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

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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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“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…”
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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.
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MethodInfluential
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MethodInfluential
Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment
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“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
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Beyond pain
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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
“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
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
“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
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
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
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 442
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
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 431
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
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
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
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 425
“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
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
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 416
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
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
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
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
“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
Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning
Jensen, M. P., Turner, J. A., & Romano, J. M. (2007) · Pain · doi:10.1016/j.pain.2006.12.007 · Cited by 393
“The 24-item Roland–Morris Disability Questionnaire (RMDQ; Roland and Morris, 1983) was used to assess physical disability.”
Method

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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Obstetrics and Gynecology › 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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