Translation, adaptation and validation of the Roland-Morris questionnaire - Brazil Roland-Morris
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1 Brazilian Journal of Medical and Biological Research (2001) 34: Brazil Roland-Morris questionnaire ISSN X 203 Translation, adaptation and validation of the Roland-Morris questionnaire - Brazil Roland-Morris L. Nusbaum, J. Natour, M.B. Ferraz and J. Goldenberg Disciplina de Reumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil Correspondence J. Natour Disciplina de Reumatologia EPM, UNIFESP Rua Botucatu, São Paulo, SP Brasil Fax: jnatour@reumato.epm.br Publication supported by FAPESP. Received May 24, 2000 Accepted December 12, 2000 Abstract Key words Low back pain Disability Roland-Morris questionnaire Spine Introduction
2 204 L. Nusbaum et al. Material and Methods Translation Cultural equivalence Reliability and convergent validity
3 Brazil Roland-Morris questionnaire 205 Results Table 1 - Demographic and clinical data of patients included in the translation and validation process of the Roland-Morris (RM) questionnaire. Finger to floor: Fingertip to floor distance; visit 1: baseline visit; visit 2: visit scheduled 1 week later with the same interviewer; visit 3: visit scheduled 1 week later with a different interviewer. VAS: Visual analog scale. *Data are reported as means ± SD for 30 patients per group. Patient data Translation stage Visit 1 Visit 2 Visit 3 Females/males 27/3 26/4 26/4 26/4 Average age 54.3 ± ± ± ± 14.5 RM score* 13.9 ± ± ± ± 7.47 Pain VAS 6.6 ± ± ± Time* 4 53" ± 1 5" 4 03" ± 31" 3 51" ± 27" 3 27" ± 27" Pain scale* ± ± Finger to floor* ± ±
4 206 L. Nusbaum et al. Table 2 - Validity of the Brazilian-Portuguese version of the Roland-Morris (RM) scale: Spearman s correlation coefficient between measures applied for group validation at baseline and during the 1-week visit. For abbreviations, see legend to Table 1. RM score Pain VAS Pain scale Finger to floor Visit 1 Visit 1 RM score - Pain VAS Pain scale Finger to floor Visit 2 Visit 2 RM score - Pain VAS Pain scale Finger to floor Table 3 - Reliability of the Brazilian-Portuguese version of the Roland-Morris (RM) scale: intra- and interobserver Spearman s correlation coefficient and intraclass correlation coefficients between measures applied for group validation. For abbreviations, see legend to Table 1. Visit 2 Visit 3 RM score Pain VAS Pain scale Finger to RM score floor Spearman correlation Visit 1 RM score Pain VAS 0.50 Pain scale 0.54 Finger to floor 0.90 Visit 2 RM Score 0.86 Intraclass correlation Visit 1 RM score 0.94 Pain VAS 0.63 Pain scale 0.69 Finger to floor 0.97 Visit 2 RM score 0.95 Discussion
5 207 Brazil Roland-Morris questionnaire
6 208 L. Nusbaum et al. References 1. Roland M & Morris R (1983). Study of natural history of low back pain. Part II: development of guidelines for trials of treatment in primary care. Spine, 8: Bergner M, Bobbitt RA, Carter WB & Gilson BS (1981). The Sickness Impact Profile: development and final revision of a health status measure. Medical Care, 19: Deyo RA & Centor RM (1986). Assessing the responsiveness of functional scales to clinical change: analogy to diagnostic test performance. Journal of Chronic Diseases, 39: Guillemin F (1995). Measuring health status across cultures. Rheumatology in Europe, 24 (Suppl 2): Guillemin F, Bombardier C & Beaton D (1993). Cross-cultural adaptation of healthrelated quality of life measures: literature review and proposed guidelines. Journal of Clinical Epidemiology, 46: Fairbank JCT, Couper J & Davies JB (1980). The Oswestry low back disability questionnaire. Physiotherapy, 66: Deyo RA (1986). Comparative validity of Sickness Impact Profile and shorter scales for functional assessment in low back pain. Spine, 11: Deyo RA (1984). Pitfalls in measuring the health status of Mexican Americans: Comparative validity of the English and Spanish Sickness Impact Profile. American Journal of Public Health, 74: Ferraz MB, Oliveira LM, Araujo PMP, Atra E & Tugwell P (1990). Cross-cultural reliability of the physical ability dimension of the Health Assessment Questionnaire. Journal of Rheumatology, 17: Coste J, Parc JM, Leberge E, Delecoevillerie G & Paolaggi JB (1993). Validation Française d une échelle d incapacité fonctionalle pour l évaluation des lombalgies (EIFEL). Revue du Rhumatisme. Edition Française, 60: Weinstein J, Sprattik E, Lehman T, McNeill T & Hena W (1986). Lumbar disc herniation - A comparison of the results of chemonucleolysis ND open discectomy after ten years. Journal of Bone and Joint Surgery, 68-A: Lanier DC & Stockton PAS (1988). Clinical predictor of outcome of acute episodes of low back pain. Journal of Family Practice, 27: Hadler NM, Curts P, Gillips DB & Sinnett S (1987). Benefit of spinal manipulation as adjunctive therapy for acute low back pain: stratified controlled trial. Spine, 12: Klein RG & Eek BJ (1990). Low energy laser treatment and exercise for chronic low back pain: Double blind controlled trial. Archives of Physical Medicine and Rehabilitation, 71: Frymoyer JW, Nelson RM, Spangfort E & Waddell G (1991). Clinical tests applicable to the study of chronic low back disability. Spine, 16: Stratford PW, Binkley J, Solomon P, Gill C & Finch E (1994). Assessing change overtime in patients with low back pain. Physical Therapy, 74: Lankahorst GJ, Van de Stadt RJ & Voglelaar TW (1982). Objectivity and repeatability of measurements in low back pain. Scandinavian Journal of Rehabilitation Medicine, 14:
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8 210 L. Nusbaum et al.
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