The Rivermead Post-Concussion Symptoms Questionnaire (RPQ): Difference between revisions
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== Introduction == | == Introduction == | ||
<br>The Rivermead Post-concussion Symptoms Questionnaire (RPQ) is a simple, freely available, and widely used tool for assessment of the presence and severity of various post-concussion symptoms. The questionnaire was first published in 1995 to assess patients' psychosocial functioning post-concussion<ref name=":0">King | <br>The Rivermead Post-concussion Symptoms Questionnaire (RPQ) is a simple, freely available, and widely used tool for [[Concussion Assessment|assessment]] of the presence and severity of various post-[[concussion]] symptoms. The questionnaire was first published in 1995 to assess patients' psychosocial functioning post-concussion<ref name=":0">King NS, Crawford S, Wenden FJ, Moss NE, Wade DT. [https://pubmed.ncbi.nlm.nih.gov/8551320/ The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability]. J Neurol. 1995 Sep;242(9):587-92.</ref>. It contains 16 questions targeting physical, [[Cognitive Deficits|cognitive]] and behavioral domains. The RPQ Modified Scoring System (RPQ 13/ RPQ-3), was presented by Eyres et al in 2005<ref name=":1">Eyres S, Carey A, Gilworth G, Neumann V, Tennant A. [https://pubmed.ncbi.nlm.nih.gov/16323387/ Construct validity and reliability of the Rivermead Post-Concussion Symptoms Questionnaire.] Clin Rehabil. 2005 Dec;19(8):878-87. </ref>. | ||
== Intended Population == | == Intended Population == | ||
Individuals showing symptoms of [[ | Individuals showing symptoms of [[concussion]] after a head trauma/ [[Overview of Traumatic Brain Injury|brain injury]].<ref>Crawford S, Wenden FJ, Wade DT. The Rivermead head injury follow up questionnaire: a study of a new rating scale and other measures to evaluate outcome after head injury. J Neurol Neurosurg Psychiatry. 1996 May;60(5):510-4. doi: 10.1136/jnnp.60.5.510.</ref> | ||
== Method of Use == | == Method of Use == | ||
| Line 26: | Line 26: | ||
== Instrument == | == Instrument == | ||
The questionnaire is a self-reported questionnaire containing 16 questions<ref name=":0" />. | The questionnaire is a self-reported questionnaire containing 16 questions<ref name=":0" />. Patients are asked the severity of the following symptoms over the past 24 hours, compared to before the injury: | ||
* Headache | * [[Headache]] | ||
* Feelings of Dizziness | * Feelings of [[Headaches and Dizziness|dizziness]] | ||
* Nausea and | * Nausea and vomiting | ||
* Noise | * Noise sensitivity (easily upset by loud noise) | ||
* [[Sleep Deprivation and Sleep Disorders|Sleep disturbance]] | |||
* Sleep | * [[Fatigue Severity Scale|Fatigue]] (tiring more easily) | ||
* Fatigue | * Being irritable (easily angered) | ||
* Being | * Feeling [[Depression|depressed]] or tearful | ||
* Feeling | * Feeling frustrated or impatient | ||
* Feeling frustrated or | * [[Memory|Forgetfulness]] (poor memory) | ||
* Forgetfulness | * Poor concentration | ||
* Poor | * Taking longer to think | ||
* Taking | * Blurred [[Post Traumatic Vision Syndrome|vision]] | ||
* Blurred Vision | * Light sensitivity (easily upset by bright light) | ||
* Light | * Double vision | ||
* Double | |||
* Restlessness | * Restlessness | ||
* Finally, there is the option to list and score any other difficulties. | |||
'''''Scoring:''''' | '''''Scoring:''''' | ||
The responses are scored on a | The responses are scored on a ordinal rating system from 0 - 4, where 0 = never experienced at all, 1 = no more of a problem, 2 = a mild problem, 3 = a moderate problem, and 4 = a severe problem<ref>Balalla S, Krägeloh C, Medvedev O, Siegert R. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240882/#:~:text=The%20RPQ%20is%20a%2016,in%20the%20last%2024%20h. Is the Rivermead Post-Concussion Symptoms Questionnaire a Reliable and Valid Measure to Assess Long-Term Symptoms in Traumatic Brain Injury and Orthopedic Injury Patients? A Novel Investigation Using Rasch Analysis.] Neurotrauma Rep. 2020 Aug 11;1(1):63-72.</ref>. | ||
In the modified version<ref | In the modified version<ref>Rehabilitative Care Alliance. Rivermead Post Concussion Symptoms Questionnaire [Online]. Available from: https://mississaugahalton.rehabcareontario.ca/Uploads/ContentDocuments/Rivermead_Post_ConcussionSymptoms_Questionnaire_(RPC)1.pdf (Accessed 28/12/2022)</ref>: | ||
RPQ-3: Score of first three questions, Scoring is 0-12; if there is a higher score on the RPQ-3, earlier reassessment and closer monitoring is | RPQ-3: Score of first three questions, Scoring is 0-12; if there is a higher score on the RPQ-3, earlier reassessment and closer monitoring is recommended. | ||
RPQ-13: Score of next 13 questions, Scoring is 0-52; later cluster of symptoms; greater impact on participation, psychosocial functioning and lifestyle. | |||
RPQ-13: | |||
== Psychometric properties == | == Psychometric properties == | ||
Revision as of 07:17, 28 December 2022
Original Editor - Rucha Gadgil
Top Contributors - Rucha Gadgil, Kim Jackson, Chloe Waller, Nupur Smit Shah and Carina Therese Magtibay
Introduction[edit | edit source]
The Rivermead Post-concussion Symptoms Questionnaire (RPQ) is a simple, freely available, and widely used tool for assessment of the presence and severity of various post-concussion symptoms. The questionnaire was first published in 1995 to assess patients' psychosocial functioning post-concussion[1]. It contains 16 questions targeting physical, cognitive and behavioral domains. The RPQ Modified Scoring System (RPQ 13/ RPQ-3), was presented by Eyres et al in 2005[2].
Intended Population[edit | edit source]
Individuals showing symptoms of concussion after a head trauma/ brain injury.[3]
Method of Use[edit | edit source]
Equipment Required:
Questionnaire based: pen and paper
Training Required:
None
Time Required:
5-10 mins
Instrument[edit | edit source]
The questionnaire is a self-reported questionnaire containing 16 questions[1]. Patients are asked the severity of the following symptoms over the past 24 hours, compared to before the injury:
- Nausea and vomiting
- Noise sensitivity (easily upset by loud noise)
- Sleep disturbance
- Fatigue (tiring more easily)
- Being irritable (easily angered)
- Feeling depressed or tearful
- Feeling frustrated or impatient
- Forgetfulness (poor memory)
- Poor concentration
- Taking longer to think
- Blurred vision
- Light sensitivity (easily upset by bright light)
- Double vision
- Restlessness
- Finally, there is the option to list and score any other difficulties.
Scoring:
The responses are scored on a ordinal rating system from 0 - 4, where 0 = never experienced at all, 1 = no more of a problem, 2 = a mild problem, 3 = a moderate problem, and 4 = a severe problem[4].
In the modified version[5]:
RPQ-3: Score of first three questions, Scoring is 0-12; if there is a higher score on the RPQ-3, earlier reassessment and closer monitoring is recommended.
RPQ-13: Score of next 13 questions, Scoring is 0-52; later cluster of symptoms; greater impact on participation, psychosocial functioning and lifestyle.
Psychometric properties[edit | edit source]
For Head Injury: Excellent test re-test reliability, Excellent inter-rater reliability.
For Mild TBI: Adequate test re-test reliability, Adequate inter-rater reliability.
Validity[8]:
Excellent validity with Hospital Anxiety Depression Scale.
Clinical Significance[edit | edit source]
The questionnaire can be repeated to monitor a patient’s progress over time with changes seen in severity of symptoms, or the range of symptoms. Management can be planned likewise[9].
Additional Information[edit | edit source]
Find Additional details here
Find the Questionnaire here
References[edit | edit source]
- ↑ 1.0 1.1 King NS, Crawford S, Wenden FJ, Moss NE, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. J Neurol. 1995 Sep;242(9):587-92.
- ↑ Eyres S, Carey A, Gilworth G, Neumann V, Tennant A. Construct validity and reliability of the Rivermead Post-Concussion Symptoms Questionnaire. Clin Rehabil. 2005 Dec;19(8):878-87.
- ↑ Crawford S, Wenden FJ, Wade DT. The Rivermead head injury follow up questionnaire: a study of a new rating scale and other measures to evaluate outcome after head injury. J Neurol Neurosurg Psychiatry. 1996 May;60(5):510-4. doi: 10.1136/jnnp.60.5.510.
- ↑ Balalla S, Krägeloh C, Medvedev O, Siegert R. Is the Rivermead Post-Concussion Symptoms Questionnaire a Reliable and Valid Measure to Assess Long-Term Symptoms in Traumatic Brain Injury and Orthopedic Injury Patients? A Novel Investigation Using Rasch Analysis. Neurotrauma Rep. 2020 Aug 11;1(1):63-72.
- ↑ Rehabilitative Care Alliance. Rivermead Post Concussion Symptoms Questionnaire [Online]. Available from: https://mississaugahalton.rehabcareontario.ca/Uploads/ContentDocuments/Rivermead_Post_ConcussionSymptoms_Questionnaire_(RPC)1.pdf (Accessed 28/12/2022)
- ↑ King NS, Crawford S, Wenden FJ, Caldwell FE, Wade DT. Early prediction of persisting post-concussion symptoms following mild and moderate head injuries. Br J Clin Psychol. 1999 Mar;38(1):15-25. doi: 10.1348/014466599162638.
- ↑ Asselstine J, Kristman VL, Armstrong JJ, Dewan N. The Rivermead Post-Concussion Questionnaire score is associated with disability and self-reported recovery six months after mild traumatic brain injury in older adults. Brain Inj. 2020;34(2):195-202. doi: 10.1080/02699052.2019.1682670
- ↑ de Guise E, Bélanger S, Tinawi S, Anderson K, LeBlanc J, Lamoureux J, Audrit H, Feyz M. Usefulness of the rivermead postconcussion symptoms questionnaire and the trail-making test for outcome prediction in patients with mild traumatic brain injury. Appl Neuropsychol Adult. 2016;23(3):213-22. doi: 10.1080/23279095.2015.1038747.
- ↑ Potter, S., Leigh, E., Wade, D., Fleminger, S. The Rivermead Post Concussion Symptoms Questionnaire. Journal of Neurology, October 2006.1-12.
