Gabel Charles Philip, Melloh Markus, Burkett Brendan, Osborne Jason, Yelland Michael
Faculty of Science, Centre for Healthy Activities, Sport and Exercise, University of the Sunshine Coast, Sippy Downs, Sunshine Coast, Queensland 4556, Australia.
Man Ther. 2012 Dec;17(6):554-65. doi: 10.1016/j.math.2012.05.014. Epub 2012 Jun 27.
The original Örebro Musculoskeletal Pain Questionnaire (original-ÖMPQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the Örebro Musculoskeletal Screening Questionnaire (ÖMSQ), evolved and progressed the original-ÖMPQ to broaden application and improve practicality. This study evaluated and validated the ÖMSQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort of 143 acute musculoskeletal injured workers from ten Australian physiotherapy clinics. Baseline-ÖMSQ scores were concurrently recorded with functional status and problem severity outcomes, then compared at six months along with absenteeism, costs and recovery time to 80% of pre-injury functional status. The ÖMSQ demonstrated face and content validity with high reliability (ICC(2.1) = 0.978, p < 0.001). The score range was broad (40-174 ÖMSQ-points) with normalised distribution. Factor analysis revealed a six-factor model with internal consistency α = 0.82 (construct range α = 0.26-0.83). Practical characteristics included completion and scoring times (7.5 min), missing responses (5.6%) and Flesch-Kincaid readability (sixth-grade and 70% reading-ease). Predictive ability ÖMSQ-points cut-off scores were: 114 for absenteeism, functional impairment, problem severity and high cost; 83 for no-absenteeism; and 95 for low cost. Baseline-ÖMSQ scores correlated strongly with recovery time to 80% functional status (r = 0.73, p < 0.01). The ÖMSQ was validated prospectively in an acute work-injured musculoskeletal population. The ÖMSQ cut-off scores retain the predictive capacity intent of the original-ÖMPQ and provide clinicians and insurers with identification of patients with potentially high and low risks of unfavourable outcomes.
最初的厄勒布鲁肌肉骨骼疼痛问卷（original - ÖMPQ）旨在识别有发展为持续性背痛问题风险的患者，也被推荐用于肌肉骨骼工作受伤人群。它因其非正式的非临床测量开发过程和狭窄的关注点而受到批评。一个改进版本，即厄勒布鲁肌肉骨骼筛查问卷（ÖMSQ），在original - ÖMPQ的基础上发展演进，以扩大应用范围并提高实用性。本研究通过对来自澳大利亚十家物理治疗诊所的143名急性肌肉骨骼受伤工人进行单阶段前瞻性观察队列研究，评估并验证了ÖMSQ的临床测量特征和预测能力。同时记录基线ÖMSQ分数与功能状态和问题严重程度结果，然后在六个月时进行比较，同时比较缺勤情况、成本以及恢复到受伤前功能状态80%所需的时间。ÖMSQ表现出表面效度和内容效度，可靠性高（组内相关系数ICC(2.1) = 0.978，p < 0.001）。分数范围广泛（40 - 174个ÖMSQ分数点），呈正态分布。因子分析揭示了一个六因子模型，内部一致性α = 0.82（构建范围α = 0.26 - 0.83）。实际特征包括完成和评分时间（7.5分钟）、缺失回答（5.6%）以及弗莱施 - 金凯德可读性（六年级水平和70%的易读性）。预测能力方面，ÖMSQ分数的截断分数为：缺勤、功能障碍、问题严重程度和高成本的截断分数为114；无缺勤的截断分数为83；低成本的截断分数为95。基线ÖMSQ分数与恢复到80%功能状态的时间密切相关（r = 0.73，p < 0.01）。ÖMSQ在急性工作相关肌肉骨骼受伤人群中得到了前瞻性验证。ÖMSQ截断分数保留了original - ÖMPQ的预测能力意图，并为临床医生和保险公司提供了识别可能具有不利结果高风险和低风险患者的方法。
