RESPONSIVENESS OF ARABIC INSTRUMENTS FOR PAIN AND DISABILITY IN PATIENTS WITH LOW BACK PAIN
DOI:
https://doi.org/10.15621/ijphy/2020/v7i6/838Keywords:
Fear-Avoidance Beliefs Questionnaire, Quebec Back Pain Disability Scale, Roland-Morris Disability Questionnaire, Arabic, responsiveness, low back pain.Abstract
Background: Fear-Avoidance Beliefs Questionnaire (FABQ), Quebec Back Pain Disability Scale (QDS), and Roland-Morris Disability Questionnaire (RMDQ) is widely used in patients with low back pain (LBP) to assess the level of disability. Nonetheless, there are limited data about the responsiveness properties of the Arabic versions of these scales. This study was conducted to assess the responsiveness of the Arabic versions of the FABQ, QDS, and RMDQ compared to that of the Visual Analog Scale (VAS).
Methods: A sample of 68 patients with LBP completed FABQ, QDS, RMDQ, and VAS at baseline and after 14 days.
Responsiveness was evaluated by calculating the standard error of measurement (SEM), the minimal detectable difference at 95% confidence level (MDD95%), standardized response mean (SRM), Cohen’s effect size (ES), Guyatt’s responsiveness index (GRI), area under the curve (AUC), and minimal clinically significant difference (MCID).
Results: The SEM, MDD 95%, SRM, ES, GRI, AUC, and MCID for FABQ, QDS, RMDQ, and VAS were 2.54, 2.83, 0.77, and 0.82; 7.05, 7.85, 2.14, and 2.28; 0.67, 0.96, 0.74, and 1.04; 0.39, 0.39, 0.36, and 0.79; 0.76, 1.34, 1.26, and 1.66; 0.49, 0.63, 0.57, and 0.70; and 3.5, 4.5, 2.5, and 1.5; respectively.
Conclusion: Although the responsiveness of the Arabic versions of FABQ, QDS, and RMDQ was below the recommended standards and less than the responsiveness calculated for the VAS, it was comparable with previously published versions in other languages. Additional studies are necessary to examine the three scales' responsiveness with a more extended follow-up period.
References
Luo X, Pietrobon R, Sun SX, Liu GG, Hey L. Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. Spine. 2004;29(1):79-86.
Takeyachi Y, Konno S, Otani K, Yamauchi K, Takahashi I, Suzukamo Y, et al. Correlation of low back pain with functional status, general health perception, social participation, subjective happiness, and patient satisfaction. Spine. 2003;28(13):1461-6.
Dankaerts W, O’sullivan P, Straker L, Burnett A, Skouen J. The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment. Man Ther. 2006;11(1):28-39.
Martin BI, Deyo RA, Mirza SK, Turner JA, Comstock BA, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299(6):656-664.
Garg A, Pathak H, Churyukanov MV, Uppin RB, Slobodin TM. Low back pain: critical assessment of various scales. Eur. Spine J. 2020:1-16.
Costa LO, Maher CG, Latimer J. Self-report outcome measures for low back pain: searching for international cross-cultural adaptations. Spine. 2007;32(9):1028-1037.
Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157-168.
Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, Wood-Dauphinee S, Lamping DL, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine. 1995;20(3):341-352.
Roland M, Morris R. A study of the natural history of back pain: Part 1: Development of a reliable and sensitive measure of disability in low-back pain. Spine. 1983;8(2):141-4
Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001;81(2):776-788.
Waddell G. Clinical assessment of lumbar impairment. Clin Orthop Relat Res. 1987;1(221):110-20.
Alanazi F, Gleeson P, Olson S, Roddey T. Translation and Validation of the Arabic Version of the Fear-Avoidance Beliefs Questionnaire in Patients With Low Back Pain. Spine. 2017;42(7):E411-E416.
Alnahhal A, May S. Validation of the Arabic version of the Quebec Back Pain Disability Scale. Spine. 2012;37(26):E1645-50.
Maki D, Rajab E, Watson PJ, Critchley DJ. Cross-cultural translation, adaptation, and psychometric testing of the Roland-Morris disability questionnaire into modern standard Arabic. Spine. 2014;39(25):E1537-44.
Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. Vol. 2. Prentice Hall Upper Saddle River, NJ; 2000.
Deyo RA, Centor RM. Assessing the responsiveness of functional scales to clinical change: an analogy to diagnostic test performance. J Chronic Dis. 1986;39(11):897-906.
Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000;53(5):459-468.
Lauridsen HH, Hartvigsen J, Manniche C, Korsholm L, Grunnet-Nilsson N. Responsiveness and minimal clinically important difference for pain and disability instruments in low back pain patients. BMC Musculoskelet Disord. 2006;7(1):82.
Terho H, Haapea M, Paananen M, Korniloff K, Häkkinen A, Karppinen J. Translation and validation of the Finnish version of the Fear-Avoidance Beliefs Questionnaire (FABQ). Scand J Pain. 2016;10:113-118.
Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: translation and validation studies of the Iranian versions. Spine. 2006;31(14):E454-9.
Monticone M, Baiardi P, Vanti C, Ferrari S, Pillastrini P, Mugnai R, et al. Responsiveness of the Oswestry Disability Index and the Roland Morris Disability Questionnaire in Italian subjects with sub-acute and chronic low back pain. Eur Spine J. 2012;21(1):122-129.
Al-Abbad H, Al-Howimel A. Translation, Adaptation, and Reliability of Modern Standard Arabic Version of the Roland Morris Disability Questionnaire. J Nov Physiother. 2015; 5:254.
Salama HM, Reda N, El Shahaly M, Nour-Eldein H. Predictors of fear-avoidance belief, pain, and disability index in patients with chronic low back pain attending rheumatology outpatient clinics. J Public Health (Berl). 2020;(Preprint).
Zaidi S, Verma S, Moiz JA, Hussain ME. Transcultural adaptation and validation of Hindi version of Quebec back pain disability scale. Disabil Rehabil. 2018;40(24):2938-2945.
Chung EJ, Hur Y, Lee B. A study of the relationship among fear-avoidance beliefs, pain and disability index in patients with low back pain. J Exerc Rehabil. 2013;9(6):532.
Melikoglu MA, Kocabas H, Sezer I, Bilgilisoy M, Tuncer T. Validation of the Turkish version of the Quebec back pain disability scale for patients with low back pain. Spine 2009;34(6):E219-E224.
Suh KT, Kim JI, Lim JM, Goh TS, Lee JS. Validation of the Korean version of the Quebec back pain disability scale. Clin Spine Surg. 2012;25(8):447-450.
Published
How to Cite
Issue
Section
Copyright © Author(s) retain the copyright of this article.
This work is licensed under a