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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“Paracetamol 23 (21.1) 32 (29.4) 22 (20.8) 77 (23.8) NSAID 86 (78.9) 77 (70.6) 84 (79.2) 247 (76.2) Duration of chronic LBP (years) Mean (SD) 11.5 (12.1) 11.9 (12.1) 11.2 (9.9) 11.5 (11.4) Range v1 – 53 v1 – 55 v1 – 40 v1 – 55 LBP intensity scale (100 mm VAS) Mean (SD) 75.2 (14.9) 76.6 (14.7) 76.7 (14.3) 76.2 (14.6) RM…”
MethodInfluential
Comparison of 3 Physical Therapy Modalities For Acute Pain in Lumbar Disc Herniation Measured by Clinical Evaluation and Magnetic Resonance Imaging
Ünlü, Z., Tascı, S., Tarhan, S., Pabuşçu, Y., & Işlak, S. (2008) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2008.02.001 · Cited by 97
The Relationship Between Lumbar Spine Kinematics during Gait and Low-Back Pain in Transfemoral Amputees
Morgenroth, D. C., Orendurff, M. S., Shakir, A., et al. (2010) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e3181e71d90 · Cited by 98
Treating acute low back pain with continuous low-level heat wrap therapy and/or exercise: a randomized controlled trial
Mayer, J. M., Ralph, L., Look, M., Erasala, G. N., Verna, J. L., Matheson, L. N., & Mooney, V. (2005) · The Spine Journal · doi:10.1016/j.spinee.2005.03.009 · Cited by 97
“Then, qualified volunteers completed the study’s baseline assessments, which included the MTAP two times (time 1—based on current functional levels (baseline test); time 2—based on functional levels before the onset of low back pain or injury (pre-injury test), the Roland Morris Disability Questionnaire (RMDQ) [ 11 ],…”
Method
Neuromuscular Function in Athletes Following Recovery From a Recent Acute Low Back Injury
Cholewicki, J., Greene, H. S., Polzhofer, G. K., Galloway, M. T., Shah, R. A., & Radebold, A. (2002) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2002.32.11.568 · Cited by 97
Randomised study of long term outcome after epidural versus non-epidural analgesia during labour
Howell, C., Dean, T., Lucking, L., Dziedzic, K., Jones, P. W., & Johanson, R. B. (2002) · BMJ · doi:10.1136/bmj.325.7360.357 · Cited by 96
Repair of a Pseudarthrosis of the Lumbar Spine. A Functional Outcome Study*†
CARPENTER, M. C. T., DIETZ, M. J. W., LEUNG, K. Y. K., et al. (1996) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199605000-00011 · Cited by 98
Pharmacological treatments for low back pain in adults: an overview of Cochrane Reviews
Cashin, A. G., Wand, B. M., O'Connell, N. E., Lee, H., Rizzo, R. R. N., Bagg, M. K., O’Hagan, E. T., Maher, C. G., Furlan, A. D., van Tulder, M. W., et al. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013815.pub2 · Cited by 116
Predicting persistent disabling low back pain in general practice: a prospective cohort study.
Jones, G. T., Johnson, R. E., Wiles, N., Chaddock, C., Potter, R., Roberts, C., Symmons, D. P. M., & Macfarlane, G. J. (2006) · Europe PMC (PubMed Central) · Cited by 97
Religious Coping in the Nursing Home: A Biopsychosocial Model
Koenig, H., Weiner, D., Peterson, B., Meador, K., & Keefe, F. (1997) · International Journal of Psychiatry in Medicine · doi:10.2190/m2d6-5ydg-m1dd-a958 · Cited by 106
Clinical outcome assessment in clinical trials of chronic pain treatments
Patel, K. V., Amtmann, D., Jensen, M. P., Smith, S. M., Veasley, C., & Turk, D. C. (2021) · PAIN Reports · doi:10.1097/pr9.0000000000000784 · Cited by 100
Determinants of “return to work in good health” among workers with back pain who consult in primary care settings: a 2-year prospective study
Dionne, C. E., Bourbonnais, R., Frémont, P., Rossignol, M., Stock, S. R., Nouwen, A., Larocque, I., & Demers, E. (2006) · European Spine Journal · doi:10.1007/s00586-006-0180-2 · Cited by 95
“Back-related functional limitations were measured using the original 24-item Roland–Morris Disability Questionnaire, that assesses changes in function due to back pain as of ‘‘today’’ [ 63 ].”
Method
Stepped Care for Affective Disorders and Musculoskeletal Pain (SCAMP) study
Kroenke, K., Bair, M. J., Damush, T. M., Hoke, S., Nicholas, G., Kempf, C., Huffman, M. A., Wu, J., & Sutherland, J. M. (2007) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.08.005 · Cited by 96
Condition-specific Western Ontario McMaster Osteoarthritis Index was not superior to region-specific Lower Extremity Functional Scale at detecting change
Stratford, P. W., Kennedy, D. M., & Hanna, S. (2004) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2004.03.008 · Cited by 95
Managing Chronic Nonspecific Low Back Pain With a Sensorimotor Retraining Approach: Exploratory Multiple-Baseline Study of 3 Participants
Wand, B. M., O'Connell, N. E., Pietro, F. D., & Bulsara, M. K. (2011) · Physical Therapy · doi:10.2522/ptj.20100150 · Cited by 98
Systemic inflammatory profiles and their relationships with demographic, behavioural and clinical features in acute low back pain
Klyne, D. M., Barbe, M. F., & Hodges, P. W. (2016) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2016.10.003 · Cited by 99
Comparison of Trunk Muscle Function Between Women With and Without Diastasis Recti Abdominis at 1 Year Postpartum
Hills, N. F., Graham, R. B., & McLean, L. (2018) · Physical Therapy · doi:10.1093/ptj/pzy083 · Cited by 94
Lumbar range of motion in chronic low back pain is predicted by task‐specific, but not by general measures of pain‐related fear
Matheve, T., Baets, L. D., Bogaerts, K., & Timmermans, A. A. A. (2019) · European Journal of Pain · doi:10.1002/ejp.1384 · Cited by 93
“26 (47) 34 (62) 0.10 BMI (kg/m2) 24.2 (3.4) 23.2 (3.5) 0.13 LBP Questionnaires Duration LBP (years)a 5 (2–11) Pain 7 days (0–10) 4.6 (1.7) Current pain (0–10) 3.3 (2.0) RMDQ (0–24)a 7 (5–11) PCS (0–52) 15.9 (8.4) TSK‐total (17–68) 36.5 (6.9) TSK‐AA (8–32)a 16 (13–20) TSK‐SF (5–20) 10.0 (3.2) PHODA‐total (0–100) 41.0 (…”
MethodInfluential
Myofascial Trigger Points, Pain, Disability, and Sleep Quality in Patients with Chronic Nonspecific Low Back Pain
Iglesias-González, J. J., Muñoz-García, M. T., Rodrigues‐de‐Souza, D. P., Alburquerque‐Sendín, F., & Fernández‐de‐las‐Peñas, C. (2013) · Pain Medicine · doi:10.1111/pme.12224 · Cited by 93
Seeing It Helps
Wand, B. M., Tulloch, V. M., George, P. J., Smith, A. J., Goucke, R. C., O'Connell, N. E., & Moseley, G. L. (2012) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31823d480c · Cited by 96
“LBP-related disability was measured using the Roland Morris Disability Questionnaire.(23) Back pain intensity was measured using a VAS for average pain over the last week, anchored with 0=“no pain” and 100=“pain as bad as you can imagine.”
Method
Addition of Choice of Complementary Therapies to Usual Care for Acute Low Back Pain
Eisenberg, D. M., Post, D. E., Davis, R. B., Connelly, M. T., Legedza, A., Hrbek, A. L., Prosser, L. A., Buring, J. E., Inui, T. S., & Cherkin, D. C. (2007) · Spine · doi:10.1097/01.brs.0000252697.07214.65 · Cited by 96
Muscle activation during exercises to improve trunk stability in men with low back pain
Hubley‐Kozey, C. L., & Vezina, M. J. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.33063 · Cited by 93
The usability of six physical performance tasks in a rehabilitation population with chronic low back pain
Smeets, R., Hijdra, H. J., Kester, A. D. M., Hitters, M. W. M. G. C., & Knottnerus, J. A. (2006) · Clinical Rehabilitation · doi:10.1177/0269215506070698 · Cited by 94
Effect of a Self-Determination Theory–Based Communication Skills Training Program on Physiotherapists' Psychological Support for Their Patients With Chronic Low Back Pain: A Randomized Controlled Trial
Murray, A., Hall, A. M., Williams, G. C., McDonough, S., Ntoumanis, N., Taylor, I. M., Jackson, B., Matthews, J. J., Hurley, D. A., & Lonsdale, C. (2014) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2014.11.007 · Cited by 108
“The RMDQ is used widely in low back pain studies as a standardized measure of activity limitation and has demonstrated good validity, reliability, and responsiveness.(21) European Quality of Lifee5 Dimensions”
Method
Video-Game–Based Exercises for Older People With Chronic Low Back Pain: A Randomized Controlledtable Trial (GAMEBACK)
Zadro, J. R., Shirley, D., Simic, M., Mousavi, S. J., Ceprnja, D., Maka, K., Sung, J., & Ferreira, P. (2019) · Physical Therapy · doi:10.1093/ptj/pzy112 · Cited by 94

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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