The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Original Editor - Rucha Gadgil
Top Contributors - Rucha Gadgil, Chloe Waller, Kim Jackson, 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 behavioural domains. It was modified by Eyres et al. is 2005 into RPQ Modified Scoring System (RPQ 13/ RPQ-3)[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]. They are asked if after the accident they experienced any:
| Sr. No. | Questions | Scoring | ||||
|---|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 4 | ||
| 1 | Headaches | |||||
| 2 | Feelings of Dizziness | |||||
| 3 | Nausea and Vomiting | |||||
| 4 | Noise Sensitivity
Easily upset by loud noise |
|||||
| 5 | Sleep Disturbance | |||||
| 6 | Fatigue, tiring more easily | |||||
| 7 | Being Irritable, easily angered | |||||
| 8 | Feeling Depressed or Tearful | |||||
| 9 | Feeling frustrated or Impatient | |||||
| 10 | Forgetfulness, poor memory | |||||
| 11 | Poor Concentration | |||||
| 12 | Taking Longer to Think | |||||
| 13 | Blurred Vision | |||||
| 14 | Light Sensitivity,
Easily upset by bright light |
|||||
| 15 | Double Vision | |||||
| 16 | Restlessness | |||||
| Are you experiencing any other difficulties? | ||||||
| 1 | ||||||
| 2 | ||||||
Scoring:
0= Not experienced at all
1 = No more of a problem
2 = A mild problem
3 = A moderate problem
4 = A severe problem
Lower the Score, better the conditions.
In the modified version[2]:
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: Sore 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[6]:
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[7].
Additional Information[edit | edit source]
Find Additional details here
Find the Questionnaire here
References[edit | edit source]
- ↑ 1.0 1.1 King, N. S., Crawford, S., Wenden, F.J., Moss, N.E.G. Wade, D.T. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. Journal of Neurology. 1995. 242, 587-592
- ↑ 2.0 2.1 Eyres, S., Carey, A., Gilworth, G., Neumann, V., Tennant, A. Construct validity and reliability of the Rivermead Post Concussion Symptoms Questionnaire. Clinical Rehabilitation. 2005. 19, 878-887
- ↑ 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.
- ↑ 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.
