Journal article
The Örebro Musculoskeletal Screening Questionnaire: Validation of a modified primary care musculoskeletal screening tool in an acute work injured population
Manual Therapy, Vol.17(6), pp.554-565
2012
Abstract
The original Örebro Musculoskeletal Pain Questionnaire (original-ÖMPQ) 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 Örebro Musculoskeletal Screening Questionnaire (ÖMSQ), evolved and progressed the original-ÖMPQ to broaden application and improve practicality. This study evaluated and validated the ÖMSQ clinimetric characteristics and predictive ability through a single-stage prospective observational cohort of 143 acute musculoskeletal injured workers from ten Australian physiotherapy clinics. Baseline-ÖMSQ 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 ÖMSQ demonstrated face and content validity with high reliability (ICC2.1 ¼ 0.978, p < 0.001). The score range was broad (40e174 ÖMSQ-points) with normalised distribution. Factor analysis revealed a six-factor model with internal consistency a ¼ 0.82 (construct range a ¼ 0.26e0.83). 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 ÖMSQ-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-ÖMSQ scores correlated strongly with recovery time to 80% functional status (r ¼ 0.73, p < 0.01). The ÖMSQ was validated prospectively in an acute work-injured musculoskeletal population. The ÖMSQ cut-off scores retain the predictive capacity intent of the original-ÖMPQ and provide clinicians and insurers with identification of patients with potentially high and low risks of unfavourable outcomes.
Details
- Title
- The Örebro Musculoskeletal Screening Questionnaire: Validation of a modified primary care musculoskeletal screening tool in an acute work injured population
- Authors
- Charles P Gabel (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringM Melloh (Author) - University of Western AustraliaBrendan J Burkett (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringJ W Osborne (Author) - Old Dominion University, United StatesM Yelland (Author) - Griffith University
- Publication details
- Manual Therapy, Vol.17(6), pp.554-565
- Publisher
- Churchill Livingstone
- Date published
- 2012
- DOI
- 10.1016/j.math.2012.05.014
- ISSN
- 1356-689X
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health - Sports & Exercise Science
- Language
- English
- Record Identifier
- 99450390502621
- Output Type
- Journal article
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