Skip to main content
Log in

Portuguese version of the standardized Nordic musculoskeletal questionnaire: cross cultural and reliability

  • Original Article
  • Published:
Journal of Public Health Aims and scope Submit manuscript

Abstract

Background

The self-administered questionnaires are fundamental for clinical assessment and research. The accessibility and constant use of recognized questionnaires in different languages facilitates the compilation of reliable data in international multicentre studies.

Aim

The purpose of this study was to carry out a cross-cultural adaptation of the standardized Nordic musculoskeletal questionnaire for Portuguese workers and to investigate the psychometric properties of the Portuguese version.

Methods

Sixty warehouse workers completed the questionnaire booklet containing the newly translated version of the standardized Nordic musculoskeletal questionnaire (NMQ) and the Oswestry disability index (ODI). After a week, to test reliability, all the individuals completed the standardized Nordic musculoskeletal questionnaire for a second time. The study is in accordance with the ERGHO guidelines for cross cultural adaptation.

Results

The Kendall’s tau-b correlation coefficient demonstrated existence of association to the upper back region variable “last 7 days” (0.350 to p < 0.01), low back region variable “last 7 days” (0.290 to p < 0.05), and low back region variable “limitations in daily activities” (0.479 to p < 0.01). These results showed a moderate correlation between the NMQ and ODI. Through the Kappa agreement correlation coefficient, we observe that the majority of the correlation coefficients were between 0.8 and 1, showing the existence of a strong to a very strong association, indicative of good levels for test-retest reliability. The Kuder-Richarson coefficient of reliability showed a correlation coefficient of 0.855 indicative of good internal consistency.

Conclusion

The Portuguese version of the standardized Nordic musculoskeletal questionnaire for Portuguese workers seems to be valid revealing good coefficients of reliability.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ala-Mursula L, Vahtera J, Pentti J, Kivimäki M (2004) Effect of employee worktime control on health: a prospective cohort study. Occup Environ Med 61:254–261

    Article  CAS  PubMed  Google Scholar 

  • Barros ENC, Alexandre NMC (2003) Cross-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev 50:101–108

    Article  PubMed  Google Scholar 

  • Carmines EG, Zeller RA (1991) Reliability and validity assessment. Sage University Papers on Quantitative Applications in the Social Sciences, 07-001. Sage, London

    Google Scholar 

  • Cherry NM, Meyer JD, Chen Y, Holt DL, McDonald JC (2001) The reported incidence of work-related musculoskeletal disease in the UK: Moss 1997–2000. Occup Med 51:450–455

    Article  CAS  Google Scholar 

  • Chyuan JA, Du C, Yeh W, Li C (2004) Musculoskeletal disorders in hotel restaurant workers. Occup Med 54:55–57

    Article  Google Scholar 

  • Dawson AP, Steele EJ, Hodges PW, Stewart S (2009) Development and test-retest reliability of an extended version of the Nordic musculoskeletal questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. The J Pain 10(5):517–526

    Article  Google Scholar 

  • Dembe AE, Erickson JB, Delbos RG, Banks SM (2005) The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States. Occup Environ Med 62:588–597

    Article  CAS  PubMed  Google Scholar 

  • Dovrat E, Katz-Leurer M (2007) Cold exposure and low back pain in store workers. Am J Ind Med 50:626–631

    Article  PubMed  Google Scholar 

  • Fairbanks JCT, Couper J, Davies JB et al (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66:271–273

    Google Scholar 

  • Ferreira PL (1996) A medição de resultados de saúde: a natureza do problema. In: Vaz A, Pinto CG, Ramos F, Pereira JA (eds) As Reformas dos Sistemas de Saúde. Associação Portuguesa de Economia da Saúde, Lisbon, pp 245–254

    Google Scholar 

  • Guo HR (2002) Working hours spent on repeated activities and prevalence of low back pain. Occup Environ Med 59:680–688

    Article  PubMed  Google Scholar 

  • Häkkänen M, Viikari-Juntura E, Martikainen R (2001) Job experience workload and risk of musculoskeletal disorders. Occup Environ Med 58:129–135

    Article  PubMed  Google Scholar 

  • Hoogendoorn WE, Bongers PM, Vet HCW, Ariëns GAM, Mechelen W, Bouter LM (2002) High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: results of a prospective cohort study. Occup Environ Med 59:323–328

    Article  CAS  PubMed  Google Scholar 

  • Hutchinson A, Benzen N, Konig-Zahn C (1997) Cross cultural heath outcome assessment: a user's guide, vol 1. European Research Group on Health Outcomes, Ruiner, The Netherlands

    Google Scholar 

  • Jansen JP, Morgenstern H, Burdorf A (2004) Dose-response relations between occupational exposures to physical and psychosocial factors and the risk of low back pain. Occup Environ Med 61:972–979

    Article  CAS  PubMed  Google Scholar 

  • Jensen MP, Karoly P (2001) Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R (eds) Handbook of pain assessment, 2nd edn. Guilford, New York, pp 15–34

    Google Scholar 

  • Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G et al (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237

    Article  CAS  PubMed  Google Scholar 

  • Lemasters GK, Atterbury MR, Booth-Jones AD, Bhattacharya A, Ollila-Glenn N, Forrester C et al (1998) Prevalence of work related musculoskeletal disorders in active union carpenters. Occup Environ Med 55:421–427

    Article  CAS  PubMed  Google Scholar 

  • Meadows K, Bentzen N, Touw-Otten F (1997) Cross cultural issues: an outline of the important principles in establishing cross-cultural validity in health outcome assessment. In: Hutchinson A, Benzen N, Konig-Zahn C (eds) Cross cultural heath outcome assessment: a user's guide, vol 1. European Research Group on Health Outcomes, Ruiner, The Netherlands, pp 34–40

    Google Scholar 

  • Medical outcomes Trust (1997) Trust introduces new translation criteria. Trust Bull 5:1–4

    Google Scholar 

  • Miguel JP (2003) A dor como 5º sinal vital: registo sistemático da intensidade da dor. Circular normativa Nº 09/DGCG de 14/06. Direcção-Geral da Saúde Ministério da Saúde, Lisbon

  • Moraes M, Alexandre N, Guirardello E (2002) Sintomas músculo-esqueléticos e condições de trabalho de costureiras de um hospital universitário. Rev Paul Enf 3:249–254

    Google Scholar 

  • Morken T, Riise T, Moen B, Bergum O, Hauge S, Holien S et al. (2002) Frequent musculoskeletal symptoms and reduced health-related quality of life among industrial workers. Occup Med 52(2):91–98

    Article  CAS  Google Scholar 

  • Palmer K, Smith G, Kellingray S, Cooper C (1999) Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire. Occup Med Apr 49(3):171–175

    Google Scholar 

  • Pinheiro F, Tróccoli B, Carvalho C (2002) Validação do Questionário Nórdico de Sintomas Osteomusculares como medida de morbilidade. Rev Saúde Públ 36(3):307–312

    Google Scholar 

  • Rosete M, Ferreira PL (1996) Metodologia para a validação cultural de instrumentos de medição de estado de saúde. In: Vaz A, Pinto CG, Ramos F, Pereira JA (eds) As Reformas dos Sistemas de Saúde. Associação Portuguesa de Economia da Saúde, Lisbon, pp 255–265

    Google Scholar 

  • Shimizu T, Horie S, Nagata S, Marui E (2004) Relationship between self-reported low productivity and overtime working. Occup Med 54:52–54

    Article  CAS  Google Scholar 

  • Simoneau S, St-Vincent M, Chicoine D (1996) Les LATR. Mieux les comprendre pour mieux les prévenir. Association paritaire pour la santé et la sécurité du travail. Secteur fabrication de produits en métal et de produits électriques. Institut de rechreche en santé et en sécurité du travail (IRSST), St-Léonard, QC, Canada, pp 1–54

    Google Scholar 

  • Tveito TH, Hysing M, Eriksen HR (2004) Low back pain interventions at the workplace: a systematic literature review. Occup Med 54:3–13

    Article  Google Scholar 

Download references

Conflict of interest statement

The authors disclose any relevant associations that might pose a conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cristina Carvalho Mesquita.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1

ESM1 (DOC 124 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mesquita, C.C., Ribeiro, J.C. & Moreira, P. Portuguese version of the standardized Nordic musculoskeletal questionnaire: cross cultural and reliability. J Public Health 18, 461–466 (2010). https://doi.org/10.1007/s10389-010-0331-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10389-010-0331-0

Keywords

Navigation