Roland‐Morris Disability Questionnaire
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Objective[edit | edit source]
The Roland-Morris Disability Questionnaire is designed to assess self-rated physical disability caused by low back pain. [1]
Intended Population[edit | edit source]
The Roland-Morris Disability Questionnaire is most sensitive for patients with mild to moderate disability due to acute, sub-acute or chronic low back pain.
For patients with severe disability the Oswestry disability questionnaire is recommended. [2]
Method of Use[edit | edit source]
There are different questionnaires available, which differ from each other in the number of statements: 24-, 18- and 11-item questionnaire. The patient is asked to tick a statement when it applies to him that specific day, this makes it possible to follow changes in time. The end score is the sum of the ticked boxes. The score ranges from 0 (no disability) to 11, 18 or 24 (max. disability) depending on the questionnaire that is used. [1]
Resources[edit | edit source]
- Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine 2000;25(24):3115-24 [1]
- Macedo LG, Maher CG, Latimer J. Responsiveness of the 24-, 18- and 11-item versions of the Roland Morris Disability Questionnaire. Eur Spine J. 2011;20(3):458-63 [3]
Evidence[edit | edit source]
Reliability[edit | edit source]
Macedo et al. (2011) looked at the results from different studies for the reliability for the 24-, 18- and 11-item RMDQ: [3]
- Test-retest reliability 24-item: intraclass correlation (ICC) ranges from 0.42 – 0.91
- Test-retest reliability 18-item Stratford: ICC ranges from 0.68 – 0.75
- Test-retest reliability 11-item: ICC ranges from 0.89
Validity[edit | edit source]
Content validity:
- The RMDQ is limited as it only covers specific physical problems, and not psychological or social problems. In case these problems should be investigated as well, other measuring of these functions is advised.[1]
Construct validity:[1]
- Construct validity defines the degree to which the test measures the variables it is supposed to measure.
The RMDQ correlates well with other tests which measure physical disability:
- Physical subscales of SF-36
- Physical subscales of Sickness Impact Profile
- Quebec Low Back Scale
- Oswestry Disability Questionnaire
- Pain ratings
Responsiveness[edit | edit source]
Internal responsiveness:[3]
- Internal responsiveness shows the ability of a test to measure differences in time.
- Using effect sizes:
- 24-item: ranges from 0.63-0.71
- 18-item Stratford: ranges from 0.73-0.82
- 11-item: ranges from 0.61-0.69
External responsiveness:[3]
- External responsiveness gives the relation between the results measured with RMDQ and the results measured with the Global Perceived Effect Scale (GPE scale)
- Pearson correleation with GPE Scale:
- 24-item: ranges from 0.45-0.54
- 18-item Stratford: ranges from 0.44-0.53
- 11-item: ranges from 0.39-0.49
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine 2000;25(24):3115-24
- ↑ Davies CC, Nitz AJ.Psychometric properties of the Roland-Morris Disability Questionnaire compared to the Oswestry Disability Index: a systematic review. Physical Therapy Reviews, Volume 14, Number 6, December 2009 , pp. 399-408(10)
- ↑ 3.0 3.1 3.2 3.3 Macedo LG, Maher CG, Latimer J. Responsiveness of the 24-, 18- and 11-item versions of the Roland Morris Disability Questionnaire. Eur Spine J. 2011;20(3):458-63
