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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Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control
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“Comfortable velocity and the maximally attained velocity were only significantly related to the RDQ (Table 1).”
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Walsh, T. R., Weinstein, J. N., Spratt, K. F., Lehmann, T. R., Aprill, C. N., & Sayre, H. (1990) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199072070-00019 · Cited by 383
Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature
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“The scores generally show great variability ranging 1–32/50 (Oswestry) and 3.2–17/24 (Roland–Morris).”
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The disability rating index: An instrument for the assessment of disability in clinical settings
Salen, B. A., Nygren, E. V. S. L., & Nordemar, R. (1994) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(94)90086-8 · Cited by 382
The Role of Activity in the Therapeutic Management of Back Pain
Abenhaim, L., Rossignol, M., Valat, J., Nordin, M. C., Avouac, B. P., Blotman, F., Charlot, J., Dreiser, R.-L., Legrand, É., Rozenberg, S., et al. (2000) · Spine · doi:10.1097/00007632-200002151-00001 · Cited by 376
Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences
Moffett, J. K., Torgerson, D. J., Bell-Syer, S. E., Jackson, D., Llewlyn-Phillips, H., Farrin, A. J., & Barber, J. (1999) · BMJ · doi:10.1136/bmj.319.7205.279 · Cited by 379
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Relative responsiveness of condition-specific and generic health status measures in degenerative lumbar spinal stenosis
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Delayed Trunk Muscle Reflex Responses Increase the Risk of Low Back Injuries
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“Am J Epidemiol 2006;163:754–761 Downloaded from https://academic.oup.com/aje/article-abstract/163/8/754/104662 by guest on 30 July 2018 The time course of disability for subjects in each cluster was examined in a comparable way by using RMDQ scores.”
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Treatment of Traumatic Thoracolumbar Spine Fractures: A Multicenter Prospective Randomized Study of Operative Versus Nonsurgical Treatment
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“As a measure of observed disability, significant others were asked to complete the Roland Scale (Roland and Morris 1983).”
Method
Understanding the Relevance of Measured Change Through Studies of Responsiveness
Beaton, D. E. (2000) · Spine · doi:10.1097/00007632-200012150-00015 · Cited by 344
“Roland observed a median change of 7 points in patients receiving care for low back pain.(56) What should be expected when patients say they are better? On average, the change score in groups of patients whose conditions were deemed to have improved Table 2.”
Background
Lumbar Interbody Fusion Using the Brantigan I/F Cage for Posterior Lumbar Interbody Fusion and the Variable Pedicle Screw Placement System
Brantigan, J. W., Steffee, A. D., Lewis, M. L., Quinn, L., & Persenaire, J. M. (2000) · Spine · doi:10.1097/00007632-200006010-00017 · Cited by 346
The Maine Lumbar Spine Study, Part II
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Pain self-efficacy beliefs and pain behaviour. A prospective study
Asghari, A., & Nicholas, M. K. (2001) · Pain · doi:10.1016/s0304-3959(01)00344-x · Cited by 337
“A precedent for this can be seen in Jensen et al. (1992), p. 157 when they used the same items (less the constancy one) that Roland and Morris (1983) had extracted from the SIP, but left in the original attribution to ‘health’ rather than ‘back’ with their heterogeneous pain patient sample.”
Influential
Statistical assessment of ordinal outcomes in comparative studies
Scott, S. C., Goldberg, M. S., & Mayo, N. E. (1997) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00312-5 · Cited by 336
Radiofrequency Facet Joint Denervation in the Treatment of Low Back Pain
Leclaire, R., Fortin, L., Lambert, R., Bergeron, Y. M., & Rossignol, M. (2001) · Spine · doi:10.1097/00007632-200107010-00003 · Cited by 338
Collaborative Care for Chronic Pain in Primary Care: A Cluster Randomized Trial
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“Any orthopedics or neurosurgery appointment 28 (13) 30 (16) .”
Background
A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back Pain
Andersson, G. B. J., Lucente, T., Davis, A. M., Kappler, R. E., Lipton, J. A., & Leurgans, S. (1999) · New England Journal of Medicine · doi:10.1056/nejm199911043411903 · Cited by 332
1999 Volvo Award Winner in Clinical Studies
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The Relation Between Pain-Related Fear and Disability: A Meta-Analysis
Zale, E. L., Lange, K. L., Fields, S. A., & Ditre, J. W. (2013) · Journal of Pain · doi:10.1016/j.jpain.2013.05.005 · Cited by 357
Association of the Japanese Orthopaedic Association Score With the Oswestry Disability Index, Roland-Morris Disability Questionnaire, and Short-Form 36
Fujiwara, A., Kobayashi, N., Saiki, K., Kitagawa, T., Tamai, K., & Saotome, K. (2003) · Spine · doi:10.1097/01.brs.0000077510.95462.39 · Cited by 327
“The Japanese version of the ODI and RMDQ showed psychometric properties of reliability tests similar to those presented in the original reports.(31,37,38) As expected, significant correlation was found between the eight subscales of the SF-36, especially physical function, and the ODI and RMDQ summary score in this ob…”
Method
Quality of life issues in women with vertebral fractures due to osteoporosis
Cook, D. J., Guyatt, G. H., Adachi, J. D., Clifton, J. C., Griffith, L. E., Epstein, R. S., & Juneper, E. F. (1993) · Arthritis & Rheumatism · doi:10.1002/art.1780360603 · Cited by 322
Distinctiveness of psychological obstacles to recovery in low back pain patients in primary care
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“2 Low back pain information—The Roland and Morris Disability Questionnaire (RMDQ) [57] was used to measure self-reported disability from low back pain and asks patients to think of themselves “today”.”
Do Attitudes and Beliefs Influence Work Loss Due to Low Back Trouble?
Symonds, T. L., Burton, K. A., Tillotson, K. M., & Main, C. J. (1996) · Occupational Medicine · doi:10.1093/occmed/46.1.25 · Cited by 324
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Meyer, K., Sprott, H., & Mannion, A. F. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.12.004 · Cited by 319
“The latter, 24-item questionnaire (35) was cross-culturally adapted from the original version (36) with a slight modification, to include yes/no categories for each item (rather than just “tick if applicable” in the original English version).”
Method
The Maine Lumbar Spine Study, Part III
Atlas, S. J., Deyo, R. A., Keller, R. B., Chapin, A. M., Patrick, D. L., Long, J. M., & Singer, D. E. (1996) · Spine · doi:10.1097/00007632-199608010-00012 · Cited by 321
Self-efficacy is more important than fear of movement in mediating the relationship between pain and disability in chronic low back pain
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HEALTH STATUS ASSESSMENT METHODS FOR ADULTS: Past Accomplishments and Future Challenges
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Three-Year Incidence of Low Back Pain in an Initially Asymptomatic Cohort
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Predicting Poor Outcomes for Back Pain Seen in Primary Care Using Patientsʼ Own Criteria
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Biomechanical and psychosocial risk factors for low back pain at work
Kerr, M. S., Frank, J. W., Shannon, H. S., Norman, R. W., Wells, R. P., Neumann, P., & Bombardier, C. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.7.1069 · Cited by 296
The Longitudinal Assessment of Imaging and Disability of the Back (LAIDBack) Study
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One-and Two-Item Measures of Pain Beliefs and Coping Strategies
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Individual patient education for low back pain
Engers, A. J., Jellema, P., Wensing, M., van der Windt, D., Grol, R. P. T. M., & van Tulder, M. W. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004057.pub3 · Cited by 317
Acute Low Back Pain and Radiculopathy: MR Imaging Findings and Their Prognostic Role and Effect on Outcome
Modic, M. T., Obuchowski, N. A., Ross, J. S., Brant-Zawadzki, M. N., Grooff, P. N., Mazanec, D. J., & Benzel, E. C. (2005) · Radiology · doi:10.1148/radiol.2372041509 · Cited by 297
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Radiography of the lumbar spine in primary care patients with low back pain: randomised controlled trial
Kendrick, D., Fielding, K., Bentley, E., Kerslake, R., Miller, P., & Pringle, M. (2001) · BMJ · doi:10.1136/bmj.322.7283.400 · Cited by 285
The Enduring Impact of What Clinicians Say to People With Low Back Pain
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Mindfulness-based stress reduction and cognitive behavioral therapy for chronic low back pain: Similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial
Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., & Cherkin, D. C. (2016) · Pain · doi:10.1097/j.pain.0000000000000635 · Cited by 281
Roland-Morris disability questionnaire and Oswestry Disability Index: which has better measurement properties for measuring physical functioning in nonspecific low back pain? Systematic review and meta-analysis
Chiarotto, A., Maxwell, L. J., Terwee, C. B., Wells, G. A., Tugwell, P., & Ostelo, R. W. (2016) · Physical Therapy · doi:10.2522/ptj.20150420 · Cited by 290
Low Back Pain Rating scale: validation of a tool for assessment of low back pain
Manniche, C., Asmussen, K. H., Lauritsen, B., Vinterberg, H., Kreiner, S., & Jordan, A. (1994) · Pain · doi:10.1016/0304-3959(94)90007-8 · Cited by 286
“…other back researchers have used fully or partially in their assessment systems (Fairbank et al. 1980; Miilion et al. 1982; Waddell et al. 1982; Roland and Morris 1983a,b; Lehman et al. 1983; Waddell and Main 1984a; Evans and Kagan 1986; Lawlis et al. 1989; Greenough and Fraser 1992), for…”
Background
Effect of Stratified Care for Low Back Pain in Family Practice (IMPaCT Back): A Prospective Population-Based Sequential Comparison
Foster, N. E., Mullis, R., Hill, J. C., Lewis, M., Whitehurst, D. G. T., Doyle, C., Konstantinou, K., Main, C. J., Somerville, S., Sowden, G., et al. (2014) · The Annals of Family Medicine · doi:10.1370/afm.1625 · Cited by 290
Correlation Between Pain, Disability, and Quality of Life in Patients With Common Low Back Pain
Kovacs, F. M., Abraira, V., Zamora, J., del Real, M. T. G., Llobera, J., & Fernández, C. (2004) · Spine · doi:10.1097/01.brs.0000107235.47465.08 · Cited by 279
“The study was done in the primary care setting, in Mallorca, with 195 patients who visited their physician for LBP. Individuals were given the VAS, RMQ, OQ, and EQ on their first visit and 14 days later.”
BackgroundInfluential
Responsiveness of Pain, Disability, and Physical Impairment Outcomes in Patients With Low Back Pain
Pengel, L. H. M., Refshauge, K. M., & Maher, C. G. (2004) · Spine · doi:10.1097/00007632-200404150-00011 · Cited by 282
Fat Content of Lumbar Paraspinal Muscles in Patients with Chronic Low Back Pain and in Asymptomatic Volunteers: Quantification with MR Spectroscopy
Mengiardi, B., Schmid, M. R., Boos, N., Pfirrmann, C. W. A., Brunner, F., Elfering, A., & Hodler, J. (2006) · Radiology · doi:10.1148/radiol.2403050820 · Cited by 282
Osteopathic Manipulative Treatment for Chronic Low Back Pain
Licciardone, J. C., Stoll, S. T., Fulda, K. G., Russo, D. P., Siu, J., Winn, W. B., & Swift, J. N. (2003) · Spine · doi:10.1097/01.brs.0000067110.61471.7d · Cited by 281
“Functional status and disability resulting from back pain were measured with the Roland–Morris Disability Questionnaire.14 This questionnaire is short and simple to complete, and appears to be well suited for studies involving patients with mild to moderate disability.15 Empirical research suggests that the Roland–Mor…”
MethodInfluential
Disability in depression and back pain
Chwastiak, L. A., & Von Korff, M. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(03)00051-9 · Cited by 280
Transforaminal Lumbar Interbody Fusion
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“Clinical outcomes were assessed bymeans of the Six-Item Core Set Outcome Questionnaire,26 the Patient Satisfaction Index (PSI) modified from the North American Spine Society’s Lumbar Spine Outcome Instrument,27,28 a Visual Analog Scale (VAS) for pain,29–31 and the Roland and Morris Disability Questionnaire.32,33 Patie…”
Method
Treatment Expectancy and Credibility Are Associated With the Outcome of Both Physical and Cognitive-behavioral Treatment in Chronic Low Back Pain
Smeets, R. J. E. M., Beelen, S., Goossens, M. E. J. B., Schouten, E. G. W., Knottnerus, J. A., & Vlaeyen, J. W. S. (2008) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e318164aa75 · Cited by 280
Illness perceptions of low back pain patients in primary care: What are they, do they change and are they associated with outcome?
Foster, N. E., Bishop, A., Thomas, E., Main, C. J., Horne, R., Weinman, J. A., & Hay, E. M. (2008) · Pain · doi:10.1016/j.pain.2007.12.007 · Cited by 276
“The Roland and Morris Disability Questionnaire (RMDQ) [40] was used to measure self-reported disability from low back pain and asks patients to think of themselves ‘‘today”.”
Method
CROSS-CULTURAL ADAPTATION OF THE NORWEGIAN VERSIONS OF THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE AND THE OSWESTRY DISABILITY INDEX
Grotle, M., Brox, J. I., & llestad, N. K. V. X. F. (2003) · Journal of Rehabilitation Medicine · doi:10.1080/16501970306094 · Cited by 274
Hip Strategy for Balance Control in Quiet Standing Is Reduced in People With Low Back Pain
Mok, N. W., Brauer, S., & Hodges, P. W. (2004) · Spine · doi:10.1097/01.brs.0000115134.97854.c9 · Cited by 271
“The study participants with LBP completed an additional questionnaire related to their back pain history, and severity of LBP was measured using a Visual Analog Scale and the Roland Morris Disability Questionnaire.(27,28) The characteristics of study participants are listed in Table 1.”
Method
Development of a German version of the Oswestry Disability Index. Part 1: cross-cultural adaptation, reliability, and validity
Mannion, A. F., Junge, A., Fairbank, J. C. T., Dvořák, J., & Grob, D. (2005) · European Spine Journal · doi:10.1007/s00586-004-0815-0 · Cited by 271
“The RM enquires as to whether back pain hinders the performance of 24 activities of daily living (today), with possible responses of ‘‘yes’’ and ‘‘no’’ [35]; the score for the RM ranges from 0 to 24 points.”
Background
Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial
Nielsen, P. R., Jørgensen, L. D., Dahl, B., Pedersen, T., & Tønnesen, H. (2010) · Clinical Rehabilitation · doi:10.1177/0269215509347432 · Cited by 275
Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability: A Randomized Controlled Trial
Rydeard, R., Leger, A. B., & Smith, D. H. (2006) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2006.2144 · Cited by 268
Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit
Wood, K. B., Buttermann, G. R., Phukan, R. D., Harrod, C. C., Mehbod, A. A., Shannon, B., Bono, C. M., & Harris, M. B. (2015) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.n.00226 · Cited by 265
A review of the evidence linking adult attachment theory and chronic pain: Presenting a conceptual model
Meredith, P. J., Ownsworth, T., & Strong, J. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.07.009 · Cited by 278
Active Therapy for Chronic Low Back Pain
Mannion, A. F., Junge, A., TAIMELA, S. P., Müntener, M., Käser, L., & Dvořák, J. (2001) · Spine · doi:10.1097/00007632-200104150-00015 · Cited by 267
A minimal clinically important difference was derived for the Roland-Morris Disability Questionnaire for low back pain
Jordan, K. P., Dunn, K. M., Lewis, M., & Croft, P. R. (2005) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2005.03.018 · Cited by 268
Assessing Change Over Time in Patients With Low Back Pain
Stratford, P. W., Binkley, J. M., Solomon, P. E., Gill, C., & Finch, E. (1994) · Physical Therapy · doi:10.1093/ptj/74.6.528 · Cited by 268
“If the response was either better or worse, the respondent indicated which of the following terms best described the change: (1) tiny bit, almost the same; (2) a little bit; (3) somewhat; (4) moderately; ( 5 ) quite a bit; (6) a great deal; and (7) a very great deal.”
Background
Back Pain Exacerbations and Lost Productive Time Costs in United States Workers
Ricci, J. A., Stewart, W. F., Chee, E. M., Leotta, C., Foley, K. A., & Hochberg, M. C. (2006) · Spine · doi:10.1097/01.brs.0000249521.61813.aa · Cited by 265
A Mind-Body Program for Older Adults With Chronic Low Back Pain: A Randomized Clinical Trial
Morone, N. E., Greco, C. M., Moore, C. G., Rollman, B. L., Lane, B., Morrow, L. A., Glynn, N. W., & Weiner, D. K. (2016) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.8033 · Cited by 258
Validation of the Spanish Version of the Roland-Morris Questionnaire
Kovacs, F. M., Llobera, J., del Real, M. T. G., Abraira, V., Gestoso, M., & Fernández, C. (2002) · Spine · doi:10.1097/00007632-200203010-00016 · Cited by 265
The impact of chronic low back pain on older adults: A comparative study of patients and controls
Rudy, T. E., Weiner, D. K., Lieber, S. J., Slaboda, J. C., & Boston, R. J. (2007) · Pain · doi:10.1016/j.pain.2007.01.012 · Cited by 264
“…community dwelling older adults (age 65–84) with CLBP, defined as pain of at least moderate intensity (measured with the pain thermometer, Roland and Morris, 1983), every day or almost every day, for at least the past 3 months (mean pain duration = 14.2 years, n = 162), or they were…”
BackgroundInfluential
Nonspecific Low Back Pain
Chiarotto, A., & Koes, B. W. (2022) · New England Journal of Medicine · doi:10.1056/nejmcp2032396 · Cited by 298
A 2-item short form of the pain self-efficacy questionnaire: development and psychometric evaluation of PSEQ-2
Nicholas, M. K., McGuire, B. E., & Asghari, A. (2015) · The Journal of Pain · doi:10.1016/j.jpain.2014.11.002 · Cited by 241
Measures of function in low back pain/disorders: Low Back Pain Rating Scale (LBPRS), Oswestry Disability Index (ODI), Progressive Isoinertial Lifting Evaluation (PILE), Quebec Back Pain Disability Scale (QBPDS), and Roland‐Morris Disability Questionnaire (RDQ)
Smeets, R., Köke, A. J. A., Lin, C. C., Ferreira, M. L., & Demoulin, C. (2011) · Arthritis Care & Research · doi:10.1002/acr.20542 · Cited by 283
The relationship of attachment style to depression, catastrophizing and health care utilization in patients with chronic pain
Ciechanowski, P., Sullivan, M., Jensen, M., Romano, J., & Summers, H. (2003) · Pain · doi:10.1016/s0304-3959(03)00120-9 · Cited by 260
Kinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial
Castro‐Sánchez, A. M., Lara‐Palomo, I. C., Matarán-Peñarrocha, G. A., Fernández-Sánchez, M., Sánchez‐Labraca, N., & Arroyo‐Morales, M. (2012) · Journal of physiotherapy · doi:10.1016/s1836-9553(12)70088-7 · Cited by 260
“It is scored on a 24-point scale, where 0 represents no disability and 24 represents severe disability (Roland and Morris 1983).”
Background
Surgical and Nonsurgical Management of Sciatica Secondary to a Lumbar Disc Herniation
Atlas, S. J., Keller, R. B., Chang, Y., Deyo, R. A., & Singer, D. E. (2001) · Spine · doi:10.1097/00007632-200105150-00017 · Cited by 257
Best evidence in multimodal pain management in spine surgery and means of assessing postoperative pain and functional outcomes
Devin, C. J., & McGirt, M. J. (2015) · Journal of Clinical Neuroscience · doi:10.1016/j.jocn.2015.01.003 · Cited by 261
“The Roland–Morris disability questionnaire is a health status measure designed to be completed by patients to assess physical disability due to low back pain [68].”
Background
What is your research question? An introduction to the PICOT format for clinicians.
(2012) · Europe PMC (PubMed Central) · Cited by 295
Self‐efficacy mediates the relation between pain‐related fear and outcome in chronic low back pain patients
Woby, S. R., Urmston, M., & Watson, P. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2006.10.009 · Cited by 258
“The Catastrophizing subscale of the Coping Strategies Questionnaire (CSQ; Rosenstiel and Keefe, 1983) requires patients to rate the frequency with which they engage in catastrophic thoughts about their pain.”
BackgroundMethod
A randomized trial of a lay person-led self-management group intervention for back pain patients in primary care.
Von Korff, M., Moore, J. E., Lorig, K., Cherkin, D. C., Saunders, K., González, V. M., Laurent, D., Rutter, C., & Comite, F. (1998) · Spine · doi:10.1097/00007632-199812010-00016 · Cited by 257
Reframing chronic pain as a disease, not a symptom: rationale and implications for pain management
Clauw, D. J., Essex, M. N., Pitman, V. W., & Jones, K. D. (2019) · Postgraduate Medicine · doi:10.1080/00325481.2019.1574403 · Cited by 300
A randomized trial of a cognitive-behavioral program for enhancing back pain self care in a primary care setting.
Moore, J. E., Von Korff, M., Cherkin, D., Saunders, K., & Lorig, K. (2000) · Pain · doi:10.1016/s0304-3959(00)00314-6 · Cited by 252
“Rather, recurrent and chronic back pain are common (Roland and Morris, 1983; Von Korff et al., 1993; Carey et al., 1995, 1999; Cherkin et al., 1996; Von Korff and Saunders, 1996).”
BackgroundMethod
Low Back Pain
Deyo, R. A., & Phillips, W. R. (1996) · Spine · doi:10.1097/00007632-199612150-00003 · Cited by 250
Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing
Mientjes, M., & Frank, J. S. (1999) · Clinical Biomechanics · doi:10.1016/s0268-0033(99)00025-x · Cited by 250
Recent Developments and Future Issues in the Use of Health Status Assessment Measures in Clinical Settings
Greenfield, S., & Nelson, E. C. (1992) · Medical Care · doi:10.1097/00005650-199205001-00003 · Cited by 250
A Descriptive Study of the Centralization Phenomenon
Werneke, M. W., Hart, D. L., & Cook, D. (1999) · Spine · doi:10.1097/00007632-199904010-00012 · Cited by 247
Sickness impact profile: The state of the art of a generic functional status measure
de Bruin, A. F., de Witte, L., Stevens, F. C. J., & Diederiks, J. P. M. (1992) · Social Science & Medicine · doi:10.1016/0277-9536(92)90240-q · Cited by 242
Outcome assessment in low back pain: how low can you go?
Mannion, A. F., Elfering, A., Staerkle, R. F., Junge, A., Grob, D., Semmer, N. K., Jacobshagen, N., Dvořák, J., & Boos, N. (2005) · European Spine Journal · doi:10.1007/s00586-005-0911-9 · Cited by 245
“– Sociodemographic variables (education, family status, living conditions, work status) – Pain intensity (Likert scales for: back-related problem today, at worst, at best [18]) – Pain-related disability in everyday activities (Roland and Morris disability questionnaire [31]; German version [19] – Psychological general…”
BackgroundInfluential
The Bournemouth Questionnaire: A short-form comprehensive outcome measure. II. Psychometric properties in neck pain patients
Bolton, J. E., & Humphreys, B. K. (2002) · Journal of Manipulative and Physiological Therapeutics · doi:10.1067/mmt.2002.123333 · Cited by 245
Acute low back pain: pain-related fear and pain catastrophizing influence physical performance and perceived disability
Swinkels-Meewisse, I., Roelofs, J., Oostendorp, R. A. B., Verbeek, A. L. M., & Vlaeyen, J. W. S. (2005) · Pain · doi:10.1016/j.pain.2005.10.005 · Cited by 252
“A Dutch version of the Roland Disability Questionnaire (RDQ; Beurskens et al., 1996; Roland and Morris, 1983) was used to measure the functional status in LBP.”
BackgroundMethod
Barriers to the Use of Health Status Measures in Clinical Investigation, Patient Care, and Policy Research
Deyo, R. A., & Patrick, D. L. (1989) · Medical Care · doi:10.1097/00005650-198903001-00020 · Cited by 238
The Role of Anticipation and Fear of Pain in the Persistence of Avoidance Behavior in Patients With Chronic Low Back Pain
Al‐Obaidi, S., Nelson, R. M., Al-Awadhi, S., & Al-Shuwaie, N. (2000) · Spine · doi:10.1097/00007632-200005010-00014 · Cited by 243
The Quebec Back Pain Disability Scale: Conceptualization and development
Kopec, J. A., Esdaile, J. M., Abrahamowicz, M., Abenhaim, L., Wood-Dauphinee, S., Lamping, D. L., & Williams, J. I. (1996) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(96)00526-4 · Cited by 242
Efficacy and safety of tanezumab in the treatment of chronic low back pain
Katz, N. P., BORENSTEIN, D. G., Birbara, C. A., Bramson, C., Nemeth, M. A., Smith, M. D., & Brown, M. (2011) · Pain · doi:10.1016/j.pain.2011.05.003 · Cited by 242
“measure of function and performance of daily activities in patients with LBP, is a series of 24 yes/no questions scored as the sum of ‘‘yes’’ responses (lower score indicates better function) [21].”
Background
Are changes in fear‐avoidance beliefs, catastrophizing, and appraisals of control, predictive of changes in chronic low back pain and disability?
Woby, S. R., Watson, P., Roach, N. K., & Urmston, M. (2003) · European Journal of Pain · doi:10.1016/j.ejpain.2003.08.002 · Cited by 250
Fear of Movement/(Re)injury in Chronic Low Back Pain
de Jong, J. R., Vlaeyen, J. W. S., Onghena, P., Goossens, M. E. J. B., Geilen, M., & Mulder, H. (2004) · Clinical Journal of Pain · doi:10.1097/00002508-200501000-00002 · Cited by 248

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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