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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

Alessandro Chiarotto, Lara J. Maxwell, Caroline B. Terwee, George A. Wells, Peter Tugwell, Raymond W. Ostelo
DOI: 10.2522/ptj.20150420 Published 1 October 2016
Alessandro Chiarotto
A. Chiarotto, MSc, Department of Health Sciences, Faculty of Earth and Life Sciences, EMGO+ Institute for Health and Care Research, VU University, De Boelelaan 1085, Room U-601, 1081HV, Amsterdam, the Netherlands, and Department of Epidemiology and Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands.
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Lara J. Maxwell
L.J. Maxwell, MSc, Centre for Practice-Changing Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
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Caroline B. Terwee
C.B. Terwee, PhD, Department of Epidemiology and Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center.
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George A. Wells
G.A. Wells, PhD, Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
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Peter Tugwell
P. Tugwell, MD, MSc, Department of Medicine, Ottawa Hospital Research Institute, University of Ottawa.
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Raymond W. Ostelo
R.W. Ostelo, PhD, Department of Health Sciences, Faculty of Earth and Life Sciences, EMGO+ Institute for Health and Care Research, VU University, and Department of Epidemiology and Biostatistics, EMGO+ Institute for Health and Care Research, VU University Medical Center.
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Figures

Figure 1.
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Figure 1.

Flowchart of results of search strategy and selection of articles.

Tables

Table 4.
Table 4.

Best Evidence Synthesis of Measurement Properties of the RMDQ and ODI in Head-to-Head Comparison Studies Conducted in Patients With Nonspecific Low Back Paina

  • ↵a RMDQ=Roland-Morris Disability Questionnaire, ODI=Oswestry Disability Index, ?=unknown due to only studies of poor methodological quality or no studies on that measurement property, +/–=conflicting findings, +=consistent positive findings, –=consistent negative findings.

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Table 3.

Responsiveness of the RMDQ and ODI in Studies Making a Head-to-Head Comparison in Patients With NSLBPa

  • ↵a COSMIN=methodological quality assessment according to the COSMIN checklist, AUC=area under the curve (receiving operating characteristic analysis), LBP=low back pain, NSLBP=nonspecific low back pain, RMDQ=Roland-Morris Disability Questionnaire, ODI=Oswestry Disability Index, DRI=Disability Rating Index, SF-36-PF=physical functioning subscale of the 36-Item Short-Form Health Survey, NRS=numeric rating scale, VAS=visual analog scale, SF-RP-36=role–physical subscale of the 36-Item Short-Form Health Survey, SF-36-BP=bodily pain subscale of the 36-Item Short-Form Health Survey, GPCS=global perception of change scale, SRM=standardized response mean.

  • b Standardized response means were calculated by dividing the mean change by its standard deviation.

  • c These SRMs were calculated using the data presented in the review.

  • d These studies were included in the same article.

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Table 1.

Characteristics of the 11 Studies and of the Patients Included in This Reviewa

  • ↵a NSLBP=nonspecific low back pain; PD=pain duration; PL=pain localization; WS=work status; PM=pain medication; RMDQ=Roland-Morris Disability Questionnaire, score at baseline; ODI=Oswestry Disability Index, score at baseline; GP=general practitioner; NA=not applicable to the design of the study; NR=not reported.

  • b These studies were included in the same article.

  • c These studies were included in the same article.

Table 2.
Table 2.

Internal Consistency, Reliability, and Measurement Error of the RMDQ and ODI in Head-to-Head Comparison Studies Conducted in Patients With NSLBPa

  • ↵a COSMIN=methodological quality assessment according to the COSMIN checklist, AD=assessment of dimensionality, ICC=intraclass correlation coefficient, SEM=standard error of measurement, SDC=smallest detectable change, NSLBP=nonspecific low back pain, RMDQ=Roland-Morris Disability Questionnaire, ODI=Oswestry Disability Index.

  • b Different ICC models were used (ie, Davidson and Keating38: ICC [2,1]; Grotle et al40: ICC [1,1]; Maughan and Lewis43 and Mousavi et al45: not clear which model or formula was used).

  • c Not clear whether SEMconsistency or SEMagreement was used.

  • d Different SDC formulas were used (ie, Davidson and Keating38: √[2×SEM]×1.64; Grotle et al,40 Maughan and Lewis,43 and Monticone et al44: SEM×2.77).

  • e These values are not presented in the review, but we calculated them from the data available.

Supplementary Data

eAppendixes and eTable

Files in this Data Supplement:

  • eAppendixes and eTable (PDF) (52 KB) - This PDF contains the following supplements:
    • eAppendix 1. Search Strategies Used in This Review
    • eAppendix 2. Overall Rating for Measurement Properties of an Instrument
    • eAppendix 3. Levels of Evidence for the Quality of the Measurement Properties
    • eTable. Construct Validity of the RMDQ and ODI in Head-to-Head Comparison Studies Conducted in Patients With NSLBP
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Vol 96 Issue 10 Table of Contents
Physical Therapy: 96 (10)

Issue highlights

  • Our Future Selves: Unprecedented Opportunities
  • Toward a Transformed Understanding: From Pain and Movement to Pain With Movement
  • Virtual Reality for Stroke Rehabilitation
  • Consensus on Exercise Reporting Template (CERT): Modified Delphi Study
  • Agreement of Mechanical Diagnosis and Therapy Classification in People With Extremity Conditions
  • High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study
  • Therapeutic Ultrasound and Treadmill Training Suppress Peripheral Nerve Injury–Induced Pain in Rats
  • A Further Step to Develop Patient-Friendly Implementation Strategies for Virtual Reality–Based Rehabilitation in Patients With Acute Stroke
  • Transitions in the Embodied Experience After Stroke: Grounded Theory Study
  • Neck Posture Clusters and Their Association With Biopsychosocial Factors and Neck Pain in Australian Adolescents
  • Physical Therapists' Role in Health Promotion as Perceived by the Patient: Descriptive Survey
  • Finding the “Right-Size” Physical Therapy Workforce: International Perspective Across 4 Countries
  • Does the Brief-BESTest Meet Classical Test Theory and Rasch Analysis Requirements for Balance Assessment in People With Neurological Disorders?
  • 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
  • Responsiveness of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke
  • Use of Rasch Analysis to Evaluate and Refine the Community Balance and Mobility Scale for Use in Ambulatory Community-Dwelling Adults Following Stroke
  • de Morton Mobility Index Is Feasible, Reliable, and Valid in Patients With Critical Illness
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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
Alessandro Chiarotto, Lara J. Maxwell, Caroline B. Terwee, George A. Wells, Peter Tugwell, Raymond W. Ostelo
Physical Therapy Oct 2016, 96 (10) 1620-1637; DOI: 10.2522/ptj.20150420

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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
Alessandro Chiarotto, Lara J. Maxwell, Caroline B. Terwee, George A. Wells, Peter Tugwell, Raymond W. Ostelo
Physical Therapy Oct 2016, 96 (10) 1620-1637; DOI: 10.2522/ptj.20150420
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Subjects

  • Examination/Evaluation
    • Tests and Measurements
  • Systematic Reviews/Meta-analyses
  • Musculoskeletal System/Orthopedic
    • Injuries and Conditions: Low Back

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