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  • The Örebro Musculoskeletal Screening Questionnaire: Validation of a modified primary care musculoskeletal screening tool in an acute work injured population

    Author(s)
    Gabel, Charles Philip
    Melloh, Markus
    Burkett, Brendan
    Osborne, Jason
    Yelland, Michael
    Griffith University Author(s)
    Yelland, Michael
    Gabel, Charles P.
    Year published
    2012
    Metadata
    Show full item record
    Abstract
    The original ֲebro Musculoskeletal Pain Questionnaire (original-֍PQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the ֲebro Musculoskeletal Screening Questionnaire (֍SQ), evolved and progressed the original-֍PQ to broaden application and improve practicality. This study evaluated and validated the ֍SQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort ...
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    The original ֲebro Musculoskeletal Pain Questionnaire (original-֍PQ) was developed to identify patients at risk of developing persistent back pain problems and is also advocated for musculoskeletal work injured populations. It is critiqued for its informal non-clinimetric development process and narrow focus. A modified version, the ֲebro Musculoskeletal Screening Questionnaire (֍SQ), evolved and progressed the original-֍PQ to broaden application and improve practicality. This study evaluated and validated the ֍SQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort of 143 acute musculoskeletal injured workers from ten Australian physiotherapy clinics. Baseline-֍SQ scores were concurrently recorded with functional status and problem severity outcomes, then compared at six months along with absenteeism, costs and recovery time to 80% of pre-injury functional status. The ֍SQ demonstrated face and content validity with high reliability (ICC2.1 젰.978, p < 0.001). The score range was broad (40e174 ֍SQ-points) with normalised distribution. Factor analysis revealed a six-factor model with internal consistency a 젰.82 (construct range a 젰.26e0.83). Practical characteristics included completion and scoring times (7.5 min), missing responses (5.6%) and FlescheKincaid readability (sixth-grade and 70% reading-ease). Predictive ability ֍SQ-points cut-off scores were: 114 for absenteeism, functional impairment, problem severity and high cost; 83 for no-absenteeism; and 95 for low cost. Baseline-֍SQ scores correlated strongly with recovery time to 80% functional status (r 젰.73, p < 0.01). The ֍SQ was validated prospectively in an acute work-injured musculoskeletal population. The ֍SQ cut-off scores retain the predictive capacity intent of the original-֍PQ and provide clinicians and insurers with identification of patients with potentially high and low risks of unfavourable outcomes.
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    Journal Title
    Manual Therapy
    Volume
    17
    Issue
    6
    DOI
    https://doi.org/10.1016/j.math.2012.05.014
    Subject
    Clinical sciences
    Sports science and exercise
    Publication URI
    http://hdl.handle.net/10072/49414
    Collection
    • Journal articles

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