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Farooq MN, Naz S, Kousar A, Gul A. Translation and validation of the Urdu version of the neck pain and disability scale. Disabil Rehabil 2024; 46:2145-2154. [PMID: 37203138 DOI: 10.1080/09638288.2023.2213901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 05/10/2023] [Indexed: 05/20/2023]
Abstract
PURPOSE To translate and cross-culturally adapt the neck pain and disability scale (NPDS) into Urdu language (NPDS-U), and to investigate the NPDS-U's psychometric properties in patients with non-specific neck pain (NSNP). METHODS The NPDS was translated and cross-culturally adapted into Urdu in accordance with the previously described guidelines. The study included 200 NSNP patients and 50 healthy participants. The NPDS-U, Urdu version of neck disability index (NDI-U), neck Bournemouth questionnaire (NBQ), and numerical pain rating scale (NPRS) were completed by all participants. After three weeks of physiotherapy, the patients completed all of the above-mentioned questionnaires, along with the global rating of change scale. Reliability, factor analysis, validity, and responsiveness were all tested. RESULTS The NPDS-U demonstrated excellent test-retest reliability (ICC2,1=0.92) and high internal consistency (Cronbach's alpha = 0.96). There were no floor or ceiling effects. A three-factor structure was extracted, which explained 70.42% of the total variance. The NPDS-U showed moderate to strong correlations with NPRS, NDI-U, and NBQ (r = 0.67-0.76, p < 0.001). A significant difference in the NPDS-U change scores between the stable and the improved groups (p < 0.001) confirmed its responsiveness. CONCLUSION The NPDS-U is a reliable, valid, and responsive scale for assessing neck pain and disability in Urdu-speaking patients with NSNP.
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Affiliation(s)
- Muhammad Nazim Farooq
- Islamabad College of Physiotherapy, Margalla Institute of Health Sciences Rawalpindi, Rawalpindi, Pakistan
| | - Somiya Naz
- Islamabad College of Physiotherapy, Margalla Institute of Health Sciences Rawalpindi, Rawalpindi, Pakistan
| | - Ambrin Kousar
- Islamabad College of Physiotherapy, Margalla Institute of Health Sciences Rawalpindi, Rawalpindi, Pakistan
| | - Anum Gul
- Islamabad College of Physiotherapy, Margalla Institute of Health Sciences Rawalpindi, Rawalpindi, Pakistan
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Ko JH, Kim SN. Effect of acupuncture on pain and substance P levels in middle-aged women with chronic neck pain. Front Neurol 2023; 14:1267952. [PMID: 37928143 PMCID: PMC10620714 DOI: 10.3389/fneur.2023.1267952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 10/04/2023] [Indexed: 11/07/2023] Open
Abstract
Chronic neck pain is a leading health issue affecting a significant proportion of the global population. Multiple treatment options for chronic neck pain include anti-inflammatory drugs and analgesics. Acupuncture has been widely used for the treatment of chronic pain. In this study, we aimed to determine the efficacy of acupuncture for female patients with chronic neck pain. Twenty-three participants were enrolled in the study, and participants waited 4 weeks without acupuncture treatment and then received 4 weeks of treatment. One-way ANOVA with repeated measures was used to determine differences in the visual analogue scale (VAS), neck disability index (NDI), and substance P (SP) over time. The subjects' pain intensity and degree of disability due to neck pain were measured as primary outcomes. SP in the blood was also analyzed as a secondary outcome. There was no significant difference between the VAS score and NDI value of baseline and after 4 weeks waiting. However, there was an improvement in both VAS and NDI after 4 weeks treatment. SP level was decreased after 4 weeks treatment. We could conclude that acupuncture is effective in alleviating chronic neck pain. Moreover, our findings revealed the efficacy of acupuncture on chronic pain with potential underlying biological mechanisms.
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Affiliation(s)
| | - Seung-Nam Kim
- College of Korean Medicine, Dongguk University, Seoul, Republic of Korea
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Lee YM, Koo DK, Kwon JW. The efficacy of sling exercise combined with extracorporeal shock wave on office workers with chronic neck pain. Medicine (Baltimore) 2023; 102:e33940. [PMID: 37335668 DOI: 10.1097/md.0000000000033940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/21/2023] Open
Abstract
This study aimed to investigate the effect of extracorporeal shockwave therapy on the anterior surface line of the fascia meridian, including the oblique muscle, combined with sling exercise, on the stability of the spine in the neck disability index (NDI), neck joint range of motion (ROM), craniovertebral angle, neck alignment, and posture control. A total of 20 office workers with chronic neck pain were randomly assigned to an experimental group that combined extracorporeal shock wave therapy and sling exercise (n = 10) and a control group (CG) consisting of sling exercise (n = 10) performed twice weekly for 4 weeks. All subjects were evaluated using the NDI, ROM, neck alignment, and spine stability tests. Following the intervention, there were significant differences in the For example, NDI, craniovertebral angle, Cobb's angle, Centaur data, and ROM. Except for Cobb's angle and Centaur data (-90 degrees), all variables showed significant differences in the CG. Comparing changes before and after the intervention, The For example, showed significantly more significant changes in all variables than the CG. The combination of extracorporeal shockwave therapy and sling exercises improved NDI, ROM, and neck and spine alignment in office workers with chronic neck pain more effectively than the sling exercise alone. This study could be recommended as a new approach to enable individuals with chronic neck pain to perform better.
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Affiliation(s)
- Young Min Lee
- Department of Public Health Sciences, Graduate School, Dankook University, Cheonan, Korea
| | - Dong Kyun Koo
- Department of Public Health Sciences, Graduate School, Dankook University, Cheonan, Korea
| | - Jung Won Kwon
- Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University, Cheonan, Korea
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Christakou Α, Fijalkowska ΜΕ, Lazari E, Georgoudis G. Translation, validation, and reliability of the Greek version of the Arthritis Self-Efficacy Scale. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2023. [DOI: 10.1080/21679169.2023.2164939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Affiliation(s)
- Αnna Christakou
- Department of Physiotherapy, University of Peloponnese, Corinth, Greece
| | - Μalwina-Εufemia Fijalkowska
- Research Laboratory of Musculoskeletal Physiotherapy, Department of Physiotherapy, University of West Attica, Athens, Greece
| | - Eirini Lazari
- Research Laboratory of Musculoskeletal Physiotherapy, Department of Physiotherapy, University of West Attica, Athens, Greece
| | - Georgios Georgoudis
- Research Laboratory of Musculoskeletal Physiotherapy, Department of Physiotherapy, University of West Attica, Athens, Greece
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Paik S, Choi Y, Chung CK, Won YI, Park SB, Yang SH, Lee CH, Rhee JM, Kim KT, Kim CH. Cervical kinematic change after posterior full-endoscopic cervical foraminotomy for disc herniation or foraminal stenosis. PLoS One 2023; 18:e0281926. [PMID: 36809260 PMCID: PMC9942978 DOI: 10.1371/journal.pone.0281926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 02/04/2023] [Indexed: 02/23/2023] Open
Abstract
OBJECTIVE Posterior full-endoscopic cervical foraminotomy (PECF) is one of minimally invasive surgical techniques for cervical radiculopathy. Because of minimal disruption of posterior cervical structures, such as facet joint, cervical kinematics was minimally changed. However, a larger resection of facet joint is required for cervical foraminal stenosis (FS) than disc herniation (DH). The objective was to compare the cervical kinematics between patients with FS and DH after PECF. METHODS Consecutive 52 patients (DH, 34 vs. FS, 18) who underwent PECF for single-level radiculopathy were retrospectively reviewed. Clinical parameters (neck disability index, neck pain and arm pain), and segmental, cervical and global radiological parameters were compared at postoperative 3, 6, and 12 months, and yearly thereafter. A linear mixed-effect model was used to assess interactions between groups and time. Any occurrence of significant pain during follow-up was recorded during a mean follow-up period of 45.5 months (range 24-113 months). RESULTS Clinical parameters improved after PECF, with no significant differences between groups. Recurrent pain occurred in 6 patients and surgery (PECF, anterior discectomy and fusion) was performed in 2 patients. Pain-free survival rate was 91% for DH and 83% for FS, with no significant difference between the groups (P = 0.29). Radiological changes were not different between groups (P > 0.05). Segmental neutral and extension curvature became more lordotic. Cervical curvature became more lordotic on neutral and extension X-rays, and the range of cervical motion increased. The mismatch between T1-slope and cervical curvature decreased. Disc height did not change, but the index level showed degeneration at postoperative 2 years. CONCLUSION Clinical and radiological outcomes after PECF were not different between DH and FS patients and kinematics were significantly improved. These findings may be informative in a shared decision-making process.
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Affiliation(s)
- Seungyoon Paik
- Department of Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea
| | - Yunhee Choi
- Division of Medical Statistics, Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Republic of Korea
| | - Chun Kee Chung
- Department of Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, Republic of Korea
| | - Young Il Won
- Department of Neurosurgery, Chungnam National University Sejong Hospital, Sejong, Republic of Korea
| | - Sung Bae Park
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University Boramae Hospital, Seoul, Republic of Korea
| | - Seung Heon Yang
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea
| | - Chang-Hyun Lee
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea
| | - John Min Rhee
- Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, United States of America
| | - Kyoung-Tae Kim
- Department of Neurosurgery, Kyungpook National University Hospital, Daegu, Republic of Korea
- Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea
| | - Chi Heon Kim
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Republic of Korea
- Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea
- Department of Medical Device Development, Seoul National University College of Medicine, Seoul, Republic of Korea
- * E-mail:
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Cross-Cultural Adaptation and Clinimetric Testing of Functional Rating Index (FRI) Outcome Measure into the Arabic Language. Rehabil Res Pract 2022; 2022:6229847. [PMID: 35783296 PMCID: PMC9246610 DOI: 10.1155/2022/6229847] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 04/29/2022] [Accepted: 05/13/2022] [Indexed: 12/02/2022] Open
Abstract
Background The Functional Rating Index (FRI) is a self-report scale widely used to determine the level of disability in low back pain (LBP) populations. Objectives This study was aimed at conducting the cross-cultural adaptation of the FRI-Arabic version (FRI-Ar) and testing the clinometric properties of FRI-Ar. Methods The cross-cultural adaptation process was used to develop the FRI-Ar. This study included acute and subacute LBP patients. Each patient was asked to complete the questionnaires at three time points: baseline, 24-hour follow-up, and two-week follow-up. The questionnaires used were FRI-Ar, Roland-Morris Disability Questionnaire (RMDQ), Oswestry Disability Index (ODI), Numerical Pain Rating Scale (NPRS), Global Perceived Effect Scale (GPE), and Patient-Specific Functional Scale (PSFS). Statistical analysis was carried out to measure the instrument's reliability, validity, and responsiveness. Results The FRI was cross-culturally adapted to the Arabic language, and the adapted version was validated. Two hundred patients completed the questionnaires at the baseline; however, 120 patients completed the questionnaires at 24-hour and two-week follow-up. Cronbach's alpha, interclass correlation coefficient (ICC2,1), standard error of measurement (SEM), and minimal detectable change (MDC95%) for the FRI-Ar were observed as 0.85, 0.85, 1.17 (2.9%), and 3.24, respectively. The FRI-Ar showed a moderate positive correlation only with the RMDQ, ODI, and NPRS (p < 0.05). Also, it showed the responsiveness with a small effect size (ES = 0.29) and standardized response mean (SRM = 0.44). Conclusion The FRI-Ar was developed, and it showed good reliability and validity. However, it revealed the responsiveness with the small change. It can evaluate both pain and functional limitations in acute and subacute LBP patients. Before using it in the Arabic population with acute and subacute LBP, it is recommended to conduct further research to test internal and external responsiveness using an external criterion with a more extended follow-up period and suitable interventions.
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Assessment of the responsiveness of four scales in geriatric patients with chronic neck pain. Rheumatol Int 2021; 41:1825-1831. [PMID: 34302231 PMCID: PMC8300983 DOI: 10.1007/s00296-021-04957-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 07/19/2021] [Indexed: 11/27/2022]
Abstract
The purpose of this study was to evaluate the responsiveness of Copenhagen Neck Functional Disability Scale (CNFDS), Neck Disability Index (NDI), Neck Bournemouth Questionnaire (NBQ), Neck Pain and Disability Scale (NPDS) in geriatric patients with non-specific chronic neck pain. A total of 52 geriatric patients with non-specific chronic neck pain were included in the present study. All participants were included in a physical therapy and rehabilitation program for five sessions per week that lasted 3 weeks. All participants were evaluated before and after the treatment. Pain and disability were assessed with the Visual Analog Scale-pain (VAS-pain), VAS-disability, muscle spasm, CNFDS, NDI, NBQ, NPDS scales. Additionally, patient satisfaction scores were questioned both before and after the treatment. Following the 3-week physical therapy and rehabilitation program, significant improvements were detected in the VAS-pain, VAS-disability, muscle spasm, CNFDS, NDI, NBQ, and NPDS scores (p < 0.05). Responsiveness values were found to be as follows: CNFDS [effect size (ES) = 0.78; standardized response mean (SRM) = 0.90], NDI (ES = 0.66; SRM = 1.18), NBQ (ES = 0.82; SRM = 0.97) and NPDS (ES = 0.87; SRM = 0.98). Our study demonstrated that CNFDS, NDI, NBQ, and NPDS are responsive scales in determining treatment-related changes in geriatric patients with non-specific neck pain. These results also suggest that all of these four scales can be used in the assessment of treatment induced changes in geriatric patients with chronic neck pain.
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Santiago-Reynoso GM, Alvarado-Luna AE, Fernandez-Matias R, Pecos-Martin D, Gallego-Izquierdo T. Transcultural adaptation of the neck disability index to mexican spanish and assessment of its psychometric properties. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2021; 30:2654-2660. [PMID: 33944998 DOI: 10.1007/s00586-021-06835-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 02/27/2021] [Accepted: 04/03/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE To transculturally adapt the Neck Disability Index to Mexican Spanish (NDI-Mx) and to evaluate its psychometric properties. METHODS Translation and transcultural adaptation of the NDI were conducted according to published guidelines. The test-retest reliability of the NDI-Mx was assessed with intraclass correlation coefficient (ICC3,1), the student t-test, standard error of measurement, minimal detectable change and Bland-Altman plot. Cronbach's α coefficient was used to evaluate internal consistency. Floor and ceiling effects were also evaluated. Convergent validity was assessed by comparison of the NDI-Mx with the Northwick Park Neck Pain Questionnaire (NPQ) through the Spearman correlation coefficient. Finally, a confirmatory factor analysis (CFA) was conducted. RESULTS The sample was composed of 113 subjects (38 men and 75 women) with a mean age of 30 (SD, 12.19) years. All items of the NDI-Mx showed good test-retest reliability (ICC3,1 = 0.86) and good internal consistency (Cronbach's α = 0.85). Floor and ceiling effects were not observed. There was good convergent validity with a high correlation between NDI-Mx and NPQ (ρ = 0.83). The CFA revealed that a one-factor solution fitted adequately the data (χ2(32) = 41.18, p = .13). CONCLUSION The NDI-Mx seems to be a valid and reliable tool that can be used in clinical practice and research on Mexican populations with neck pain.
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Affiliation(s)
| | | | - Ruben Fernandez-Matias
- Research Institute of Physiotherapy and Pain, University of Alcala., 28805, Alcala de Henares, Madrid, Spain
| | - Daniel Pecos-Martin
- University of Alcala, Physiotherapy and Pain Group, Department of Physical Therapy, Campus Universitario. Ctra., Madrid-Barcelona, km, 33600, 28871, 28805, Alcala de Henares, Madrid, Spain.
| | - Tomas Gallego-Izquierdo
- University of Alcala, Physiotherapy and Pain Group, Department of Physical Therapy, Research Institute of Physiotherapy and Pain., 28805, 28871, Alcala de Henares, Madrid, Spain
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Shrestha D, Shrestha R, Grotle M, Nygaard ØP, Solberg TK. Validation of the Nepali versions of the Neck Disability Index and the Numerical Rating Scale for Neck Pain. Spine (Phila Pa 1976) 2021; 46:E325-E332. [PMID: 33181772 PMCID: PMC7864651 DOI: 10.1097/brs.0000000000003810] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2020] [Revised: 08/20/2020] [Accepted: 09/15/2020] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN A cross-sectional study with a test-retest design. OBJECTIVE To translate and culturally adapt the numerical rating scale (NRS) for neck pain intensity and the Neck Disability Index (NDI), and asses their measurement properties in a Nepalese neck pain population. SUMMARY OF BACKGROUND DATA Neck pain is one of the most common musculoskeletal disorders in Nepal. Research on neck pain disorders has been hampered by lack of standardized patient-reported outcome measures (PROMs) in Nepali language. Therefore, we aimed at validating a Nepali version of the NDI and NRS neck pain. METHODS At Dhulikhel hospital in Nepal, 150 patients with neck pain and/or cervical radiculopathy completed the translated self-administered questionnaires. We had made one cultural adaption of the NDI driving item in the final Nepali version. Relative reliability was analyzed with intraclass correlation coefficient (ICC 2.1) and absolute reliability with the smallest detectable change (SDC). Internal consistency was assessed by Cronbach alpha. Construct and discriminative validity was assessed by Spearman correlation for a priori hypotheses, receiver-operating characteristics curves, and analysis of variance. Time spent and assistance needed to complete the questionnaires were used to assess feasibility. RESULTS Test-restest reliability was excellent with ICC (95% confidence intervals) of 0.87 (0.66, 0.94) for NDI and 0.97 (0.94, 0.99) for NRS neck pain. The absolute reliability was acceptable (a SDC of 1.6 for NRS and 9.3 for NDI) and a Cronbach alpha (internal consistency) of 0.70 for NDI, as well as acceptable construct validity, discriminative validity, and feasibility. CONCLUSION The Nepali versions of the NRS neck pain and NDI can be recommended for assessing pain and disability among patients with neck pain and cervical radiculopathy, but their responsiveness to change remains to be tested.Level of Evidence: 2.
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Affiliation(s)
- Dipak Shrestha
- Department of Orthopaedics, Dhulikhel Hospital, Kathmandu University Hospital and Kathmandu University School of Medical Sciences, Nepal
| | - Rohit Shrestha
- Department of Orthopaedics, Dhulikhel Hospital, Kathmandu University Hospital and Kathmandu University School of Medical Sciences, Nepal
| | - Margreth Grotle
- Oslo Metropolitan University, Faculty of Health Sciences and FORMI, Clinic for surgery and neurology (C1), Oslo University Hospital, Norway
| | - Øystein P. Nygaard
- National advisory unit on spinal surgery, St. Olavs Hospital, Trondheim and Department of Neuroscience, Faculty of medicine, Norwegian University of Science and Technology, Norway
| | - Tore K. Solberg
- Department of Neurosurgery, University Hospital of Northern Norway and Institute for clinical medicine, Arctic University of Norway (UiT), Tromsø, Norway
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Kim M, Kim J. Effects of Acupressure on Pain, Flexibility, and Substance P in Middle-Age Women with Chronic Neck Pain. J Altern Complement Med 2020; 27:160-167. [PMID: 33296258 DOI: 10.1089/acm.2020.0413] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Introduction: Acupressure is known to be effective for some types of chronic pain. However, the effect of acupressure on chronic neck pain has not been investigated. Accordingly, the authors aimed to evaluate effects of the 4-week acupressure treatment on pain, neck function, and substance P in women with chronic neck pain. Methods: The acupressure treatment was performed two times a week for 4 weeks in an acupressure group (n = 24), meanwhile a control group (n = 26) was untreated. Before and after intervention, pain intensity and physical disability were measured by visual analogue scale (VAS) and neck disability index (NDI), respectively. In addition, cervical range of motion (CROM) and serum substance P were evaluated. Results: Results of two-way analysis of variance with repeated measures revealed that time × group interactions were significant in all outcomes (all p < 0.001) except substance P. These results indicate that after 4 weeks, VAS and NDI significantly decreased in the acupressure group compared with those changes in the control group. The CROM values for six cervical movements significantly increased in the acupressure group compared with those changes in the control group. Serum substance P did not change significantly in both groups. However, when the pre- and postintervention data from all subjects were pooled, substance P was significantly correlated with VAS (r = 20; p < 0.05; n = 100). Conclusions: The 4-week acupressure intervention showed significant reduction in pain and improvement in neck disability and flexibility, suggesting that acupressure intervention is an effective treatment for chronic neck pain. This study was registered with the Korean Clinical Trial Registry and WHO Clinical Trial Registry (KCT0005363).
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Affiliation(s)
- Manjung Kim
- Department of Alternative Medicine, Graduate School, Kyonggi University (Seoul Campus), Seoul, Republic of Korea
| | - Jaehee Kim
- Department of Alternative Medicine, Graduate School of Alternative Medicine, Kyonggi University (Seoul Campus), Seoul, Republic of Korea
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Barni L, Freddolini M, Ruiz-Muñoz M, Cuesta-Vargas AI, Gonzalez-Sanchez M. Questionnaires for the evaluation of the cervical and lumbar spine in Italian language: a systematic review of the structural and psychometric characteristics. Eur J Phys Rehabil Med 2020; 57:376-385. [PMID: 33258360 DOI: 10.23736/s1973-9087.20.06280-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION There has been an increase in the use of questionnaires as tools for the subjective evaluation of patients with neuro-musculoskeletal problems. The aim of this study was to analyze the psychometric properties of the questionnaires published in Italian for the evaluation of cervical and lumbar spine pain and related dysfunction. EVIDENCE ACQUISITION Two blinded bibliographical searches were carried out on seven databases, regarding back, lumbar and/or cervical musculoskeletal problems. Both the structural characteristics and the psychometric aspects of each of the questionnaires were extracted from each of the selected articles. The structural characteristics were: full name, acronym, author and date of adaptation to the Italian language, what it measures, number of items, time to complete, the result scale, where the points are located and the cost. The psychometric aspects were: standard error of measurement (SEM), minimum detectable change (MDC), minimal clinically important difference (MCID), test-retest reliability, internal consistency, criterion validity, construct validity and sensitivity to changes. EVIDENCE SYNTHESIS For the structural characteristics of the questionnaires identified for the valuation of the lumbar area, the number of items ranged between 10 and 24. Only two of the questionnaires presented specific categories, and the time to complete ranged between 5 and 7 minutes. The reliability of the questionnaires ranged between 0.869 and 0.961. None of the questionnaires calculated the inter-observer reliability. The internal consistency ranged between 0.82 and 0.90 for criterion validity. None of the questionnaires calculated sensitivity, SEM, MDC or MCID, with the exception of the Fear-Avoidance Beliefs Questionnaire, which showed a value of 12 on MDC. For the assessment of the cervical region, the number of items ranged from 6 to 20. Three of the questionnaires had sub-categories, and the time to complete them ranged between 2 and 5 minutes. The test-retest reliability ranged between 0.78 and 0.997. The internal consistency ranged between 0.842 and 0.942. CONCLUSIONS The Italian versions of the questionnaires present good basic structural and psychometric characteristics for the evaluation of patients with back, lumbar and/or cervical musculoskeletal disorders. The analysis of the structural and psychometric characteristics of these questionnaires is fundamental to identify the best tools to use in research and in clinical practice.
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Affiliation(s)
- Luca Barni
- Italian Institute of Technology (IIT), Genoa, Italy
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Salehi R, Negahban H, Saghayezhian N, Saadat M. The Responsiveness of the Persian Version of Neck Disability Index and Functional Rating Index Following Physiotherapy Intervention in People with Chronic Neck Pain. IRANIAN JOURNAL OF MEDICAL SCIENCES 2019; 44:390-396. [PMID: 31582863 PMCID: PMC6754531 DOI: 10.30476/ijms.2019.44963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Background: Clinicians and researchers commonly use responsive outcome measures to interpret changes in a patient’s condition as a result of an intervention. This study was conducted to assess the ability of the Persian version of Neck Disability Index and Functional Rating Index to detect responsiveness in the patients with neck pain.
Methods: A diagnostic accuracy study was done in Ahvaz, Iran, 2016. A convenience sample of 57 Persian-speaking patients with non-specific chronic neck pain completed the Neck Disability Index and the Functional Rating Index at the beginning and after physiotherapy intervention. The responsiveness was investigated by the receiver operating characteristics method and the correlation analysis. Statistical analysis was done using SPSS (version 21), with a P<0.05 as the level of significance.
Results: The Functional Rating Index showed that the area under the curve was greater than 0.70 (range=0.651-0.942). The optimal cutoff points for the Functional Rating Index and the Neck Disability Index were 9.5 and 7.5, respectively. Gamma correlation between change scores of the Functional Rating Index and the Neck Disability Index and the Global Rating of Change Scores was 0.53 and 0.33, respectively.
Conclusion: The results indicated that the Persian version of the Functional Rating Index could detect clinical changes following physiotherapy intervention in a group of patients with chronic non-specific neck pain. Therefore, we recommend that this instrument be used as a responsive measure of neck pain disability in patients with neck pain.
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Affiliation(s)
- Reza Salehi
- Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.,Rehabilitation Research Center, Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Hossein Negahban
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.,Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Najmeh Saghayezhian
- Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Maryam Saadat
- Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Seol DI, Yoon HM. Effects of Movement Control Biofeedback Exercise Training on Joint Position Sense and Dysfunction in Patients with Chronic Neck Pain. THE ASIAN JOURNAL OF KINESIOLOGY 2019. [DOI: 10.15758/ajk.2019.21.3.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Yao M, Xu BP, Tian ZR, Ye J, Zhang Y, Wang YJ, Cui XJ. Cross-cultural adaptation of the Neck Pain and Disability Scale: a methodological systematic review. Spine J 2019; 19:1057-1066. [PMID: 30708113 DOI: 10.1016/j.spinee.2019.01.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 01/25/2019] [Accepted: 01/25/2019] [Indexed: 02/03/2023]
Abstract
BACKGROUND Neck pain is a common and uncomfortable symptom, adversely affecting the work and life of those affected. The Neck Pain and Disability Scale (NPDS) is widely used in neck pain assessment. It has been cross-culturally adapted into several languages to extend its reach to non-English-speaking countries. The aim of this study was to comprehensively evaluate the translation procedures and measurement properties of cross-cultural adaptations of the NPDS. METHOD We searched multiple databases, including PubMed, Embase, CINAHL, SciELO, PsycINFO, Medline, SinoMed, PsycINFO, Web of Science, and Scopus, using the keywords "Neck Pain and Disability Scale," "NPDS," "cross-cultural," and "translation". Cross-cultural adaptation and quality control of measurement properties of adaptation procedures were independently conducted by two reviewers in accordance with Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures and Quality Criteria for Psychometric Properties of Health Status Questionnaire. RESULTS There are 15 adaptations of NPDS in 11 different languages with multiple versions in Korean, simplified Chinese and Turkish with 19 studies. In about half of these studies, forward and back translations were conducted. Specially, they mostly focus on the synthesis phase of the translations. Only the simplified-Chinese-2011 adaptation meets the standards of composition due to the existence of an expert committee. Internal consistency, reliability, and construct validity have been evaluated in most existing eligible articles. Half of these articles tested ceiling and floor effects, and only a few included agreement responsiveness and interpretability. CONCLUSION The Italian (publication 1 and 2), Persian-Iranian, simplified-Chinese-2011, and Thai adaptations show better quality than others with regard to cross-cultural adaptation and measurement properties. Further studies should fully assess the measurement properties of the NPDS in the Dutch (publication 1 and 2), Hindi-Indian, Korean-2013, simplified-Chinese-2010, Turkish-2004, and Turkish-2007 adaptations.
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Affiliation(s)
- Min Yao
- Spine Disease Institute, Longhua Hospital, Shanghai University of Traditional Chinese Medicine; 725 South Wanping Rd, Shanghai 200032, China; Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry of Education (Shanghai University of Traditional Chinese Medicine); 725 South Wanping Rd, Shanghai 200032, China
| | - Bao-Ping Xu
- Spine Disease Institute, Longhua Hospital, Shanghai University of Traditional Chinese Medicine; 725 South Wanping Rd, Shanghai 200032, China; Traditional Chinese Hospital of Lu'an; 76 Renmin Rd, Lu'an 237000, China
| | - Zi-Rui Tian
- Spine Disease Institute, Longhua Hospital, Shanghai University of Traditional Chinese Medicine; 725 South Wanping Rd, Shanghai 200032, China; Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry of Education (Shanghai University of Traditional Chinese Medicine); 725 South Wanping Rd, Shanghai 200032, China
| | - Jie Ye
- Orthopedics and Traumatology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine; 725 South Wanping Rd, Shanghai 200032, China
| | - Ying Zhang
- Shanghai Changzheng Hospital; 415 Fengyang Rd, Shanghai 200003, China
| | - Yong-Jun Wang
- Spine Disease Institute, Longhua Hospital, Shanghai University of Traditional Chinese Medicine; 725 South Wanping Rd, Shanghai 200032, China; Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry of Education (Shanghai University of Traditional Chinese Medicine); 725 South Wanping Rd, Shanghai 200032, China.
| | - Xue-Jun Cui
- Spine Disease Institute, Longhua Hospital, Shanghai University of Traditional Chinese Medicine; 725 South Wanping Rd, Shanghai 200032, China; Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry of Education (Shanghai University of Traditional Chinese Medicine); 725 South Wanping Rd, Shanghai 200032, China.
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Measurement Properties of the Functional Rating Index: A Systematic Review and Meta-analysis. Spine (Phila Pa 1976) 2018; 43:E1340-E1349. [PMID: 29659440 DOI: 10.1097/brs.0000000000002690] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN A systematic review and meta-analysis. OBJECTIVE To assess the measurement properties of the Functional Rating Index (FRI) and determine whether its measurement properties are comparable with other region-specific questionnaires. SUMMARY OF BACKGROUND DATA In addition to low back pain (LBP) and neck pain (NP), multiregion spinal pain (SP) is a common problem with a considerable prevalence in the general population. The FRI was built to assess physical functioning in patients with SP. However, a systematic review assessing evidence of its measurement properties in separated populations and a comparison with other questionnaires regarding each measurement property is lacking. METHODS Articles concerning the FRI's measurement properties or head-to-head comparison with other questionnaires on measurement properties were obtained from MEDLINE, Embase, CINAHL, and PsycINFO. Two reviewers independently reviewed the articles, extracted data, and conducted the methodological quality assessment. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to assess the methodological quality of the included studies. RESULTS A total of 18 studies evaluating the FRI's measurement properties, including seven that carried out head-to-head comparisons in at least one measurement property with other questionnaires, were included in the current review. Our findings show strong positive evidence for structural validity and internal consistency in patients with SP and LBP. Evidence for most of the FRI's measurement properties is limited, conflicting, or even unknown. The current evidence shows that the FRI is comparable with both the Oswestry Disability Index and the Neck Disability Index in responsiveness. However, relevant information about the majority of the other measurement properties is lacking. CONCLUSION Our finding suggests that clinicians and researchers should use the FRI with caution until there are more studies with high methodological quality that support the view that it is positive in all measurement properties, especially in regard to patients with multiregion SP. LEVEL OF EVIDENCE 1.
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Akodu AK, Akinbo SR, Young QO. Correlation among smartphone addiction, craniovertebral angle, scapular dyskinesis, and selected anthropometric variables in physiotherapy undergraduates. J Taibah Univ Med Sci 2018; 13:528-534. [PMID: 31435373 PMCID: PMC6695020 DOI: 10.1016/j.jtumed.2018.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 08/29/2018] [Accepted: 09/02/2018] [Indexed: 11/16/2022] Open
Abstract
Objectives Smartphone addiction has been indicated to reduce the craniovertebral angle, thereby causing a forward head posture and increasing scapular dyskinesis. This study determined the correlation among smartphone addiction level, craniovertebral angle, scapular dyskinesis, and selected anthropometric variables in physiotherapy undergraduates. Methods Seventy-seven participants were recruited from the Department of Physiotherapy, College of Medicine, University of Lagos, through a purposive sampling technique. The smartphone addiction level was assessed with the short version Smartphone Addiction Scale (English version). Craniovertebral and scapular dyskinesis were assessed using the photographic method. Descriptive and inferential statistics were used to analyse the data at an alpha level of 0.05. Results The analysis in this study revealed that many undergraduates are addicted to using smartphones. There was no significant difference in the addiction level (p = 0.367) and in scapular dyskinesis (p = 0.129) between male and female participants. However, there was a significant difference in craniovertebral angle (p = 0.032) between male and female participants. There was a significant relationship among smartphone addiction, craniovertebral angle (r = 0.306, p = 0.007), and scapular dyskinesis (r = 0.363, p = 0.007) in male and female participants. Conclusion A high level of smartphone addiction reduces the craniovertebral angle and increases scapular dyskinesis. Therefore, the smartphone addiction level should be assessed in all patients with neck and shoulder pain to plan appropriate management.
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Affiliation(s)
- Ashiyat K Akodu
- Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Sunday R Akinbo
- Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Queen O Young
- National Assembly Complex, Three Arm Zone, Central Business District, Nigeria
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Chansirinukor W. Thai version of the Functional Rating Index for patients with back and neck pain: Part II responsiveness and head-to-head comparisons. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2018; 24:e1751. [PMID: 30284353 DOI: 10.1002/pri.1751] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Revised: 08/08/2018] [Accepted: 08/15/2018] [Indexed: 11/06/2022]
Abstract
OBJECTIVES To examine responsiveness and estimate minimal clinically important difference (MCID) of the Thai version of Functional Rating Index (Thai FRI) and examine head-to-head comparisons of the Thai FRI and other questionnaires. METHODS This study related to validation of a questionnaire and head-to-head comparisons. Patients with low back pain (LBP) completed the Thai FRI, Roland-Morris (RM), modified Oswestry, and multilevel RM disability questionnaires. Patients with neck pain (NP) completed the Thai FRI and Neck Disability Index at the first visit and 2-week follow-up. Patients and therapists rated Global Perceived Effect Scales (GPES). Effect size (ES), standardized response mean (SRM), correlations between the GPES with changes in questionnaire scores, and area under receiver operating characteristic curve (AUC) were calculated. The MCID was also estimated. RESULTS Eighty-four patients with LBP and 52 patients with NP completed the Thai FRI. ES = 1.34 for LBP; 1.28 for NP, SRM = 1.32 for LBP; 1.20 for NP, correlation = 0.49 for LBP; 0.38 for NP, AUC = 0.83 for both groups. MCID = 11.5 for LBP; 12.5 FRI points for NP. CONCLUSION The Thai FRI demonstrated responsiveness with large ES. Its MCID ranged from 11.5 to 12.5 FRI points. The Thai FRI had comparable responsiveness to other questionnaires and was appropriate for use in the patients with back and/or neck pain.
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Ko S, Choi W, Chae S, Kwon J, Lee Y. Correlation between Short-Form 36 Scores and Neck Disability Index in Patients Undergoing Anterior Cervical Discectomy and Fusion. Asian Spine J 2018; 12:691-696. [PMID: 30060378 PMCID: PMC6068404 DOI: 10.31616/asj.2018.12.4.691] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 12/17/2017] [Indexed: 11/23/2022] Open
Abstract
STUDY DESIGN Case control study. PURPOSE To determine how the Neck Disability Index (NDI), a cervical spine-specific outcome, reflects health-related quality-of-life, and if NDI is correlated to the 36-item Short-Form Health Survey (SF-36) scores. OVERVIEW OF LITERATURE NDI is a useful tool for assessing health-related quality of life in patients with neck pain. METHODS We used the Pearson product-moment correlation coefficient to assess the validity of all items under NDI and SF-36, and the Pearson's correlation coefficient to assess the correlation between NDI and total SF-36 scores. The primary outcome measures were spine-specific health status- and general health status-measures after spine surgery, and these were evaluated every year for 2 years, using both NDI and SF-36 scores. RESULTS NDI had a strong linear correlation with SF-36 and its two scales, the Physical Component Score (PCS) and the Mental Component Score (MCS), attesting to the validity of these two instruments. Among the eight subscales of SF-36, there was a strong linear correlation between NDI and PCS-physical functioning, PCS-bodily pain, and MCS-role emotional. Further, a moderate linear correlation was observed between NDI and subscales of PCS-role physical, PCS-general health, and MCS-social functioning, and between NDI and MCS-vitality and MCS-mental health. CONCLUSIONS Our findings suggest that the NDI adequately reflects the patient's physical and mental quality of life, implying that the use of NDI to assess functional outcomes can also be ultimately used to evaluate the patient's quality of life.
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Affiliation(s)
- Sangbong Ko
- Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea
| | - Wonkee Choi
- Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea
| | - Seungbum Chae
- Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea
| | - Jaebum Kwon
- Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea
| | - Youngsik Lee
- Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea
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Lee U, Kim CH, Chung CK, Choi Y, Yang SH, Park SB, Hwang SH, Jung JM, Kim KT. The Recovery of Motor Strength after Posterior Percutaneous Endoscopic Cervical Foraminotomy and Discectomy. World Neurosurg 2018; 115:e532-e538. [PMID: 29689395 DOI: 10.1016/j.wneu.2018.04.090] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2018] [Accepted: 04/14/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Cervical radiculopathy infrequently presents with motor weakness. Motor weakness was improved in >90% of patients after anterior cervical discectomy and fusion or posterior cervical foraminotomy. Posterior percutaneous endoscopic cervical foraminotomy and discectomy (PECF) is an alternative surgical technique, but the outcome of motor weakness has not been reported. Our objective was to demonstrate the longitudinal outcomes of motor weakness after PECF. METHODS A retrospective review of 106 consecutive patients was performed. Preoperative motor weakness was graded as mild (IV/V strength) or severe (less than III/V strength). The patients visited the outpatient clinic at 1, 3, 6, and 12 months after surgery and yearly thereafter. Improvement was defined as an improved weakness of more than 1 grade, and normalization was defined as the recovery of complete motor strength. RESULTS Motor weakness preoperatively presented in 76 of 106 (72%) patients (49%, mild weakness; 23%, severe weakness). After PECF, the weakness improved in 72 of 76 (95%) patients and normalized in 65 of 76 (86%) patients. In the patients with mild weakness, the normalization rates were 48%, 81%, 90%, and 96% at postoperative months 1, 3, 6, and 12, respectively. In the patients with severe weakness, the improvement rates were 50%, 71%, 83%, 88%, and 92%, and the normalization rates were 8%, 38%, 58%, 58%, and 63% at postoperative months 1, 3, 6, 12, and 24, respectively. CONCLUSIONS Preoperative motor weakness was improved in 95% of the patients after PECF, but motor weakness was not normalized in 37% of the patients with severe weakness.
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Affiliation(s)
- Urim Lee
- Department of Neurosurgery, Human Brain Function Laboratory, Seoul National University Hospital, Seoul, South Korea
| | - Chi Heon Kim
- Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea.
| | - Chun Kee Chung
- Department of Neurosurgery, Human Brain Function Laboratory, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea; Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, South Korea
| | - Yunhee Choi
- Medical Research Collaborating Center, Seoul National University Hospital, Seoul, South Korea
| | - Seung Heon Yang
- Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea
| | - Sung Bae Park
- Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea; Department of Neurosurgery, Seoul National University Boramae Hospital, Borame Medical Center, Seoul, South Korea
| | - Sung Hwan Hwang
- Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea
| | - Jong-Myung Jung
- Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea; Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea
| | - Kyoung-Tae Kim
- Department of Neurosurgery, Kyungpook National University Hospital, Daegu, South Korea; Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, South Korea
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Changes in cervical motion after cervical spinal motion preservation surgery. Acta Neurochir (Wien) 2018; 160:397-404. [PMID: 29101465 DOI: 10.1007/s00701-017-3375-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 10/19/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND For patients with single-level cervical radiculopathy, various types of motion preservation surgeries, such as total disc replacement (TDR), posterior cervical foraminotomy (PCF) and posterior percutaneous endoscopic foraminotomy and discectomy (PECF), are available. In addition to motion preservation, the quality of motion is an important issue. The aim of the present study was to evaluate the influence of these surgeries on cervical motion by comparing the instantaneous axis of rotation (IAR) among PECF, TDR and PCF at the index and superior/inferior adjacent segments. METHODS A retrospective review was performed of patients who underwent index surgery at C5-6 for cervical single-level foraminal disc herniation or foraminal stenosis. Patients with minimal degeneration at the index and other cervical spinal levels and flexion/extension cervical lateral radiographs both preoperatively and 6 months postoperatively were included (PECF, 11 patients; TDR, 11 patients; PCF, 12 patients). The IARs were calculated at the index segment and segments above and below the index segment from the flexion and extension cervical lateral radiographs, which were obtained preoperatively and 6 months postoperatively. A standardized cervical normogram was referenced to qualify shifts in the IAR. RESULTS Postoperatively, neck pain was significantly decreased, with no difference among the surgical methods. The IARs were not significantly changed after the PECF. Although significant inferior shift occurred at C6-7 after TDR (p = 0.02), the shift occurred within the normal range in the cervical normogram. However, significant inferior shifts in the IARs occurred after PCF at C5-6 (p = 0.02) and C6-7 (p = 0.02), and the IARs moved out of the normal range. CONCLUSIONS The IARs were significantly changed after PCF at either the index segment or the adjacent segment below. The shifts in IAR at the index and adjacent segments were not significant after PECF and TDR. The sample size was too small to allow definitive conclusions, but the present study showed that PECF may be another alternative to motion preservation surgeries.
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Farooq MN, Mohseni-Bandpei MA, Gilani SA, Hafeez A. Urdu version of the neck disability index: a reliability and validity study. BMC Musculoskelet Disord 2017; 18:149. [PMID: 28388888 PMCID: PMC5385030 DOI: 10.1186/s12891-017-1469-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2016] [Accepted: 03/03/2017] [Indexed: 11/18/2022] Open
Abstract
Background Despite the wide use of the neck disability index (NDI) for assessing disability in patients with neck pain, the NDI has not yet been translated and validated in Urdu. The first purpose of the present study was to translate and cross-culturally adapt the NDI into the Urdu language (NDI-U). The second purpose was to investigate the reliability, validity and responsiveness of the NDI-U in Urdu-speaking patients experiencing chronic mechanical neck pain (CMNP). Methods Translation and cross-cultural adaptation of the original version of the NDI were carried out using previously described procedures. Seventy-six patients with CMNP and thirty healthy participants were recruited for the study. NDI-U and visual analogue scales for pain intensity (VASpain) and disability (VASdisability) were administered to all the participants at baseline and to the patients 3 weeks after receiving physiotherapy intervention. The global rating of change scale (GROC) was also administered at this time. Test-retest reliability and internal consistency were carried out on forty-six randomly selected patients two days after they completed the NDI-U. The NDI-U was evaluated for factor analysis, content validity, construct validity (discriminative and convergent validity) and responsiveness. Results An intra-class correlation coefficient (ICC2,1) revealed excellent test-retest reliability for all items (ICC2,1 = 0.86–0.98) and total scores (ICC2,1 = 0.99) of the NDI-U. The NDI-U was found internally consistent with a Cronbach’s alpha of 0.90 and a fair to good correlation between single items and the NDI-U total scores (r = 0.34 to 0.89). Factor analysis of the NDI-U produced two factors explaining 66.71% of the variance. Content validity was good, as no floor or ceiling effects were detected for the NDI-U total score. To determine discriminative validity, an independent t-test revealed a significant difference in the NDI-U total scores between the patients and healthy controls (P < 0.001). For convergent validity, Pearson’s correlation coefficient showed a strong correlation between NDI-U and VASdisability (r = 0.83, P < 0.001) and a moderate correlation between NDI-U and VASpain (r = 0.62, P < 0.001). To measure responsiveness, an independent t-test showed a significant difference in the NDI-U change scores between the stable and the improved groups (P < 0.001). Furthermore, moderate correlations were found between the NDI-U change scores and the GROC (r = 0.50, P < 0.001), VASdisability change scores (r = 0.58, P < 0.001) and VASpain change scores (r = 0.55, P < 0.001). Conclusion The results showed that the NDI-U is a reliable, valid and responsive questionnaire to measure disability in Urdu-speaking patients with CMNP. Electronic supplementary material The online version of this article (doi:10.1186/s12891-017-1469-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Muhammad Nazim Farooq
- University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.,Islamabad College of Physiotherapy, Margalla Institute of Health Sciences, Quaid-e-Azam Avenue, Gulrez III, Rawalpindi, Pakistan
| | - Mohammad A Mohseni-Bandpei
- University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan. .,Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
| | - Syed Amir Gilani
- Dean Faculty of Allied Health Sciences, Director; Directorate of International Linkages, University of Lahore, Lahore, Pakistan
| | - Ambreen Hafeez
- Physiotherapy Department, KRL General Hospital, Kahuta, Distt., Rawalpindi, Pakistan
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Song MY, Jo HG, Sul JU, Kim ST, Bae KJ, Kim TG, Kim JH, Choi JB. Inpatient treatment effect and Minnesota Multiphasic Personality Inventory characteristics of motor vehicle collision injuries in a traditional korean medicine hospital: Retrospective chart review. Chin J Integr Med 2016:10.1007/s11655-016-2743-3. [PMID: 27807690 DOI: 10.1007/s11655-016-2743-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Indexed: 12/19/2022]
Abstract
OBJECTIVES To examine the changes in pain, disability, and quality of life in motor vehicle collision injury (MVCI) patients after treatment with traditional Korean medicine (TKM), and to investigate the psychological characteristics of these patients. METHODS Forty-one patients with MVCI were treated with TKM including acupuncture, pharmacopuncture, moxibustion, cupping, herbal medication, chuna manual therapy, and physical therapy. Numeric Rating Scale (NRS), Medical Outcomes Study 36-Item Short Form Health Survey (SF-36), Neck Disability Index (NDI), Oswestry Disability Index (ODI), and Lysholm Knee Scoring Scale were assessed at admission and discharge. The Minnesota Multiphasic Personality Inventory (MMPI) was assessed at admission. RESULTS After treatment, NRS scores for headache, cervical pain, and lumbar pain were significantly decreased (P<0.05); NDI, ODI scores were significantly decreased, and Lysholm score was signifificantly increased (P<0.05). The following SF-36 scores were signifificantly increased: physical and mental component summary, bodily pain, role-physical, role-emotional, social functioning, and mental health scores (all P<0.05). MMPI identifified 3-1 profifile conversion V shape. CONCLUSIONS Treatment of MVCI with TKM provided effective management of complex symptoms such as pain, disability, and loss of quality of life. A comprehensive plan must be implemented for treatment and research in cases of MVCIs owing to the correlation between physical symptoms and psychological profifiles.
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Affiliation(s)
- Min-Yeong Song
- Department of Korean Rehabilitation Medicine, College of Korean Medicine, Dong-shin University, Naju, 58245, Republic of Korea
| | - Hee-Guen Jo
- Department of Pharmaceutical Affairs, The Association of Korean Medicine, Seoul, 07525, Republic of Korea
- Chung-Yeon Medical Institute, Chung-Yeon Korean Medicine Hospital, Gwangju, 61949, Republic of Korea
| | - Jae-Uk Sul
- Department of Korean Rehabilitation Medicine, Chung-Yeon Korean Medicine Hospital, Gwangju, 61949, Republic of Korea
| | - Seong-Tae Kim
- Department of Korean Rehabilitation Medicine, Chung-Yeon Korean Medicine Hospital, Gwangju, 61949, Republic of Korea
| | - Kil-Joon Bae
- Department of Korean Rehabilitation Medicine, College of Korean Medicine, Dong-shin University, Naju, 58245, Republic of Korea
| | - Tae-Gwang Kim
- Department of Korean Rehabilitation Medicine, College of Korean Medicine, Dong-shin University, Naju, 58245, Republic of Korea
| | - Jae-Hong Kim
- Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Dong-shin University, Naju, 58245, Republic of Korea
| | - Jin-Bong Choi
- Department of Korean Rehabilitation Medicine, College of Korean Medicine, Dong-shin University, Naju, 58245, Republic of Korea.
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Juul T, Søgaard K, Davis AM, Roos EM. Psychometric properties of the Neck OutcOme Score, Neck Disability Index, and Short Form–36 were evaluated in patients with neck pain. J Clin Epidemiol 2016; 79:31-40. [DOI: 10.1016/j.jclinepi.2016.03.015] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2015] [Revised: 12/29/2015] [Accepted: 03/21/2016] [Indexed: 01/22/2023]
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Oh HJ, Song GB. Effects of neurofeedback training on the brain wave of adults with forward head posture. J Phys Ther Sci 2016; 28:2938-2941. [PMID: 27821966 PMCID: PMC5088157 DOI: 10.1589/jpts.28.2938] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2016] [Accepted: 07/07/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of the present study was to examine the effects of neurofeedback training on electroencephalogram changes in the cervical spine in adults with forward head posture through x-ray. [Subjects and Methods] The subjects of the study were 40 college students with forward head posture, randomly divided into a neurofeedback training group (NFTG, n=20) and a control group (CG, n=20). The neurofeedback training group performed six sessions of pottery and archery games, each for two minutes, three times per week for four weeks, while using the neurofeedback system. [Results] There were significant effects within and between groups in terms of the Delta wave, the Theta wave, the Alpha wave, the Beta wave, or the sensory motor rhythm. Especially, the Delta wave, Beta wave, and the sensory motor rhythm were showed significant effects between the groups. [Conclusion] It is thought that neurofeedback training, a training approach to self-regulate brain waves, enhances concentration and relaxation without stress, as well as an increase in attention, memory, and verbal cognitive performance. Therefore an effective intervention method to improve neck pain and daily activities.
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Affiliation(s)
- Hyun-Ju Oh
- Department of Physical Therapy, Taegu Science University,
Republic of Korea
| | - Gui-Bin Song
- Department of Physical Therapy Yeungnam University College, Republic of Korea
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Oh HJ, Song GB. Effects of neurofeedback training on the cervical movement of adults with forward head posture. J Phys Ther Sci 2016; 28:2894-2897. [PMID: 27821957 PMCID: PMC5088148 DOI: 10.1589/jpts.28.2894] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Accepted: 07/07/2016] [Indexed: 11/25/2022] Open
Abstract
[Purpose] The purpose of the present study was to examine the effects of neurofeedback training on postural changes in the cervical spine and changes in the range of motion of the neck and in the Neck Disability Index in adults with forward head posture. [Subjects and Methods] The subjects of the study were 40 college students with forward head posture, randomly divided into a neurofeedback training group (NFTG, n=20) and a control group (CG, n=20). The neurofeedback training group received six sessions of pottery and archery games, each for two minutes, three times per week for four weeks, using the neurofeedback system. [Results] There were no significant effects within and between groups in terms of the absolute rotation angle, anterior weight bearing, and range of extension and flexion by x-ray imaging. There were significant effects in the neurofeedback training group pre- intervention and post-intervention in Neck Disability Index. There were significant effects between groups in Neck Disability Index. [Conclusion] It is thought that neurofeedback training, a training approach to self-regulate brain waves, enhances concentration and is therefore an effective intervention method to improve neck pain and daily activities.
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Affiliation(s)
- Hyun-Ju Oh
- Department of Physical Therapy, Taegu Science University,
Republic of Korea
| | - Gui-Bin Song
- Department of Physical Therapy, Yeungnam University
College, Republic of Korea
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Lee SY, Lee DH, Han SK. The Effects of Posture on Neck Flexion Angle While Using a Smartphone according to Duration. ACTA ACUST UNITED AC 2016. [DOI: 10.13066/kspm.2016.11.3.35] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
| | - Dae-Hee Lee
- Department of Physical Therapy, U1 University
| | - Seul-Ki Han
- Department of Physical Therapy, U1 University
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Pellicciari L, Bonetti F, Di Foggia D, Monesi M, Vercelli S. Patient-reported outcome measures for non-specific neck pain validated in the Italian-language: a systematic review. Arch Physiother 2016; 6:9. [PMID: 29340191 PMCID: PMC5759912 DOI: 10.1186/s40945-016-0024-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Accepted: 07/13/2016] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND Patient-reported outcome measures can improve the management of patients with non-specific neck pain. The choice of measure greatly depends on its content and psychometric properties. Most questionnaires were developed for English-speaking people, and need to undergo cross-cultural validation for use in different language contexts. To help Italian clinicians select the most appropriate tool, we systematically reviewed the validated Italian-language outcome measures for non-specific neck pain, and analyzed their psychometric properties and clinical utility. METHODS The search was performed in MEDLINE, EMBASE, CINAHL, Scopus, Web of Science, and Cochrane Library. All articles published in English or Italian regarding the development, translation, or validation of patient-reported outcome measures available in the Italian language were included. Two reviewers independently selected the studies, extracted data, and assessed methodological quality using the COSMIN checklist. RESULTS Out of 4891articles screened, 66 were eligible. Overall, they were of poor or fair methodological quality. Four instruments measuring function and disability (Neck Disability Index, Neck Pain and Disability Scale, Neck Bournemouth Questionnaire, and Core Outcome Measures Index), and one measuring activity-related fear of movement (NeckPix©) were identified. Each scale showed some psychometric weaknesses or problems with functioning, and none emerged as a gold standard. CONCLUSIONS Several patient-reported outcome measures are now available for assessing Italian people with non-specific neck pain. While the Neck Disability Index is the one most widely used, the Neck Bournemouth Questionnaire appears the most promising tool from a psychometric point of view.
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Affiliation(s)
- Leonardo Pellicciari
- Program in Advanced Sciences and Technologies in Rehabilitation and Sports Medicine, Tor Vergata University, Rome, Italy
| | - Francesca Bonetti
- Department of Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy
| | | | - Mauro Monesi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa - Campus of Savona, Savona, Italy
| | - Stefano Vercelli
- Laboratory of Ergonomics and Musculoskeletal Disorders Assessment, Division of Physical Medicine and Rehabilitation, Salvatore Maugeri Foundation, Scientific Institute of Veruno, IRCCS, Veruno, NO Italy
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Kang KW, Jung SI, Lee DY, Kim K, Lee NK. Effect of sitting posture on respiratory function while using a smartphone. J Phys Ther Sci 2016; 28:1496-8. [PMID: 27313358 PMCID: PMC4905897 DOI: 10.1589/jpts.28.1496] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Accepted: 02/01/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to investigate respiratory function in different
sitting postures while using a smartphone. [Subjects and Methods] Fifty healthy volunteers
were recruited. Participants were divided into 2 groups, a control group of participants
who spent time as they liked for 1 hour, and a smartphone group of participants who spent
time using a smartphone in a sitting position for 1 hour. To investigate changes in
respiratory function, we measured forced vital capacity, forced expiratory volume in 1
second, ratio of forced expiratory volume in 1 second to forced vital capacity, and peak
expiratory flow. [Results] There was a statistically significant difference in forced
vital capacity and forced expiratory volume in 1 second between the control group and
smartphone group. [Conclusion] The clinical implication of our findings is that the
posture assumed while using a smartphone leads to reduced respiratory function.
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Affiliation(s)
- Kyung Woo Kang
- Department of Physical Therapy, College of Health and Therapy, Daegu Haany University, Republic of Korea
| | - Sang In Jung
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| | - Do Youn Lee
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| | - Kyoung Kim
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| | - Na Kyung Lee
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
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Naghdi S, Ansari NN, Yazdanpanah M, Feise RJ, Fakhari Z. The validity and reliability of the functional rating index for evaluating low back pain in athletes. Scand J Med Sci Sports 2015; 25:840-5. [PMID: 25809588 DOI: 10.1111/sms.12447] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2015] [Indexed: 02/05/2023]
Abstract
The purpose of the present study was to determine the reliability and validity of the Functional Rating Index (FRI) for athletes with low back pain (LBP). In this cross-sectional and prospective cohort study, the validated Persian FRI (PFRI) was tested in 100 athletes with LBP and 50 healthy athletes. From the athletes with LBP, data were recollected among 50 athletes with a 7-day interval to examine test-retest reliability. The content validity was excellent, and the athletes with LBP responded to all items with no floor or ceiling effects. The discriminative validity was supported by a statistically significant difference in PFRI total scores between the athletes with LBP and healthy athletes. The concurrent criterion validity was good (rho = 0.72). The construct, convergent validity was good (r = 0.83). The internal consistency reliability estimate was high (Cronbach's α = 0.90). Factor analysis demonstrated a single-factor structure with an explained variance of 52.22%. The test-retest reliability was excellent, indicated by an ICC(agreement) of 0.97, and the agreement observed in the Bland and Altman plot demonstrated no systematic bias. It is concluded that the PFRI has excellent psychometric properties for assessing athletes with LBP.
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Affiliation(s)
- S Naghdi
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - N Nakhostin Ansari
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - M Yazdanpanah
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - R J Feise
- Institute of Evidence-Based Chiropractic, Scottsdale, Arizona, USA
| | - Z Fakhari
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
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Leahy E, Davidson M, Benjamin D, Wajswelner H. Patient-Reported Outcome (PRO) questionnaires for people with pain in any spine region. A systematic review. ACTA ACUST UNITED AC 2015; 22:22-30. [PMID: 26578163 DOI: 10.1016/j.math.2015.10.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 10/21/2015] [Accepted: 10/22/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND/OBJECTIVE This systematic review investigates the measurement properties of Patient-Reported Outcome (PRO) questionnaires which evaluate disability associated with pain in any area of the spine. METHOD PRO questionnaires for people with pain in any spinal region were identified from existing systematic reviews and recent studies. Databases were searched for studies which evaluated the measurement properties of the included questionnaires to August 2015. Data synthesis used a levels of evidence approach which considered study methodological quality. RESULTS The Extended Aberdeen Back Pain Scale (EA), Functional Rating Index (FRI) and Spine Functional Index (SFI) were identified as eligible for this review. The FRI was evaluated in 15 studies, with positive results for internal consistency, structural validity, hypothesis testing and responsiveness, negative results for measurement error and conflicting results for reliability. The SFI was evaluated in 3 studies with positive results for internal consistency, reliability, content validity, and structural validity. Conflicting results were found for hypothesis testing. The EA was evaluated in 3 studies which found negative results for internal consistency and structural validity. CONCLUSIONS The FRI is provisionally recommended for the assessment of disability in people with multi-area spinal pain. This conclusion is based on studies of mainly fair methodological quality.
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Affiliation(s)
- Edmund Leahy
- Department of Rehabilitation, Nutrition and Sport, School of Allied Health, Level 5, HS3, La Trobe University, Bundoora, Vic 3086, Australia; Physiotherapy Department, Northern Health, 185 Cooper St, Epping, Vic 3076, Australia.
| | - Megan Davidson
- Department of Rehabilitation, Nutrition and Sport, School of Allied Health, Level 5, HS3, La Trobe University, Bundoora, Vic 3086, Australia.
| | - Deenika Benjamin
- Department of Rehabilitation, Nutrition and Sport, School of Allied Health, Level 5, HS3, La Trobe University, Bundoora, Vic 3086, Australia.
| | - Henry Wajswelner
- Department of Rehabilitation, Nutrition and Sport, School of Allied Health, Level 5, HS3, La Trobe University, Bundoora, Vic 3086, Australia.
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Kim CH, Kim KT, Chung CK, Park SB, Yang SH, Kim SM, Sung JK. Minimally invasive cervical foraminotomy and diskectomy for laterally located soft disk herniation. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2015; 24:3005-12. [PMID: 26298479 DOI: 10.1007/s00586-015-4198-1] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2015] [Revised: 08/15/2015] [Accepted: 08/16/2015] [Indexed: 12/12/2022]
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Godil SS, Parker SL, Zuckerman SL, Mendenhall SK, McGirt MJ. Accurately measuring the quality and effectiveness of cervical spine surgery in registry efforts: determining the most valid and responsive instruments. Spine J 2015; 15:1203-9. [PMID: 24076442 DOI: 10.1016/j.spinee.2013.07.444] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2012] [Revised: 04/25/2013] [Accepted: 07/13/2013] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT There is a growing demand to measure the real-world effectiveness and value of care across all specialties and disease states. Prospective registries have emerged as a feasible way to capture real-world care across large patient populations. However, the proven validity of more robust and cumbersome patient-reported outcome instruments (PROi) must be balanced with what is feasible to apply in large-scale registry efforts. Hence, commercial registry efforts that measure quality and effectiveness of care in an attempt to guide quality improvement, pay for performance, or value-based purchasing should incorporate measures that most accurately represent patient-centered improvement. PURPOSE We set out to establish the relative validity and responsiveness of common PROi in accurately determining effectiveness of cervical surgery for neck and arm pain in registry efforts. STUDY DESIGN Prospective cohort study. PATIENT SAMPLE Eighty-eight patients undergoing primary anterior cervical discectomy and fusion (ACDF) for neck and arm pain. OUTCOME MEASURES Patient-reported outcome measures for pain (numeric rating scale for neck pain [NRS-NP] and arm pain [NRS-AP]), disability (neck disability index [NDI]), general health (short-form 12-item survey physical component summary [SF-12 PCS] and mental component summary [SF-12 MCS]), and quality of life (Euro-Qol-5D [EQ-5D]) were assessed. METHODS Eighty-eight patients undergoing primary ACDF for neck and arm pain were entered into a Web-based prospective registry. Baseline and 12-month patient-reported outcomes (NRS-NP, NRS-AP, NDI, SF-12 PCS, SF-12 MCS, and EQ-5D) were assessed. Patients were also asked whether they experienced a level of improvement after ACDF that met their expectation (meaningful improvement). To assess the validity of NRS-NP, NRS-AP, and NDI (measures of pain and disability) to discriminate between meaningful and nonmeaningful improvement and the validity of SF-12 PCS, SF-12 MCS, and EQ-5D (measures of general health and quality of life) to discriminate between meaningful and nonmeaningful improvement, receiver-operating characteristic curves were generated for each outcome instrument. The greater the area under the curve (AUC), the more valid the discriminator. The difference between standardized response means (SRMs) in patients reporting meaningful improvement versus not was calculated to determine the relative responsiveness of each outcome instrument to changes in pain and QOL after surgery. RESULTS For pain and disability, both NDI (AUC=0.75) and NRS-AP (AUC=0.74) were valid discriminators of meaningful improvement. Numeric rating scale for neck pain (AUC=0.69) was a poor discriminator. Neck disability index was also most responsive to postoperative improvement (SRM difference 0.78), followed by NRS-AP (SRM difference 0.59) and NRS-NP (SRM difference 0.46). For general health and quality of life, SF-12 PCS (AUC=0.79) was the only valid discriminator of meaningful improvement. Euro-Qol-5D (AUC=0.68) and SF-12 MCS (AUC=0.44) were poor discriminators. Short-form 12 physical component summary (SRM difference 1.08) was also most responsive compared with EQ-5D (SRM difference 0.89) and SF-12 MCS (SRM difference 0.01). CONCLUSIONS For pain and disability, NDI is the most valid and responsive measure of improvement after surgery for neck and arm pain. Numeric rating scale for neck pain and NRS-AP are poor substitutes for NDI when measuring effectiveness of care in registry efforts. For health-related quality of life, only SF-12 PCS could accurately discriminate meaningful improvement after cervical surgery and was found to be most valid and responsive. Large-scale registry efforts aimed at measuring effectiveness of cervical spine surgery should use NDI and SF-12 to accurately assess improvements in pain, disability, and quality of life.
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Affiliation(s)
- Saniya S Godil
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, 4347 Village at Vanderbilt, Nashville, TN 37232-8618, USA
| | - Scott L Parker
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, 4347 Village at Vanderbilt, Nashville, TN 37232-8618, USA
| | - Scott L Zuckerman
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, 4347 Village at Vanderbilt, Nashville, TN 37232-8618, USA
| | - Stephen K Mendenhall
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, 4347 Village at Vanderbilt, Nashville, TN 37232-8618, USA
| | - Matthew J McGirt
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, 4347 Village at Vanderbilt, Nashville, TN 37232-8618, USA.
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Validation of the simplified Chinese version of the functional rating index for patients with nonspecific neck pain in mainland China. Spine (Phila Pa 1976) 2015; 40:E538-44. [PMID: 26030220 DOI: 10.1097/brs.0000000000000806] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Validation of a self-report questionnaire, Functional Rating Index (FRI). OBJECTIVE To evaluate the psychometric properties of the simplified Chinese (SC) version of FRI in patients with nonspecific neck pain (NP). SUMMARY OF BACKGROUND DATA FRI has been cross-culturally validated in few languages with excellent reliability, validity, and clinical utility when it is applied in patients with low back pain. Recently, it has been pointed out that FRI can be employed to assess patients with NP. However, FRI has not been validated in patients with NP in China. METHODS The cross-culturally adapted 10-item SC-FRI was completed by 122 patients with nonspecific NP, along with the Neck Disability Index, Neck Pain and Disability Scale, 36-Item Short Form Health Survey, and Pain Visual Analogue Scale. Psychometric evaluation included score distribution, internal consistency, test-retest reliability, and construct validity. RESULTS SC-FRI attained a high completion rate (96.9%). Each item was scored with a normal distribution without any floor and ceiling effects. The internal consistency and test-retest reliability were good to excellent (Cronbach α coefficient = 0.86; intraclass r = 0.97). Construct validity was confirmed by a strong correlation with Neck Disability Index, Neck Pain and Disability Scale, and Visual Analogue Scale (r = 0.77, 0.78, and 0.86, respectively, all P < 0.0001), and with the physical functioning and bodily pain domains (r = -0.69 and -0.66, respectively, both P < 0.0001), and by a weak correlation with the vitality, role-emotional, and mental health domains of 36-Item Short Form Health Survey. CONCLUSION SC-FRI showed satisfactory clinical utility, internal consistency, test-retest reliability, and construct validity in Chinese-speaking patients with nonspecific NP. LEVEL OF EVIDENCE 3.
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Abstract
STUDY DESIGN Systematic review of cross-cultural adaptation. OBJECTIVE To perform a systematic review of cross-cultural adaptations of the Neck Disability Index (NDI) and to give a critical assessment to improve its translation. SUMMARY OF BACKGROUND DATA The NDI is used to assess functional capacity and physical activity in patients with neck pain, but the quality of its cross-cultural adaptations has not been systematically reviewed. METHODS PubMed, Cochrane Library, and EMBASE were searched up through 2013 to identify studies of cross-cultural NDI adaptations. Search terms were "Neck Disability Index" or "NDI" and "cross-cultur*" or "cultur*" or "valid*" or "equivalence" or "transl*." Data were extracted and study quality was assessed. RESULTS Twenty-four different NDI versions were identified from 14 different languages/cultures. Most reported forward and back translation and pretesting, but sample size was a problem for most studies. The Cronbach α was generally acceptable, and 13 versions met the criterion of reliability by reporting an intraclass correlation coefficient of 0.70 or more, although some versions did not reach the minimal intraclass correlation coefficient. Eleven versions tested ceiling and floor effects, but only 1 Japanese version reported a floor effect. No study reported interpretability, and none provided the minimal important change or minimal important difference. CONCLUSION The Arabic, Italian, and Thai versions were of higher quality than the other versions according to the overall assessment of the 3 checklists. The Catalan, Chinese, Japanese, Korean, Thai, and Turkish versions need more research according to the Quality Criteria for Psychometric Properties of Health Status Questionnaire. Pretest sample size was not large enough in most cases. LEVEL OF EVIDENCE 1.
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Monticone M, Ambrosini E, Vernon H, Brunati R, Rocca B, Foti C, Ferrante S. Responsiveness and minimal important changes for the Neck Disability Index and the Neck Pain Disability Scale in Italian subjects with chronic neck pain. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2015; 24:2821-7. [DOI: 10.1007/s00586-015-3785-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2014] [Revised: 01/29/2015] [Accepted: 01/29/2015] [Indexed: 11/28/2022]
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36
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Kim CH, Shin KH, Chung CK, Park SB, Kim JH. Changes in cervical sagittal alignment after single-level posterior percutaneous endoscopic cervical diskectomy. Global Spine J 2015; 5:31-8. [PMID: 25648214 PMCID: PMC4303481 DOI: 10.1055/s-0034-1395423] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 09/29/2014] [Indexed: 01/08/2023] Open
Abstract
Study Design Case series. Objective Posterior percutaneous endoscopic cervical diskectomy (PECD) can preserve the disk in patients with a foraminal disk herniation. However, progressive angulation at the operated segment is a concern, especially for patients with cervical lordosis < 10 degrees. The change in cervical lordosis after posterior PECD was analyzed. Methods Medical records were reviewed of 32 consecutive patients (22 men, 10 women; mean age, 49 ± 12 years) who had single-level foraminal soft disk herniation. The operation levels were as follows: C4-5 in 1 patient, C5-6 in 12, C6-7 in 18, and C7-T1 in 1. All patients were discharged the day after the operation, and neck motion was encouraged. All patients were followed for 30 ± 7 months (range, 24 to 46 months), and 21/32 patients (66%) had radiographs taken at 25 ± 11 months (range, 12 to 45 months). Radiologic parameters were assessed, including cervical curvature (C2-7), segmental Cobb's angle (SA), and anterior and posterior disk height (AH and PH, respectively) at the operative level. Results At the last follow-up, 29/32 patients (91%) had no or minimal pain, and 3/32 patients had occasional pain. SA, AH, and PH were not significantly changed. Cervical lordosis < 10 degrees was present in 10/21 patients preoperatively and in 3/21 patients at the last follow-up. For patients with cervical lordosis < 10 degrees, cervical curvature changed from -2.5 ± 8.0 to -11.3 ± 9.3 degrees (p = 0.01). For patients with cervical lordosis ≥ 10 degrees, cervical curvature changed from -17.5 ± 5.8 to -19.9 ± 5.7 degrees (p = 0.24). Conclusions Cervical curvature does not worsen after posterior PECD.
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Affiliation(s)
- Chi Heon Kim
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea,Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea,Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea
| | - Kyung-Hyun Shin
- Department of Orthopedic Surgery, Shin Hospital, Kyung-Gi, Seoul, South Korea
| | - Chun Kee Chung
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea,Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea,Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea,Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, South Korea,Address for correspondence Chun Kee Chung, MD, PhD Department of Neurosurgery, Seoul National University College of Medicine101 Daehak-Ro, Jongno-gu, Seoul, 110-744South Korea
| | - Sung Bae Park
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea,Department of Neurosurgery, Seoul National University Boramae Hospital, Seoul, South Korea
| | - Jung Hee Kim
- Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea,Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea,Clinical Research Institute, Seoul National University Hospital, Seoul, South Korea
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Cultural adaptation, reliability, and validity of neck disability index in Indian rural population: a Marathi version study. Spine (Phila Pa 1976) 2015; 40:E68-76. [PMID: 25575090 DOI: 10.1097/brs.0000000000000681] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN A cross-sectional study to develop a cultural adaptation of the Marathi-neck disability index (NDI) and to investigate its validity and reliability. OBJECTIVE To conduct a study concerning the cultural adaptation of the NDI and investigate the validity and reliability of its Marathi version in patients with neck pain. SUMMARY OF BACKGROUND DATA The NDI is a reliable instrument for evaluating self-rated disability due to neck pain, but there is no published Marathi version and also it has not been tested on a rural population yet. Successful linguistic and cultural translation may allow appropriate cross-cultural comparison for clinical and laboratory research analysis, even in the rural parts of the Maharashtra state of India, where English is not the language of communication. METHODS Eighty-one patients having neck pain for at least 3 months were included in the study. The NDI and visual analogue scale for pain were completed by all subjects. Test-retest reliability was determined by using intraclass correlation coefficient and Pearson correlation analysis. For the determination of construct validity, the relation between the NDI and visual analogue scale was examined by Pearson correlation analysis. RESULTS Intraclass correlation coefficient score for test-retest reliability was 0.95 and the Cronbach α was 0.97. For construct-related validity the correlation of the NDI-Marathi version was found to be 0.95 (P < 0.0001). These results showed that the construct validity of the Marathi version of the NDI was excellent. CONCLUSION The results suggest that the Marathi version of the NDI that is validated in this study is an easy to comprehend, reliable, and valid instrument for the measurement for the limitation of activities of daily living and pain caused by neck disorders in the Marathi-speaking population.
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Kim MS. Influence of neck pain on cervical movement in the sagittal plane during smartphone use. J Phys Ther Sci 2015; 27:15-7. [PMID: 25642027 PMCID: PMC4305549 DOI: 10.1589/jpts.27.15] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Accepted: 06/27/2014] [Indexed: 01/01/2023] Open
Abstract
[Purpose] Smartphone use reportedly changes posture. However, how neck posture is altered in smartphone users with neck pain is unknown. This study examined changes in the posture of young adults with and without mild neck pain (MNP) when using a smartphone. [Subjects] Thirteen control subjects and 14 subjects with MNP who used smartphones were recruited. [Methods] The upper cervical (UC) and lower cervical (LC) angles in the sagittal plane were measured using an ultrasound-based motion analysis system while the seated subjects used a smartphone for 5 min. [Results] During smartphone use, the MNP group exhibited greater UC and LC flexion angles than the control group. [Conclusion] These findings suggest that young adults with MNP are more careful and more frequently utilize a neutral neck posture than young adults without MNP when using a smartphone while sitting.
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Affiliation(s)
- Man-Sig Kim
- Department of Industrial and Management Engineering, College of Engineering, Inje University: 607 Obang-dong, Gimhae-si, Gyeongsangnam-do 621-749, Republic of Korea
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Kwon YJ. Long-term clinical and radiologic outcomes of minimally invasive posterior cervical foraminotomy. J Korean Neurosurg Soc 2014; 56:224-9. [PMID: 25368765 PMCID: PMC4217059 DOI: 10.3340/jkns.2014.56.3.224] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2014] [Revised: 08/13/2014] [Accepted: 09/06/2014] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To report long-term clinical and radiological outcomes of minimally invasive posterior cervical foraminotomy (MI-PCF) performed in patients with unilateral single-level cervical radiculopathy. METHODS Of forty-six patients who underwent MI-PCF for unilateral single-level radiculopathy between 2005 and 2013, 33 patients were included in the study, with a mean follow-up of 32.7 months. Patients were regularly followed for clinical and radiological assessment. Clinical outcome was measured by visual analogue scale (VAS) for the neck/shoulder and arm, and the neck disability index (NDI). Radiological outcome was measured by focal/global angulation and disc height index (DHI). Outcomes after MI-PCF were evaluated as changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients' effect was used to test for differences in the clinical and radiological parameters repeat measures. RESULTS There were no complications and all patients had an uneventful recovery during the early postoperative period. VAS scores for neck/shoulder and arm improved significantly in the early postoperative period (3 months) and were maintained with time (p<0.001). NDI improved significantly post-operatively and tended to decrease gradually during the follow-up period (p<0.001). There were no statistically significant changes in focal and global angulation at follow-up. Percent DHIs of the upper adjacent or operated disc were maintained without significant changes with time. During the follow-up, same site recurrence was not noted and adjacent segment disease requiring additional surgery occurred in two patients (6%) on the contra-lateral side. CONCLUSION MI-PCF provides long-term pain relief and functional restoration, accompanied by good long-term radiological outcome.
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Affiliation(s)
- Young-Joon Kwon
- Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
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Kim KH, Ryu JH, Park MR, Kim YI, Min MK, Park YM, Kim YR, Noh SH, Kang MJ, Kim YJ, Kim JK, Lee BR, Choi JY, Yang GY. Acupuncture as analgesia for non-emergent acute non-specific neck pain, ankle sprain and primary headache in an emergency department setting: a protocol for a parallel group, randomised, controlled pilot trial. BMJ Open 2014; 4:e004994. [PMID: 24928587 PMCID: PMC4067861 DOI: 10.1136/bmjopen-2014-004994] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
INTRODUCTION This study aims to assess the feasibility of acupuncture as an add-on intervention for patients with non-emergent acute musculoskeletal pain and primary headache in an emergency department (ED) setting. METHODS AND ANALYSIS A total of 40 patients who present to the ED and are diagnosed to have acute non-specific neck pain, ankle sprain or primary headache will be recruited by ED physicians. An intravenous or intramuscular injection of analgesics will be provided as the initial standard pain control intervention for all patients. Patients who still have moderate to severe pain after the 30 min of initial standard ED management will be considered eligible. These patients will be allocated in equal proportions to acupuncture plus standard ED management or to standard ED management alone based on computer-generated random numbers concealed in opaque, sealed, sequentially numbered envelopes. A 30 min session of acupuncture treatment with manual and/or electrical stimulation will be provided by qualified Korean medicine doctors. All patients will receive additional ED management at the ED physician's discretion and based on each patient's response to the allocated intervention. The primary outcome will be pain reduction measured at discharge from the ED by an unblinded assessor. Adverse events in both groups will be documented. Other outcomes will include the patient-reported overall improvement, disability due to neck pain (only for neck-pain patients), the treatment response rate, the use of other healthcare resources and the patients' perceived effectiveness of the acupuncture treatment. A follow-up telephone interview will be conducted by a blinded assessor 72±12 h after ED discharge. ETHICS AND DISSEMINATION Written informed consent will be obtained from all participants. The study has been approved by the Institutional Review Boards (IRBs). The results of this study will guide a full-scale randomised trial of acupuncture in an ED context. TRIAL REGISTRATION NUMBER ClinicalTrials.gov: NCT02013908.
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Affiliation(s)
- Kun Hyung Kim
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Ji Ho Ryu
- Department of Emergency Medicine, School of Medicine, Pusan National University, Yangsan, South Korea
| | - Maeng Real Park
- Department of Emergency Medicine, School of Medicine, Pusan National University, Yangsan, South Korea
| | - Yong In Kim
- Department of Emergency Medicine, School of Medicine, Pusan National University, Yangsan, South Korea
| | - Mun Ki Min
- Department of Emergency Medicine, School of Medicine, Pusan National University, Yangsan, South Korea
| | - Yong Myeon Park
- Department of Emergency Medicine, School of Medicine, Pusan National University, Yangsan, South Korea
| | - Yu Ri Kim
- Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, South Korea
| | - Seung Hee Noh
- Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, South Korea
| | - Min Joo Kang
- Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, South Korea
| | - Young Jun Kim
- Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Pusan National University, Yangsan, South Korea
| | - Jae Kyu Kim
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Byung Ryul Lee
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Jun Yong Choi
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Gi Young Yang
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
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Swanenburg J, Humphreys K, Langenfeld A, Brunner F, Wirth B. Validity and reliability of a German version of the Neck Disability Index (NDI-G). ACTA ACUST UNITED AC 2014; 19:52-8. [DOI: 10.1016/j.math.2013.07.004] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2012] [Revised: 05/08/2013] [Accepted: 07/11/2013] [Indexed: 01/14/2023]
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Validation of the korean version of the neck pain and disability scale. Asian Spine J 2013; 7:178-83. [PMID: 24066212 PMCID: PMC3779768 DOI: 10.4184/asj.2013.7.3.178] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2012] [Revised: 07/11/2012] [Accepted: 07/12/2012] [Indexed: 11/09/2022] Open
Abstract
Study Design A prospective study. Purpose To evaluate the reliability and validity of the adapted Korean version of the Neck Pain and Disability Scale (NPDS). Overview of Literature The validity of Korean version of NPDS has not been completely demonstrated yet. Methods Translation/retranslation of the English version of NPDS was conducted, and all steps of the cross-cultural adaptation process were performed. The Korean version of the visual analog scale (VAS) measure of pain, NPDS and the previously validated Short Form-36 (SF-36) were mailed to 91 patients, who had been surgically treated for degenerative cervical disease. Eighty-one patients responded to the first mailing of questionnaires and 69 of the first time responder returned their second survey. Factor analysis and reliability assessment by kappa statistics of agreement for each item, the intraclass correlation coefficient and Cronbach's α were conducted. Concurrent and construct validity were also evaluated by comparing the responses of NPDS with the results of VAS and responses of SF-36. Results Factor analysis extracted 3 factors. All items had a kappa statistics of agreement greater than 0.6. The NPDS showed excellent test/re-test reliability. Internal consistency of Cronbach's α was found to be very good. The NPDS was correlated with the VAS. The Korean version of NPDS showed good significant correlation with SF-36 total score and with single SF-36 domains scores. Conclusions The adapted Korean version of the NPDS was successfully translated and is considered suitable for outcome assessments in the Korean-speaking patients with neck pain.
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Shin NY, Kang DH, Jang JH, Park SY, Hwang JY, Kim SN, Byun MS, Park HY, Kim YC. Impaired recognition of social emotion in patients with complex regional pain syndrome. THE JOURNAL OF PAIN 2013; 14:1304-9. [PMID: 23876283 DOI: 10.1016/j.jpain.2013.05.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2012] [Revised: 05/15/2013] [Accepted: 05/17/2013] [Indexed: 01/17/2023]
Abstract
UNLABELLED Multiple brain areas involved in nociceptive, autonomic, and social-emotional processing are disproportionally changed in patients with complex regional pain syndrome (CRPS). Little empirical evidence is available involving social cognitive functioning in patients with chronic pain conditions. We investigated the ability of patients with CRPS to recognize the mental/emotional states of other people. Forty-three patients with CRPS and 30 healthy controls performed the Reading Mind in the Eyes Test, which consists of photos in which human eyes express various emotional and mental states. Neuropsychological tests, including the Wisconsin Card Sorting Test, the stop-signal test, and the reaction time test, were administered to evaluate other cognitive functions. Patients with CRPS were significantly less accurate at recognizing emotional states in other persons, but not on other cognitive tests, compared with control subjects. We found a significant association between the deficit in social-emotion recognition and the affective dimension of pain, whereas this deficit was not related to the sensory dimension of pain. Our findings suggest a disrupted ability to recognize others' mental/emotional states in patients with CRPS. PERSPECTIVE This article demonstrated a deficit in inferring mental/emotional states of others in patients with CRPS that was related to pain affect. Our study suggests that additional interventions directed toward reducing distressful affective pain may be helpful to restore social cognitive processing in patients with CRPS.
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Affiliation(s)
- Na Young Shin
- Interdisciplinary Cognitive Science Program, Seoul National University, Seoul, Republic of Korea
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Cross-cultural adaptation, reliability, and validity of the Arabic version of neck disability index in patients with neck pain. Spine (Phila Pa 1976) 2013; 38:E609-15. [PMID: 23429690 DOI: 10.1097/brs.0b013e31828b2d09] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Translation and psychometric testing. OBJECTIVE To adapt the neck disability index (NDI) cross-culturally to Arabic language and to investigate the reliability and validity of the Arabic version of NDI in an Arabic-speaking sample with neck pain. SUMMARY OF BACKGROUND DATA Although largely used, no previous reports exist on the translation process or the testing of the psychometric properties of the Arabic version of the NDI. METHODS Cross-cultural adaptation of an outcome questionnaire. The English version of the NDI was translated into Arabic (NDI-Ar) and back-translated according to established guidelines. Sixty-five patients with neck pain completed the NDI -Ar twice during a 1-week period, to assess its test-retest reliability. Further psychometric testing was done by assessing internal consistency, construct validity (factor structure), and responsiveness. RESULTS The internal consistency value (Cronbach α) for the NDI-Ar was 0.89. The test-retest reliability (intraclass correlation coefficient) was excellent at 0.96 (95% confidence interval from 0.93 to 0.97). There was a significant correlation (r = 0.92, P < 0.05) between the scores obtained from the first administration of the NDI-Ar and the second administration. Factor analysis demonstrated a 2-factor structure, explaining 67.58% of total variance. The analysis of responsiveness was calculated with an unpaired t test after 1 week of treatment and demonstrating a statically significant difference between stable and improved patients (P < 0.05). The Spearman correlation coefficient (rS = 0.81; P = 0.000) revealed strong relation between the change in score in the NDI-Ar and global rating of change. No ceiling or floor effects were detected in the NDI-Ar. CONCLUSION The Arabic version of the NDI has a 2-factor 10-item structure and is a reliable, valid, and responsive tool that can be used to assess neck pain in Arabic-speaking patients with neck pain. Therefore, it can be recommended for clinical and research purposes.
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Guzy G, Vernon H, Polczyk R, Szpitalak M. Psychometric validation of the authorized Polish version of the Neck Disability Index. Disabil Rehabil 2013; 35:2132-7. [DOI: 10.3109/09638288.2013.771706] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Godil SS, Parker SL, Zuckerman SL, Mendenhall SK, McGirt MJ. Accurately Measuring Outcomes After Surgery for Adult Chiari I Malformation. Neurosurgery 2013; 72:820-7; discussion 827. [DOI: 10.1227/neu.0b013e3182897341] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Abstract
BACKGROUND:
There has been a transition to using patient-reported outcome instruments (PROi) to assess surgical effectiveness. However, none of these instruments have been validated for outcomes of adult Chiari I malformation (CMI).
OBJECTIVE:
The aim of this study was to determine the relative validity and responsiveness of various PROi in measuring outcomes after surgery for CMI.
METHODS:
Fifty patients undergoing suboccipital craniotomy for adult CMI were prospectively followed for 1 year. Baseline and 1-year patient-reported outcomes (visual analog scale for head pain and visual analog scale for neck pain, Neck Disability Index [NDI], Headache Disability Index, SF-12, Zung Self-Rating Depression Scale, and EuroQol-5D [EQ-5D]) were assessed. A level of improvement in general health after surgery was defined as meaningful improvement. Receiver-operating characteristic curves were generated to assess the validity of PROi to discriminate between meaningful improvement and not. The difference between standardized response means (SRMs) in patients reporting meaningful improvement vs not as calculated to determine the relative responsiveness of each outcome instrument.
RESULTS:
For pain and disability, the NDI was the most accurate discriminator of meaningful effectiveness (area under the curve: 0.90) and also most responsive to postoperative improvement (standardized response means difference: 1.87). For general health and quality of life, the SF-12 PCS, EQ-5D, and Zung Self-Rating Depression Scale were all accurate discriminators; however, SF-12 Physical Component Scale (SF-12 PCS) and EQ-5D were most accurate. SF-12 PCS was also most responsive.
CONCLUSION:
For pain and disability, NDI is the most valid and responsive measure of improvement after surgery for CMI. For health-related quality of life, SF-12 PCS and EQ-5D are the most valid and responsive measures. NDI with SF-12 or EQ-5D is the most valid in patients with CMI and should be considered in cost-effectiveness studies.
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Affiliation(s)
- Saniya S. Godil
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, Nashville, Tennessee
| | - Scott L. Parker
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, Nashville, Tennessee
| | - Scott L. Zuckerman
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, Nashville, Tennessee
| | - Stephen K. Mendenhall
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, Nashville, Tennessee
| | - Matthew J. McGirt
- Department of Neurosurgery, Spinal Column Surgical Outcomes and Quality Research Laboratory, Vanderbilt University, Nashville, Tennessee
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Kato S, Takeshita K, Matsudaira K, Tonosu J, Hara N, Chikuda H. Normative score and cut-off value of the Neck Disability Index. J Orthop Sci 2012; 17:687-93. [PMID: 22895822 DOI: 10.1007/s00776-012-0276-y] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Accepted: 07/18/2012] [Indexed: 10/28/2022]
Abstract
BACKGROUND Neck pain is a common health problem that restricts activities of daily living. The Neck Disability Index (NDI) was developed to assess disability in patients with neck pain. The normative score and the cut-off value are mandatory to assess an individual patient or a certain patient group for clinically important neck pain with disability, by distinguishing it from nonsignificant pain. The objective of the present study was to determine the normative score and the cut-off value of the NDI. METHODS A total of 1,200 participants who registered with an internet research company were interviewed on the website about their episodes of neck pain during the previous 4 weeks, and completed the online NDI questionnaire. If the participants reported neck pain, they were also asked about the disability in activity of daily living it caused, and the presence of associated symptoms in upper limbs. Disability was defined according to the consensus study on the standardization of back pain definitions. The normative score was determined by calculating the mean in the participants, and the cut-off value was determined by the receiver-operating characteristic curve analysis. RESULTS The prevalence of neck pain was 37.8 %. Demographic data of the participants also indicated that they were representative of the normal population in Japan. The mean score was 6.98, and the median was 2. The NDI score was higher in middle age, and at its peak in the 50s age group (50-59 years of age). The female mean was significantly higher. The NDI score was higher in those with upper limb symptoms. We have determined the cut-off value of the NDI to detect neck pain associated with disability to be 15. CONCLUSIONS The normative score and the cut-off value of the NDI were determined. Our cut-off value is potentially useful in evaluating the therapeutic effectiveness of various interventions for neck pain.
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Affiliation(s)
- So Kato
- The Department of Orthopaedic Surgery, Sensory and Motor System Medicine, Surgical Sciences, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0003, Japan.
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Crosscultural adaptation, reliability, and validity of the Japanese version of the neck disability index. Spine (Phila Pa 1976) 2012; 37:E1343-7. [PMID: 22789978 DOI: 10.1097/brs.0b013e318267f7f5] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Translation and psychometric testing. OBJECTIVE To translate and culturally adapt the Neck Disability Index (NDI) and to assess the reliability and validity of the Japanese version of the NDI (NDI-J) in Japanese outpatients with neck pain. SUMMARY OF BACKGROUND DATA To date, no previous report exists on the translation process and psychometric testing of the NDI-J. METHODS The NDI was translated and culturally adapted into Japanese in accordance with published guidelines. A total of 110 outpatients with neck pain participated in the study. Psychometric testing included reliability by internal consistency (Cronbach α) and test-retest reliability (intraclass correlation coefficient), factor analysis, convergent validity by comparing the NDI-J with the short-form health survey (Pearson correlation) and responsiveness (unpaired t tests, standard error of measurement, and minimal detectable change). RESULTS The Cronbach α of the NDI-J was 0.88 and the intraclass correlation coefficient for test-retest reliability was 0.91 (95% confidence interval, 0.82-0.95). Factor analysis demonstrated a 2-factor structure, explaining 61.8% of the total variance. The correlation between the NDI-J and the short-form health survey, version 36, subscales ranged from good to fair (-0.25 to -0.51). The analysis of responsiveness was calculated with an unpaired t test after 3 weeks of treatment demonstrating a statistically significant difference between the stable and improved patients (P ≤ 0.05). The standard error of measurement and minimal detectable change were calculated as 2.9 and 6.8, respectively. CONCLUSION The NDI-J is a valid, reliable, and responsive tool that can be used to assess neck pain in Japanese outpatients.
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Validation of the simplified chinese version of the functional rating index for patients with low back pain. Spine (Phila Pa 1976) 2012; 37:1602-8. [PMID: 22426448 DOI: 10.1097/brs.0b013e318252ddd1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Cross-cultural translation and psychometric testing of the functional rating index (FRI). OBJECTIVE To evaluate the reliability and validity of the adapted simplified Chinese FRI (SC-FRI) for patients with low back pain (LBP). SUMMARY OF BACKGROUND DATA The FRI is a reliable and valid instrument to assess the perception of function and pain for patients with LBP. However, there is no culturally adapted, reliable, and validated FRI for use in mainland China. METHODS The translation and cross-cultural adaptation were performed following international guidelines. The SC-FRI was administered to 115 patients with LBP along with the simplified Chinese version of the Oswestry disability index, 36-item short form health survey, and the visual analogue scale. Psychometric testing included internal consistency, test-test reliability, concurrent criterion validity, and construct validity. RESULTS A high completion rate of 96% and no floor or ceiling effects were noted for the SC-FRI. The internal consistency was good (i.e., Cronbach α = 0.897 for the overall SC-FRI; range, 0.851-0.890, if an item was deleted). Test-retest reliability was excellent, with an intraclass correlation coefficient of 0.948 (95% confidence interval, 0.917-0.968). Concurrent criterion validity assessment demonstrated that the SC-FRI significantly correlated with the visual analogue scale (r = 0.852, P < 0.0001) and the simplified Chinese version of the Oswestry disability index (r = 0.958, P < 0.0001). Construct validity was confirmed by the significant Pearson correlation between the SC-FRI and physical functioning (r = -0.802, P < 0.0001), Bodily Pain (r = -0.698, P < 0.0001), social functioning (r = -0.573, P < 0.0001), role-physical (r = -0.503, P < 0.0001), and general health (r = -0.502, P < 0.0001) domains of the 36-Item Short Form Health Survey. CONCLUSION The SC-FRI showed excellent reliability and validity in the evaluation of pain and the functional health status of Chinese-speaking patients with LBP. It is simple and easy to use and can be recommended in clinical and research practice in mainland China.
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Development of the Italian Version of the Neck Disability Index: cross-cultural adaptation, factor analysis, reliability, validity, and sensitivity to change. Spine (Phila Pa 1976) 2012; 37:E1038-44. [PMID: 22487712 DOI: 10.1097/brs.0b013e3182579795] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Evaluation of the psychometric properties of a translated and culturally adapted questionnaire. OBJECTIVE Translating, culturally adapting, and validating the Italian version of the Neck Disability Index (NDI-I) to allow its use with Italian-speaking patients with neck pain (NP). SUMMARY OF BACKGROUND DATA More attention is being given to standardized outcome measures to improve interventions for NP. A translated form of the NDI has never been validated in Italian patients with NP. METHODS The NDI-I was developed by forward-backward translation, a final review by an expert committee, and a test of the prefinal version to establish its correspondence with the original English version. The psychometric testing included factor analysis, reliability by internal consistency (Cronbach α) and test-retest reliability (intraclass coefficient correlation), construct validity by comparing NDI-I with the Neck Pain and Disability Scale, a numerical rating scale, the Hospital Anxiety and Depression Scale, and the 36-Item Short Form Health Survey (Spearman correlation), and sensitivity to change by calculating the smallest detectable change. RESULTS The questionnaire was administered to 101 subjects with chronic NP and proved to be acceptable. Factor analysis revealed a 2-factor 10-item solution (explained variance: 56%). The questionnaire showed good internal consistency (α = 0.842) and test-retest reliability (intraclass coefficient correlation = 0.846). Construct validity showed a good correlation with Neck Pain and Disability Scale (ρ = 0.687), moderate correlations with the numerical rating scale (ρ = 0.545), and Hospital Anxiety and Depression Scale (ρ = 0.422 for the Anxiety score and ρ = 0.546 for the Depression score), and poor correlations with the 36-Item Short Form Health Survey subscales (ρ = 0.066 to -0.286). The psychometric analyses of the subscales and total scale were similar. The smallest detectable change of the NDI-I was 3. CONCLUSION The NDI was successfully translated into Italian and proved to have a good factorial structure and psychometric properties that replicated the results of other versions. Its use is recommended for research purposes.
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