Trial Comparing Traditional Chinese Medical Acupuncture, Therapeutic Massage, and Self-care Education for Chronic Low Back Pain
Cherkin, D. C., Eisenberg, D. M., Sherman, K. J., Barlow, W. E., Kaptchuk, T. J., Street, J. H., & Deyo, R. A. (2001) · Archives of Internal Medicine · doi:10.1001/archinte.161.8.1081 · Cited by 449 · see citing works
Optimized Antidepressant Therapy and Pain Self-management in Primary Care Patients With Depression and Musculoskeletal Pain: A Randomized Controlled Trial
Kroenke, K., Bair, M. J., Damush, T. M., Wu, J., Hoke, S., Sutherland, J., & Tu, W. (2009) · JAMA · doi:10.1001/jama.2009.723 · Cited by 447 · see citing works
“Unemployed or unable to work 39 (32) 40 (31) .”
Background
Does it Matter Which Exercise?
Long, A., Donelson, R., & Fung, T. S. (2004) · Spine · doi:10.1097/01.brs.0000146464.23007.2a · Cited by 439 · see citing works
Outcome measures in chronic low back pain
Maughan, E. F., & Lewis, J. S. (2010) · European Spine Journal · doi:10.1007/s00586-010-1353-6 · Cited by 438 · see citing works
Trunk Muscle Stabilization Training Plus General Exercise Versus General Exercise Only: Randomized Controlled Trial of Patients With Recurrent Low Back Pain
Koumantakis, G. A., Watson, P. J., & Oldham, J. A. (2005) · Physical Therapy · doi:10.1093/ptj/85.3.209 · Cited by 433 · see citing works
The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: Translation and Validation Studies of the Iranian Versions
Mousavi, S. J., Parnianpour, M., Mehdian, H., Montazeri, A., & Mobini, B. (2006) · Spine · doi:10.1097/01.brs.0000222141.61424.f7 · Cited by 430 · see citing works
Opioid Tolerance and Hyperalgesia in Chronic Pain Patients After One Month of Oral Morphine Therapy: A Preliminary Prospective Study
Chu, L. F., Clark, J. D., & Angst, M. S. (2006) · Journal of Pain · doi:10.1016/j.jpain.2005.08.001 · Cited by 428 · see citing works
The Patient-Specific Functional Scale: Validation of Its Use in Persons With Neck Dysfunction
Westaway, M. D., Stratford, P. W., & Binkley, J. M. (1998) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.1998.27.5.331 · Cited by 425 · see citing works
Measurement Properties of a Self-Administered Outcome Measure in Lumbar Spinal Stenosis
Stucki, G., Daltroy, L. H., Liang, M. H., Lipson, S. J., Fossel, A. H., & Katz, J. N. (1996) · Spine · doi:10.1097/00007632-199604010-00004 · Cited by 421 · see citing works
Clinical course and prognostic factors in acute low back pain: an inception cohort study in primary care practice
Coste, J., Delecoeuillerie, G., Lara, A. C. D., Parc, J. M. L., & Paolaggi, J. B. (1994) · BMJ · doi:10.1136/bmj.308.6928.577 · Cited by 416 · see citing works
Minimum clinically important improvement and patient acceptable symptom state in pain and function in rheumatoid arthritis, ankylosing spondylitis, chronic back pain, hand osteoarthritis, and hip and knee osteoarthritis: Results from a prospective multinational study
Tubach, F., Ravaud, P., Martin‐Mola, E., Awada, H., Bellamy, N., Bombardier, C., Felson, D. T., Hajjaj‐Hassouni, N., Hochberg, M., Logeart, I., et al. (2012) · Arthritis Care & Research · doi:10.1002/acr.21747 · Cited by 416 · see citing works
Responsiveness and minimal clinically important difference for pain and disability instruments in low back pain patients
Lauridsen, H. H., Hartvigsen, J., Manniche, C., Korsholm, L., & Grunnet-Nilsson, N. (2006) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-7-82 · Cited by 416 · see citing works
“We chose the 23-item version instead of the original 24-item version [62] for two reasons: 1) the 23-item version has been cross-culturally validated in Danish whereas the 24-item version has not, and 2) the psychometric properties of the two versions have been shown to be similar [63].”
Assessment and measurement of pain in older adults
Herr, K., & Garand, L. (2001) · Clinics in Geriatric Medicine · doi:10.1016/s0749-0690(05)70080-x · Cited by 417 · see citing works
Assessment of patients with chronic pain
Dansie, E. J., & Turk, D. C. (2013) · British Journal of Anaesthesia · doi:10.1093/bja/aet124 · Cited by 409 · see citing works
Surgical and Nonsurgical Management of Lumbar Spinal Stenosis
Atlas, S. J., Keller, R. B., Robson, D., Deyo, R. A., & Singer, D. E. (2000) · Spine · doi:10.1097/00007632-200003010-00005 · Cited by 413 · see citing works
Evaluating changes in health status: Reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders
Beaton, D. E., Hogg‐Johnson, S., & Bombardier, C. (1997) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00296-x · Cited by 406 · see citing works
Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment.
Jensen, M. P., Turner, J. A., & Romano, J. M. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.4.655 · Cited by 473 · see citing works
The Therapeutic Alliance Between Clinicians and Patients Predicts Outcome in Chronic Low Back Pain
Ferreira, P. H., Ferreira, M. L., Maher, C. G., Refshauge, K. M., Latimer, J., & Adams, R. D. (2012) · Physical Therapy · doi:10.2522/ptj.20120137 · Cited by 402 · see citing works
Exposure in vivo versus operant graded activity in chronic low back pain patients: results of a randomized controlled trial
Leeuw, M., Goossens, M. E. J. B., van Breukelen, G. J. P., de Jong, J. R., Heuts, P. H. T. G., Smeets, R. J. E. M., Köke, A. J. A., & Vlaeyen, J. W. S. (2008) · Pain · doi:10.1016/j.pain.2007.12.009 · Cited by 393 · see citing works
Exercise for chronic musculoskeletal pain: a biopsychosocial approach
Booth, J., Moseley, G. L., Schiltenwolf, M., Cashin, A., Davies, M., & Hübscher, M. (2017) · Musculoskeletal Care · doi:10.1002/msc.1191 · Cited by 381 · see citing works
“This information is garnered through the patient interview, self‐report questionnaires of function and disability (e.g. Roland Morris disability questionnaire (Roland & Morris, 1983), neck pain and disability scale (Wheeler, Goolkasian, Baird, & Darden, 1999)) and the physical tests undertaken.”
Method
The natural history and long-term follow-up of Scheuermann kyphosis.
Murray, P. M., Weinstein, S. L., & Spratt, K. F. (1993) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199302000-00011 · Cited by 394 · see citing works

Authors: ROLAND, M., & MORRIS, R.
Affiliations: St Thomas' Hospital (GB)
Corresponding author: ROLAND, MARTIN
ORCID: ROLAND, MARTIN
MORRIS, RICHARD
Venue: Spine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1983-03
Volume: 8
Issue: 2
Pages: 141-144
ISSN: 0362-2436 (ISSN-L)
DOI: 10.1097/00007632-198303000-00004
OpenAlex: W2118516436
Cited by: 3,395
References: 0
Citations by year: 2026: 80 · 2025: 90 · 2024: 88 · 2023: 105 · 2022: 136 · 2021: 148 · 2020: 137 · 2019: 128 · 2018: 125 · 2017: 124 · 2016: 130 · 2015: 125 · 2014: 127 · 2013: 145 · 2012: 146
FWCI: 5.03
Type: journal article
Language: en
Open access: closed
Locations: Spine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords: back pain, natural history (disease), self-rated disability, questionnaire development, outcome measures, disability assessment, treatment trials
MeSH terms: Activities of Daily Living, Adolescent, Adult, Back Pain, Disability Evaluation, Humans, Middle Aged, Movement

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A Study of the Natural History of Back Pain: Part I

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