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改良 Örebro 肌肉骨骼疼痛问卷在急性/亚急性下背痛工作人群中的预测能力。

Predictive ability of a modified Örebro Musculoskeletal Pain Questionnaire in an acute/subacute low back pain working population.

机构信息

Faculty of Science, Health and Education, Centre for Healthy Activities, Sport and Exercise, University of the Sunshine Coast, Sippy Downs, QLD, Australia.

出版信息

Eur Spine J. 2011 Mar;20(3):449-57. doi: 10.1007/s00586-010-1509-4. Epub 2010 Jul 15.

Abstract

The original 'Örebro Musculoskeletal Pain Questionnaire' (original-ÖMPQ) has been shown to have limitations in practicality, factor structure, face and content validity. This study addressed these concerns by modifying its content producing the 'Örebro Musculoskeletal Screening Questionnaire' (ÖMSQ). The ÖMSQ and original-ÖMPQ were tested concurrently in acute/subacute low back pain working populations (pilot n = 44, main n = 106). The ÖMSQ showed improved face and content validity, which broadened potential application, and improved practicality with two-thirds less missing responses. High reliability (0.975, p < 0.05, ICC: 2.1), criterion validity (Spearman's r = 0.97) and internal consistency (α = 0.84) were achieved, as were predictive ability cut-off scores from ROC curves (112-120 ÖMSQ-points), statistically different ÖMSQ scores (p < 0.001) for each outcome trait, and a strong correlation with recovery time (Spearman's, r = 0.71). The six-component factor structure reflected the constructs originally proposed. The ÖMSQ can be substituted for the original-ÖMPQ in this population. Further research will assess its applicability in broader populations.

摘要

原始的“Örebro 肌肉骨骼疼痛问卷”(原始-ÖMPQ)在实用性、因子结构、表面和内容效度方面存在局限性。本研究通过修改其内容产生了“Örebro 肌肉骨骼筛查问卷”(ÖMSQ)来解决这些问题。ÖMSQ 和原始-ÖMPQ 同时在急性/亚急性腰痛工作人群中进行了测试(试点 n=44,主要 n=106)。ÖMSQ 显示出了改进的表面和内容效度,扩大了潜在的应用范围,并通过减少三分之二的缺失响应提高了实用性。高可靠性(0.975,p<0.05,ICC:2.1)、标准有效性(Spearman r=0.97)和内部一致性(α=0.84)得以实现,ROC 曲线的预测能力截断分数(112-120 ÖMSQ 点)也得以实现,每个结果特征的 ÖMSQ 得分统计学上都有差异(p<0.001),与恢复时间的相关性很强(Spearman,r=0.71)。六成分的因子结构反映了最初提出的结构。在该人群中,ÖMSQ 可以替代原始-ÖMPQ。进一步的研究将评估其在更广泛人群中的适用性。

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