厄勒布鲁肌肉骨骼疼痛筛查问卷简表与STarT Back筛查工具：相关性与一致性分析
Örebro Musculoskeletal Pain Screening Questionnaire Short-Form and STarT Back Screening Tool: Correlation and Agreement Analysis.
作者信息
Fuhro Fernanda Ferreira, Fagundes Felipe Ribeiro Cabral, Manzoni Ana Carolina Taccolini, Costa Leonardo Oliveira Pena, Cabral Cristina Maria Nunes
机构信息
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Brazil.
出版信息
Spine (Phila Pa 1976). 2016 Aug 1;41(15):E931-E936. doi: 10.1097/BRS.0000000000001415.
STUDY DESIGN
Correlation and agreement analysis.
OBJECTIVE
The objective of this study was to compare the Brazilian Portuguese versions of the Örebro Musculoskeletal Pain Screening Questionnaire Short-Form (ÖMPSQ-short) and the STarT Back Screening Tool (SBST)-Brazil in patients with low back pain and to verify their correlation with disability, kinesiophobia, and pain.
SUMMARY OF BACKGROUND DATA
The ÖMPSQ-short and the SBST were designed to identify patients at risk of developing pain and disability related to psychosocial factors.
METHODS
We assessed 130 patients, who answered the ÖMPSQ-short, SBST-Brazil, Roland-Morris disability questionnaire, Tampa scale of kinesiophobia, and Pain Numerical Rating scale. The total scores of the ÖMPSQ-short and the SBST-Brazil were correlated with the other questionnaires. Cross-tabulation and Cohen κ were used to analyze the agreement between the ÖMPSQ-short and the SBST-Brazil for participant classification as low or high risk for involvement of psychosocial factors.
RESULTS
The ÖMPSQ-short and the SBST-Brazil presented good correlation between total scores (r = 0.73), good correlation with disability (ÖMPSQ-short: r = 0.72; SBST-Brazil: r = 0.76), and kinesiophobia (ÖMPSQ-short: r = 0.68; SBST-Brazil: r = 0.60) and moderate correlation with pain in the last episode (ÖMPSQ-short: r = 0.39; SBST-Brazil: r = 0.48), in last 2 weeks (ÖMPSQ-short: r = 0.39; SBST: r = 0.43), and current pain (ÖMPSQ-short: r = 0.39; SBST-Brazil: r = 0.31). Participant classification as high or low risk by the two questionnaires showed moderate agreement (κ = 0.49). A total of 83% of participants were classified correctly by the two questionnaires.
CONCLUSION
The ÖMPSQ-short and the SBST-Brazil showed good correlation between total scores and moderate agreement for patient classification in relation to the presence of psychosocial factors.
LEVEL OF EVIDENCE
研究设计
相关性与一致性分析。
目的
本研究旨在比较巴西葡萄牙语版的厄勒布鲁肌肉骨骼疼痛筛查问卷简表（ÖMPSQ-简表）和巴西版的STarT Back筛查工具（SBST）在腰痛患者中的情况，并验证它们与残疾、运动恐惧和疼痛的相关性。
背景数据总结
ÖMPSQ-简表和SBST旨在识别有发展为与心理社会因素相关的疼痛和残疾风险的患者。
方法
我们评估了130名患者，他们回答了ÖMPSQ-简表、巴西版SBST、罗兰-莫里斯残疾问卷、坦帕运动恐惧量表和疼痛数字评定量表。ÖMPSQ-简表和巴西版SBST的总分与其他问卷进行了相关性分析。采用交叉表和科恩κ系数分析ÖMPSQ-简表和巴西版SBST在将参与者分类为心理社会因素参与低风险或高风险方面的一致性。
结果
ÖMPSQ-简表和巴西版SBST的总分之间呈现出良好的相关性（r = 0.73），与残疾（ÖMPSQ-简表：r = 0.72；巴西版SBST：r = 0.76）和运动恐惧（ÖMPSQ-简表：r = 0.68；巴西版SBST：r = 0.60）有良好的相关性，与最后一次发作时的疼痛（ÖMPSQ-简表：r = 0.39；巴西版SBST：r = 0.48）、过去2周的疼痛（ÖMPSQ-简表：r = 0.39；SBST：r = 0.43）以及当前疼痛（ÖMPSQ-简表：r = 0.39；巴西版SBST：r = 0.31）有中度相关性。两种问卷将参与者分类为高风险或低风险显示出中度一致性（κ = 0.49）。两种问卷对83%的参与者分类正确。
结论
ÖMPSQ-简表和巴西版SBST在总分之间显示出良好的相关性，在与心理社会因素存在相关的患者分类方面显示出中度一致性。
证据级别
3级。
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