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- Oxfeldt, Martin, et al.
(author)
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Danish short form Örebro Musculoskeletal Pain Screening Questionnaire: Translation, cross-cultural adaptation, and evaluation of measurement properties
- 2024
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In: Journal of Back and Musculoskeletal Rehabilitation. - : IOS Press. - 1053-8127 .- 1878-6324.
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Journal article (peer-reviewed)abstract
- BACKGROUND:Low back pain (LBP) is the leading cause of disability and an increasing sick leave in Denmark. Psychosocial risk factors have been linked to the development of LBP-related disability and work-absenteeism. The short form Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-sf) was developed to screen for psychosocial risk factors and assess the risk of long-term disability and work-absenteeism.OBJECTIVE:To translate and cross-culturally adapt ÖMPSQ-sf into Danish and evaluate test-retest reliability with relative and absolute reliability and internal consistency in LBP-patients in a secondary setting.METHODS:A six-step translation and cross-culturally adaptation process was used. Forty-four patients with subacute and chronic LBP were recruited at an outpatient clinic.RESULTS:Test-retest reliability (n=?= 37) was found to be excellent (ICC2.1== 0.92), Internal Consistency (n=?= 44) was adequate (Cronbach’s alpha == 0.72). Absolute reliability included Standard Error of Measurement (SEM == 3.97 points), 95% Limits of Agreement (95% LOA == 0.08, −-15.90–15.74), and Smallest Detectable Change (SDC == 10.87 points).CONCLUSION:The Danish ÖMPSQ-sf showed acceptable measurements properties in subacute and chronic LBP-patients. Further research is needed to assess other measurement properties of the ÖMPSQ-sf, in relation to validity, responsiveness, and the predictive ability before application in research or clinical practice.
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| 2. |
- Tegner, Heidi, et al.
(author)
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The effect of graded activity and pain education after lumbar spinal fusion on sedentary behavior 3 and 12 months postsurgery : A randomized controlled trial
- 2024
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In: Archives of Physical Medicine and Rehabilitation. - 0003-9993 .- 1532-821X.
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Journal article (peer-reviewed)abstract
- OBJECTIVES: To examine the effect of an early postsurgical intervention consisting of graded activity and pain education (GAPE) in patients with chronic low back pain (CLBP) undergoing lumbar spinal fusion (LSF) on sedentary behavior, disability, pain, fear of movement, self-efficacy for exercise and health-related quality of life (HRQoL) at 3-, 6-, and 12 months follow-up.DESIGN: A parallel-group, observer-blinded randomized controlled trial.SETTING: Department of Occupational- and Physiotherapy and the Centre for Rheumatology and Spine Diseases, Rigshospitalet, Denmark.PARTICIPANTS: In total, 144 participants undergoing an LSF for CLBP were randomly assigned to an intervention or a control group.INTERVENTIONS: The intervention group received 9 sessions of GAPE, based on principles of operant conditioning.MAIN OUTCOME MEASURES: The primary outcome was reduction in time spent in sedentary behavior, measured by an accelerometer at 3 months. The secondary outcomes were reduction in time spent in sedentary behavior at 12 months and changes from baseline to 3-, 6-, and 12 months on disability, pain, fear of movement, self-efficacy for exercise, and HRQoL.RESULTS: No difference in changes in sedentary behavior between groups was found 3 months after surgery. At 12 months after surgery, there was a significant difference between groups (mean difference: -25.4 min/d (95% confidence interval -49.1 to -1.7)) in favor of the intervention group.CONCLUSIONS: Compared with usual care, GAPE had no effect on short-term changes in sedentary behavior but GAPE had a statistical, but possibly not clinical significant effect on sedentary behavior 12 months after LSF. Further, the behavioral intervention was safe to perform.
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