Original Article

European Spine Journal

, Volume 20, Issue 3, pp 449-457

First online:

Predictive ability of a modified Örebro Musculoskeletal Pain Questionnaire in an acute/subacute low back pain working population

  • Charles Philip GabelAffiliated withFaculty of Science, Health and Education, Centre for Healthy Activities, Sport and Exercise, University of the Sunshine CoastPrimary Health Care Section, School of Medicine, Griffith University Email author 
  • , Markus MellohAffiliated withSection of Orthopaedic Surgery, Department of Medical and Surgical Sciences, Dunedin School of Medicine, University of Otago
  • , Michael YellandAffiliated withPrimary Health Care Section, School of Medicine, Griffith University
  • , Brendan BurkettAffiliated withFaculty of Science, Health and Education, Centre for Healthy Activities, Sport and Exercise, University of the Sunshine Coast
  • , Anne RoikoAffiliated withFaculty of Science, Health and Education, Centre for Healthy Activities, Sport and Exercise, University of the Sunshine Coast

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Abstract

The original ‘Örebro Musculoskeletal Pain Questionnaire’ (original-ÖMPQ) has been shown to have limitations in practicality, factor structure, face and content validity. This study addressed these concerns by modifying its content producing the ‘Örebro Musculoskeletal Screening Questionnaire’ (ÖMSQ). The ÖMSQ and original-ÖMPQ were tested concurrently in acute/subacute low back pain working populations (pilot n = 44, main n = 106). The ÖMSQ showed improved face and content validity, which broadened potential application, and improved practicality with two-thirds less missing responses. High reliability (0.975, p < 0.05, ICC: 2.1), criterion validity (Spearman’s r = 0.97) and internal consistency (α = 0.84) were achieved, as were predictive ability cut-off scores from ROC curves (112–120 ÖMSQ-points), statistically different ÖMSQ scores (p < 0.001) for each outcome trait, and a strong correlation with recovery time (Spearman’s, r = 0.71). The six-component factor structure reflected the constructs originally proposed. The ÖMSQ can be substituted for the original-ÖMPQ in this population. Further research will assess its applicability in broader populations.

Keywords

Low back pain Prognosis Screening Questionnaire Validation