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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Method
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Background
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BackgroundInfluential
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“Roland Morris Disability Questionnaire (RMDQ) [31].”
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BackgroundInfluential
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Percutaneous Vertebroplasty
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Method
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“…Series of Daily Activities (PHODA1; Kugler, Wijn, Geilen, de Jong, & Vlaeyen, 1999), disability using the Roland Disability Questionnaire (RDQ; Roland & Morris, 1983), pain severity using the McGill Pain Questionnaire–Short Form (MPQ-SF; Melzack, 1987), fear of pain using both the Fear…”
Method
Psychological Processes Underlying the Development of a Chronic Pain Problem
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“67) to the Roland and Morris Disability Scale (RM-18).(26,27)”
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Sexual Difficulties of Chronic Pain Patients
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The development of an integrated treatment for veterans with comorbid chronic pain and posttraumatic stress disorder
Otis, J. D., Keane, T. M., Kerns, R. D., Monson, C., & Scioli, E. (2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00715.x · Cited by 178
Are Older Adults with Chronic Musculoskeletal Pain Less Active than Older Adults Without Pain? A Systematic Review and Meta-Analysis
Stubbs, B., Binnekade, T. T., Soundy, A., Schofield, P., Huijnen, I. P. J., & Eggermont, L. H. P. (2013) · Pain Medicine · doi:10.1111/pme.12154 · Cited by 184
Predicting long-term functional limitations among back pain patients in primary care settings
Dionne, C. E., Koepsell, T. D., Korff, M. V., Deyo, R. A., Barlow, W. E., & Checkoway, H. (1997) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00313-7 · Cited by 176
Patient Expectations as Predictors of Outcome In Patients with Acute Low Back Pain
Myers, S. S., Phillips, R. S., Davis, R. B., Cherkin, D. C., Legedza, A., Kaptchuk, T. J., Hrbek, A. L., Buring, J. E., Post, D. E., Connelly, M. T., et al. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0460-5 · Cited by 177
Effectiveness of Mat Pilates or Equipment-Based Pilates Exercises in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial
da Luz, M. A., Costa, L. O. P., Fuhro, F. F., Manzoni, A. C. T., de Oliveira, N. T. B., & Cabral, C. M. N. (2014) · Physical Therapy · doi:10.2522/ptj.20130277 · Cited by 192
Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain
Gür, A., Karakoç, M., Çevik, R., Nas, K., Saraç, A. J., & Karakoç, M. (2003) · Lasers in Surgery and Medicine · doi:10.1002/lsm.10134 · Cited by 179
“Roland Disability Questionnaire (RDQ) and Modified Oswestry Disability Questionnaire (MODQ) were used in the functional evaluation.”
MethodInfluential
Measuring Perceived Harmfulness of Physical Activities in Patients With Chronic Low Back Pain: The Photograph Series of Daily Activities—Short Electronic Version
Leeuw, M., Goossens, M. E. J. B., van Breukelen, G., Boersma, K., & Vlaeyen, J. W. S. (2007) · Journal of Pain · doi:10.1016/j.jpain.2007.05.013 · Cited by 181
The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial
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Pain beliefs and perceived physical disability of patients with chronic low back pain
Walsh, D. A., & Radcliffe, J. C. (2002) · Pain · doi:10.1016/s0304-3959(01)00426-2 · Cited by 177
“Disability The Roland and Morris Disability Questionnaire (RMDQ) is widely used as a measure of disability of patients with low back pain (Roland and Morris, 1983).”
Medication Use for Low Back Pain in Primary Care
Cherkin, D. C., Wheeler, K. J., Barlow, W. E., & Deyo, R. A. (1998) · Spine · doi:10.1097/00007632-199803010-00015 · Cited by 173
Fusion and nonsurgical treatment for symptomatic lumbar degenerative disease: a systematic review of Oswestry Disability Index and MOS Short Form-36 outcomes
Carreon, L. Y., Glassman, S. D., & Howard, J. M. (2007) · The Spine Journal · doi:10.1016/j.spinee.2007.06.013 · Cited by 175
Effectiveness of massage therapy for subacute low-back pain: a randomized controlled trial.
Preyde, M. (2000) · PubMed · Cited by 173
Trajectories and predictors of the long-term course of low back pain: cohort study with 5-year follow-up
Chen, Y., Campbell, P., Strauss, V. Y., Foster, N. E., Jordan, K. P., & Dunn, K. M. (2018) · Pain · doi:10.1097/j.pain.0000000000001097 · Cited by 168
“Physical disability associated with back pain wasmeasured using the Roland–Morris Disability Questionnaire (24 items, score range 0-24).(36) Pain duration was measured as time since the last painfree month,(13) and the presence of leg pain and distal leg pain was reported for the previous 2 weeks.”
Method
Low levels of physical activity in back pain patients are associated with high levels of fear‐avoidance beliefs and pain catastrophizing
Elfving, B., Andersson, T., & Grooten, W. J. A. (2007) · Physiotherapy Research International · doi:10.1002/pri.355 · Cited by 175
Effects of Recreational Physical Activity and Back Exercises on Low Back Pain and Psychological Distress: Findings From the UCLA Low Back Pain Study
Hurwitz, E. L., Morgenstern, H., & Chiao, C. (2005) · American Journal of Public Health · doi:10.2105/ajph.2004.052993 · Cited by 171
Validation of the Turkish Version of the Roland-Morris Disability Questionnaire for Use in Low Back Pain
Küçükdeveci, A. A., Tennant, A., Elhan, A. H., & Niyazoglu, H. (2001) · Spine · doi:10.1097/00007632-200112150-00024 · Cited by 170
“Significant increases in RMDQ scores were found for increasing levels of pain as defined by the Likert pain scale, again similar to that found in the original validity study for the RMDQ.20 The adapted version showed adequate responsiveness.”
Influential
The association between pain and disability
Turner, J. A., Franklin, G. M., Heagerty, P. J., Wu, R., Egan, K., Fulton‐Kehoe, D., Gluck, J. V., & Wickizer, T. M. (2004) · Pain · doi:10.1016/j.pain.2004.09.010 · Cited by 172
“…to clinical change have been demonstrated for both the RDQ (Beurskens et al., 1996; Deyo, 1986; Jensen et al., 1992; Roland and Fairbank, 2000; Roland and Morris, 1983; Turner et al., 2003; Underwood et al., 1999) and the CTSAQ FS (Amadio et al., 1996; Gay et al., 2003; Katz et al., 1996;…”
BackgroundMethodInfluential
A proposed set of metrics for standardized outcome reporting in the management of low back pain
Clement, R. C., Welander, A., Stowell, C. J., Cha, T. D., Chen, J. L., Davies, M., Fairbank, J. C. T., Foley, K. T., Gehrchen, M., Hägg, O., et al. (2015) · Acta Orthopaedica · doi:10.3109/17453674.2015.1036696 · Cited by 172
A Controlled Study of Diffuse Idiopathic Skeletal Hyperostosis Clinical Features and Functional Status
Mata, S., Fortin, P. R., Fitzcharles, M., Starr, M. R., Joseph, L., Watts, C. S., Gore, B., Rosenberg, E., Chhem, R. K., & Esdaile, J. M. (1997) · Medicine · doi:10.1097/00005792-199703000-00003 · Cited by 170
Secondary Prevention of Work-Related Disability in Nonspecific Low Back Pain: Does Problem-Solving Therapy Help? A Randomized Clinical Trial
van den Hout, J. H. C., Vlaeyen, J. W. S., Heuts, P. H. T. G., Zijlema, J. H. L., & Wijnen, J. A. (2003) · Clinical Journal of Pain · doi:10.1097/00002508-200303000-00003 · Cited by 171
“3), and 31% of the patients had a score higher than 15, suggesting that they were moderately to highly disabled.(34,38) Overall, 50.”
Background
Sex Differences in Pain and Pain‐Related Disability among Primary Care Patients with Chronic Musculoskeletal Pain
Stubbs, D., Krebs, E., Bair, M., Damush, T., Wu, J., Sutherland, J., & Kroenke, K. (2010) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00760.x · Cited by 170
Functional status and disability questionnaires: what do they assess? A systematic review of back-specific outcome questionnaires.
Grotle, M., Brox, J. I., & Vøllestad, N. K. (2005) · PubMed · Cited by 170

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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