Neck Pain and Disability Scale


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Search Strategy[edit | edit source]

Key words: Neck pain and disability scale, NPAD, Validity, Evidence, Reliability, Responsiveness, Neck pain

Main information: VUB (Free University of Brussels) library (books) and sites: Pubmed, Web of knowledge (RCT’s), GoogleScolar, PEDro evidence

Objective
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The most used Neck Disability Questionnaires are the Neck pain and Disability scale (NPAD) and the Neck Disability Index (NDI) Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.
The Neck pain and disability scale (NPAD) is a composite index including 20 items which measure the intensity of neck pain and related disability. Until 1999, several measures of generalised pain and disability were available (Oswestry disability questionnaire and Pain disability index), but there was no well-developed measure that dealt specifically with neck pain. To provide a new measure of neck pain and disability the NPAD has been developed. It was originally developed in the USA by Wheeler and colleagues, but there are various other translations of the scale. Validated French, Turkish, German, Portuguese, Italian, Dutch, English, … translations are available showing adequate validity and reliability. The 20-item scale measures problems with neck movements, neck pain intensity, effect of neck pain on emotion and cognition, and the level of interference with daily life activities. The NPAD is a validated measure to evaluate outcomes in patients with neck pain. It is easy to complete for the patients themselves, and easy to score for the evaluators. Its interference with vocational,
recreational, social, and functional aspects of living; and the presence and extent of associated emotional factors.

Intended Population
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Cervical pain syndromes

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleThe NPAD is a 20-item measure that was specifically developed for patients with neck pain.

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleBlozik E. et al. found that patients who were classified to be depressed (regression coefficient 2.1, p<0.001), anxious (1.9, p<0.001), or having deficits in social support (5.5, p=0.004) scored significantly higher NPAD scores. (level of evidence B)

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleThe NPAD is useful in chronic neck pain and C1-2 fusion patients.

Method of Use
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Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titlePatients respond to each item by marking along a 10cm visual analog scale (VAS). Item scores range from 0 to 5, and
the total score is a total of the item scores (possible range 0 (no pain) – 100 (maximal pain)). The NPAD score is well validated if no more than 15% of the items are missing. Completion of the NPAD usually requires less than 5 minutes.

Evidence[edit | edit source]

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Martin Scherer et al. found that the German version of the neck pain and disability scale (NPAD-d) has evidence of validity and reliability in a general practice setting.(level of evidence B) The NPAD-d Exhibited stable internal consistency, good construct and discriminant validity. It may be useful in the clinical assessment process and the management of neck pain. Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Wim Jorritsma et al. found that the Dutch language version of the NPAD (NPAD-DLV) has a good validity. (level of evidence B)

Reliability
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Validity[edit | edit source]


Responsiveness[edit | edit source]


Links
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http://www.oarsi.org/pdfs/pain_indexes/NECK_PAIN_DISABILITY_INDEX_QUESTIONNAIRE.pdf

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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