Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway; Clinical Research Unit Central Norway, St. Olavs Hospital, Trondheim, Norway.
Musculoskelet Sci Pract. 2022 Feb;57:102496. doi: 10.1016/j.msksp.2021.102496. Epub 2021 Dec 16.
The reliability of the Nordic Musculoskeletal Questionnaire (NMQ) has not been evaluated in an unselected general population. The aim of this population-based follow-up study was to estimate the reliability between a self-administered NMQ-based questionnaire and a face-to-face interview performed approximately two months later. To interpret the results, we assessed the 1-year prevalence of various pain musculoskeletal pain locations.
A random sample of 1201 participants in the fourth wave of the Trøndelag Health Survey were invited to a follow-up interview focusing on sleep and pain. A total of 232 (19%) participated a semi-structured interview, and the agreement with the corresponding answers in the musculoskeletal questionnaire in HUNT4 were evaluated by Cohen's kappa statistics with 95% confidence interval (CI). The 1-year prevalence of the various pain sites was stratified by age and gender.
The reliability was good for chronic musculoskeletal pain (CMSP), chronic widespread musculoskeletal pain (CWMSP) and pain in hip and knee (kappa values between 0.63 and 0.68). Moderate kappa values between 0.51 and 0.60 were found for pain in the neck, shoulder, elbow, wrist/hand, upper back, lower back, calf, ankle/feet, and ≥7 pain sites. The 1-year prevalence was 54.3% for CMSP and 17.2 for CWMSP, substantially higher for women and among those aged 50 years or more.
In this population-based study the reliability between interview and questionnaire was good to moderate for most pain locations. In particular, the self-administered musculoskeletal questionnaire seems to be a useful tool in identifying individuals with CMSP, CWMSP, and pain in hip and knee.
北欧肌肉骨骼问卷（NMQ）的可靠性尚未在未经选择的普通人群中进行评估。本基于人群的随访研究的目的是评估大约两个月后进行的基于自我管理的 NMQ 问卷和面对面访谈之间的可靠性。为了解释结果，我们评估了各种疼痛肌肉骨骼疼痛部位的 1 年患病率。
特隆赫姆健康调查第四波的随机样本 1201 名参与者被邀请参加了一项侧重于睡眠和疼痛的随访访谈。共有 232 人（19%）参加了半结构化访谈，并通过 95%置信区间（CI）的 Cohen's kappa 统计评估了与 HUNT4 中肌肉骨骼问卷相对应的答案之间的一致性。根据年龄和性别对各种疼痛部位的 1 年患病率进行分层。
慢性肌肉骨骼疼痛（CMSP）、慢性广泛肌肉骨骼疼痛（CWMSP）和髋部和膝关节疼痛的可靠性良好（kappa 值在 0.63 到 0.68 之间）。对于颈部、肩部、肘部、腕部/手部、上背部、下背部、小腿、脚踝/脚部以及≥7 个疼痛部位，kappa 值在 0.51 到 0.60 之间为中度。CMSP 的 1 年患病率为 54.3%，CWMSP 为 17.2%，女性和 50 岁及以上人群的患病率明显更高。
在这项基于人群的研究中，访谈和问卷之间的可靠性对于大多数疼痛部位为良好至中度。特别是，自我管理的肌肉骨骼问卷似乎是一种有用的工具，可以识别患有 CMSP、CWMSP 和髋部和膝关节疼痛的个体。
