Cited by 290Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationSpine and Intervertebral Disc Pathology

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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

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Chiarotto, Alessandro, Maxwell, Lara J., Terwee, Caroline B., Wells, George A., Tugwell, Peter, Ostelo, Raymond W.·2016·Physical Therapy

DOI 10.2522/ptj.20150420

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Abstract

BACKGROUND: Physical functioning is a core outcome domain to be measured in nonspecific low back pain (NSLBP). A panel of experts recommended the Roland-Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI) to measure this domain. The original 24-item RMDQ and ODI 2.1a are recommended by their developers. PURPOSE: The purpose of this study was to evaluate whether the 24-item RMDQ or the ODI 2.1a has better measurement properties than the other to measure physical functioning in adult patients with NSLBP. DATA SOURCES: Bibliographic databases (MEDLINE, Embase, CINAHL, SportDiscus, PsycINFO, and Google Scholar), references of existing reviews, and citation tracking were the data sources. STUDY SELECTION: Two reviewers selected studies performing a head-to-head comparison of measurement properties (reliability, validity, and responsiveness) of the 2 questionnaires. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to assess the methodological quality of these studies. DATA EXTRACTION: The studies' characteristics and results were extracted by 2 reviewers. A meta-analysis was conducted when there was sufficient clinical and methodological homogeneity among studies. DATA SYNTHESIS: Nine articles were included, for a total of 11 studies assessing 5 measurement properties. All studies were classified as having poor or fair methodological quality. The ODI displayed better test-retest reliability and smaller measurement error, whereas the RMDQ presented better construct validity as a measure of physical functioning. There was conflicting evidence for both instruments regarding responsiveness and inconclusive evidence for internal consistency. LIMITATIONS: The results of this review are not generalizable to all available versions of these questionnaires or to patients with specific causes for their LBP. CONCLUSIONS: Based on existing head-to-head comparison studies, there are no strong reasons to prefer 1 of these 2 instruments to measure physical functioning in patients with NSLBP, but studies of higher quality are needed to confirm this conclusion. Foremost, content, structural, and cross-cultural validity of these questionnaires in patients with NSLBP should be assessed and compared.

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Authors: Chiarotto, A., Maxwell, L. J., Terwee, C. B., Wells, G. A., Tugwell, P., & Ostelo, R. W.
Affiliations: Amsterdam Public Health (NL)
Ottawa Hospital Research Institute (CA)
University of Ottawa (CA)
Corresponding author: Chiarotto, Alessandro
ORCID: Chiarotto, Alessandro
Maxwell, Lara J.
Terwee, Caroline B.
Wells, George A.
Tugwell, Peter
Ostelo, Raymond W.
Venue: Physical Therapy
Publisher: Oxford University Press (OUP)
Published: 2016-10-01
Volume: 96
Issue: 10
Pages: 1620-1637
ISSN: 0031-9023 (ISSN-L)
1538-6724
DOI: 10.2522/ptj.20150420
OpenAlex: W2336018145
Cited by: 290
References: 98
Citations by year: 2026: 30 · 2025: 32 · 2024: 41 · 2023: 35 · 2022: 38 · 2021: 26 · 2020: 23 · 2019: 25 · 2018: 18 · 2017: 14 · 2016: 5
FWCI: 2.36
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Physical Therapy (publishedVersion)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Pure Amsterdam UMC (acceptedVersion, other-oa)
VU Research Portal (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: Koninklijk Nederlands Genootschap voor Fysiotherapie
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Keywords: non-specific low back pain, Roland-Morris Disability Questionnaire, Oswestry Disability Index, physical function, measurement properties, test-retest reliability, construct validity, responsiveness, internal consistency, questionnaire comparison
MeSH terms: Disability Evaluation, Humans, Pain Measurement, Psychometrics, Reproducibility of Results, Low Back Pain

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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

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