Stratford P W, Binkley J, Solomon P, Gill C, Finch E
School of Occupational Therapy and Physiotherapy, McMaster University, Hamilton, Ontario, Canada.
Phys Ther. 1994 Jun;74(6):528-33. doi: 10.1093/ptj/74.6.528.
This study compared the ability of the Roland-Morris (RM), Oswestry (OSW), and Jan van Breemen Institute (JVB) pain and function questionnaires to detect change over time.
The sample consisted of 88 patients with mechanical low back pain who were referred by physicians to the outpatient physical therapy department of a teaching hospital.
Questionnaires were completed by the subjects at their initial visit and 4 to 6 weeks later. Clinically important change was estimated by having the subject and the clinician independently complete two rating scales. Sensitivity to change was assessed using receiver operating characteristic (ROC) curve analysis.
The ROC curve areas for the RM (0.79), OSW (0.78), and JVB pain (0.79) questionnaires were significantly greater than for the JVB function questionnaire (0.66). Blank and multiple responses per item were present on approximately 20% of the OSW questionnaires and 14% of the JVB questionnaires. Words rather than checks were evident on 3% of the RM questionnaires.
Based on the latter finding, we believe the RM questionnaire may be the preferred instrument for assessing change over time in patients with low back pain.
本研究比较了罗兰-莫里斯（RM）、奥斯维斯特里（OSW）和扬·范·布雷曼研究所（JVB）疼痛与功能问卷随时间检测变化的能力。
样本包括88例机械性下腰痛患者，这些患者由医生转介至一家教学医院的门诊物理治疗科。
受试者在初次就诊时及4至6周后完成问卷。通过让受试者和临床医生独立完成两个评定量表来评估具有临床意义的变化。使用受试者工作特征（ROC）曲线分析评估对变化的敏感性。
RM问卷（0.79）、OSW问卷（0.78）和JVB疼痛问卷（0.79）的ROC曲线面积显著大于JVB功能问卷（0.66）。约20%的OSW问卷和14%的JVB问卷存在每题空白及多项回答情况。3%的RM问卷存在用文字而非打勾的情况。
基于后一项发现，我们认为RM问卷可能是评估下腰痛患者随时间变化的首选工具。
