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验证罗伦-莫里斯问卷的法译本在慢性腰痛患者中的应用。

Validation of a French version of Roland-Morris questionnaire in chronic low back pain patients.

机构信息

Service de médecine physique et de réadaptation, CHU de Tours, 37170 Chambray lès Tours, France; Service de rhumatologie, CHC de Maisons-Laffitte, 78600 Maisons-Laffitte, France.

出版信息

Ann Phys Rehabil Med. 2013 Dec;56(9-10):613-20. doi: 10.1016/j.rehab.2013.08.006. Epub 2013 Sep 24.

Abstract

OBJECTIVE

To validate a French version of the Roland-Morris Disability Questionnaire (RMDQ) in patients with chronic low back pain (LBP).

MATERIAL AND METHODS

Fifty-eight patients due to participate in a functional rehabilitation programme for chronic low back pain were included prospectively. The RMDQ, the Quebec Back Pain Disability Scale (QBPDS) and the "daily activities" subscale of the Dallas Pain Questionnaire (DPQ) were administered. The RMDQ was assessed for internal consistency, reliability, criterion validity and sensitivity to change.

RESULTS

Cronbach's alpha for the RMDQ was 0.84. The intraclass correlation coefficient [95% confidence interval] was 0.89 [0.83-0.93]. The RMDQ score was correlated with the QBPDS score (r=0.713) and the DPQ's "daily activities" subscore (r=0.514). The results of assessments before and after functional rehabilitation showed that the French version of the RMDQ had very high sensitivity to change (effect size: 1.49) and was more sensitive than the QBPDS and the DPQ's "daily activities" subscore.

CONCLUSIONS

Our study validated the French version of the RMDQ in patients suffering from chronic low back pain. Furthermore, we highlighted the questionnaire's very high sensitivity to change.

摘要

目的

验证慢性腰痛患者使用的 Roland-Morris 残疾问卷(RMDQ)的法语版本。

材料与方法

前瞻性纳入 58 例拟参加慢性腰痛功能康复计划的患者。对 RMDQ、魁北克腰痛残疾量表(QBPDS)和达拉斯疼痛问卷(DPQ)的“日常活动”子量表进行评估。对 RMDQ 的内部一致性、信度、效标效度和变化敏感性进行评估。

结果

RMDQ 的 Cronbach's alpha 为 0.84。组内相关系数[95%置信区间]为 0.89[0.83-0.93]。RMDQ 评分与 QBPDS 评分(r=0.713)和 DPQ 的“日常活动”子评分(r=0.514)相关。功能康复前后的评估结果表明,法语版 RMDQ 对变化具有非常高的敏感性(效应量:1.49),比 QBPDS 和 DPQ 的“日常活动”子评分更敏感。

结论

本研究验证了慢性腰痛患者使用的 Roland-Morris 残疾问卷(RMDQ)的法语版本。此外,我们强调了问卷对变化的高度敏感性。

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