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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“The emotional consequences of pain are more often being addressed [15,17,54], although neither the Oswestry [14] or the Aberdeen [16] questionnaires do so.”
Influential
Predictors of alcohol use among people experiencing chronic pain
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BackgroundMethodInfluential
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“However, the evaluation of the results of lumbar discectomy, especially relief of pain, is a real problem due to the absence of a reliable subjective method to evaluate such patients [4, 12, 18 ].”
Method
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Method
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Background
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Background
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Method
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MethodInfluential
A pilot study on using acupuncture and transcutaneous electrical nerve stimulation to treat chronic non-specific low back pain
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RADICULOPATHY AND THE HERNIATED LUMBAR DISC
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“The effect size for the RMDQ was 0.25.”
BackgroundInfluential
Do medical factors predict disability in older adults with persistent low back pain?
Weiner, D. K., Rudy, T. E., Kim, Y.-S., & Golla, S. (2004) · Pain · doi:10.1016/j.pain.2004.08.027 · Cited by 63
“…disability was assessed with the Roland and Morris questionnaire, a scale developed to measure Tab Des Con Pai M N L N Ag Pai Dep Gen C N Bac Rad D F Bod Phy B F G S W SEM disability specifically in patients with LBP, and validated in older adults (Roland and Morris, 1983; Weiner et al., 1996).”
Method
Patient validation of cues and concerns identified according to Verona coding definitions of emotional sequences (VR-CoDES): A video- and interview-based approach
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Comparative Responsiveness of the PROMIS Pain Interference Short Forms With Legacy Pain Measures: Results From Three Randomized Clinical Trials
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“The Roland-Morris Disability Questionnaire is a checklist of 24 items assessing pain effects on function.(27) The scale score is the number of items endorsed with a possible range from 0 to 24 with higher scores indicating more pain-related disability.”
Background
Predictors of pain self-report in nursing home residents
Weiner, D. K., Peterson, B. L., Logue, P. E., & Keefe, F. J. (1998) · Aging Clinical and Experimental Research · doi:10.1007/bf03339888 · Cited by 63
Multisystem Resiliency as a Predictor of Physical and Psychological Functioning in Older Adults With Chronic Low Back Pain
Bartley, E. J., Palit, S., Fillingim, R. B., & Robinson, M. E. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01932 · Cited by 66
The Anti-Inflammatory Actions of Auricular Point Acupressure for Chronic Low Back Pain
Lin, W.-C., Yeh, C. H., Chien, L.-C., Morone, N. E., Glick, R. M., & Albers, K. M. (2015) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2015/103570 · Cited by 62
“The RMDQ is a reliable, valid, and sensitive measure that has demonstrated substantial construct validity [41, 42].”
Background
Efficacy of Duloxetine in Patients with Chronic Pain Conditions
Skljarevski, V., Zhang, S., Iyengar, S., D’Souza, D. N., Alaka, K., Chappell, A. S., & Wernicke, J. (2011) · Current Drug Therapy · doi:10.2174/157488511798109592 · Cited by 62
Chronic low back pain: epidemiology, economic burden and patient-reported outcomes in the USA
Parthan, A., Evans, C. J., & Le, K. (2006) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.6.3.359 · Cited by 62
Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school — a cross-sectional study
Vijay, S., & Ide, M. (2016) · BDJ · doi:10.1038/sj.bdj.2016.642 · Cited by 62
Assessment of Patient-Reported Outcome Instruments to Assess Chronic Low Back Pain
Ramasamy, A., Martin, M. L., Blum, S. I., Liedgens, H., Argoff, C. E., Freynhagen, R., Wallace, M. S., McCarrier, K. P., Bushnell, D. M., Hatley, N. V., et al. (2017) · Pain Medicine · doi:10.1093/pm/pnw357 · Cited by 63
Evaluating persistent pain in long term care residents: what role for pain maps?
Weiner, D. K., Peterson, B. L., & Keefe, F. J. (1998) · Pain · doi:10.1016/s0304-3959(98)00059-1 · Cited by 62
Changes in the Quality of Life: A Major Goal of Cardiac Rehabilitation
Shephard, R. J., & Franklin, B. A. (2001) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200107000-00001 · Cited by 62
Back Pain and Work Disability: The Need for a New Paradigm
Johnson, W. G., Baldwin, M. L., & Butler, R. (1998) · Industrial Relations A Journal of Economy and Society · doi:10.1111/0019-8676.691998032 · Cited by 62
Acceptance as a process variable in relation to catastrophizing in multidisciplinary pain treatment.
Baranoff, J., Hanrahan, S. J., Kapur, D., & Connor, J. P. (2013) · European Journal of Pain · doi:10.1002/j.1532-2149.2012.00165.x · Cited by 61
Pain catastrophising and kinesiophobia mediate pain and physical function improvements with Pilates exercise in chronic low back pain: a mediation analysis of a randomised controlled trial
Wood, L., Bejarano, G., Csiernik, B., Miyamoto, G. C., Mansell, G., Hayden, J. A., Lewis, M., & Cashin, A. G. (2023) · Journal of physiotherapy · doi:10.1016/j.jphys.2023.05.008 · Cited by 69
Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain
Wand, B. M., Chiffelle, L. A., O'Connell, N. E., McAuley, J. H., & DeSouza, L. (2009) · European Spine Journal · doi:10.1007/s00586-009-1180-9 · Cited by 61
“Self-reported LBP-related disability was measured using the Roland and Morris Disability Questionnaire (RMDQ) [32].”
Method
A randomised controlled trial of yoga for the treatment of chronic low back pain: Results of a pilot study
Cox, H., Tilbrook, H. E., Aplin, J., Semlyen, A., Torgerson, D. J., Trewhela, A., & Watt, I. S. (2010) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2010.05.007 · Cited by 61
Exposure to movement in chronic back pain: Evidence of successful generalization across a reaching task
Trost, Z., France, C. R., & Thomas, J. S. (2007) · Pain · doi:10.1016/j.pain.2007.08.005 · Cited by 64
“The Roland and Morris Disability Questionnaire (RMDQ; Roland and Morris, 1983) served as a measure of functional status (or disability) related to back pain symptoms.”
Background
Economic Evaluation of an Intensive Group Training Protocol Compared With Usual Care Physiotherapy in Patients With Chronic Low Back Pain
van der Roer, N., van Tulder, M. W., van Mechelen, W., & de Vet, H. C. W. (2008) · Spine · doi:10.1097/brs.0b013e318163fa59 · Cited by 61
“The 24-item Roland Morris Disability Questionnaire was used to assess the patients’ functional status.(18) Pain-intensity was measured on an 11-point numerical rating scale, ranging from 0 “no pain” to 10 “very severe pain.”
Method
Prevalence of back pain, its effect on functional ability and health-related quality of life in lower limb amputees secondary to trauma or tumour
Hammarlund, C. S., Carlström, M., Melchior, R., & Persson, B. M. (2011) · Prosthetics and Orthotics International · doi:10.1177/0309364610389357 · Cited by 61
“The RMDQ was chosen as it is well tested for reliability and validity and used internationally for research and in clinical settings.(22,23,24) The questionnaire consists of 24 statements with the alternatives yes or no, and is especially designed for people with back pain.”
BackgroundMethod
Investigational Vertebroplasty Safety and Efficacy Trial (INVEST): Patient-reported Outcomes through 1 Year
Comstock, B. A., Sitlani, C. M., Jarvik, J. G., Heagerty, P. J., Turner, J. A., & Kallmes, D. F. (2013) · Radiology · doi:10.1148/radiol.13120821 · Cited by 60
An examination of the structural link between post‐traumatic stress symptoms and chronic pain in the framework of fear‐avoidance models
López-Martínez, A. E., Ramírez‐Maestre, C., & Esteve, R. (2014) · European Journal of Pain · doi:10.1002/j.1532-2149.2014.00459.x · Cited by 64
“7 Roland Morris Disability Questionnaire (RMDQ; Roland and Morris, 1983)”
Background
Placebo effects of a sham opioid solution: a randomized controlled study in patients with chronic low back pain
Klinger, R., Kothe, R., Schmitz, J., Kamping, S., & Flor, H. (2017) · Pain · doi:10.1097/j.pain.0000000000000977 · Cited by 67

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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