J Korean Med Sci.  2011 Oct;26(10):1364-1370. 10.3346/jkms.2011.26.10.1364.

Psychometric Characteristics of the Korean Version of the Roland-Morris Disability Questionnaire

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. snu23802@snu.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

Abstract

The aims of this study were; 1) to develop the final version of the Korean Roland-Morris Disability Questionnaire (RDQ), and 2) to compare the responsiveness between the RDQ and the Oswestry Disability Index (ODI) scores in patients having low back pain. The psychometric properties of the final Korean RDQ were evaluated in 221 patients. Among them, 30 patients were reliability tested. Validity was evaluated using an 11-point numerical rating scale (NRS) and the Korean ODI. The receiver operating characteristic (ROC) curve analysis of the RDQ and the ODI was compared in 54 patients with lumbar zygapophyseal (facet) joint pain. There was a moderate relationship between the RDQ and NRS (r = 0.59, P < 0.01) and a strongly positive correlation between the RDQ and the ODI (r = 0.76, P < 0.001). The Korean RDQ with the higher area under the ROC curve showed a better overall responsive performance than did the ODI in patients with lumbar facet joint pain after medial branch radiofrequency neurotomy (P < 0.01). The results of the study present the final version of the Korean RDQ is valid for assessing functional status in a Korean population with chronic low back pain.

Keyword

Low Back Pain; Oswestry Disability Index; Psychometric Properties; Roland-Morris Disability Questionnaire

MeSH Terms

Adolescent
Adult
Aged
Aged, 80 and over
*Disability Evaluation
Disabled Persons
Female
Humans
Low Back Pain/*diagnosis
Male
Middle Aged
*Pain Measurement
Psychometrics
Questionnaires
Republic of Korea
Research Design
Severity of Illness Index

Figure

  • Fig. 1 Bland Altman plot for test-retest reliability of the Roland-Morris Disability Questionnaire: mean-against-difference graph. For each subject (n = 30), the mean of the 2 scores on the Korean RDQ at baseline (T0) and after 4-9 days (T1) and the difference between these time points (T1-T0) are plotted against each other.

  • Fig. 2 Area under the receiver operating characteristic curves for the Roland-Morris Disability Questionnaire and Oswestry Disability Index at one month.


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