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Protocol - Low Back Pain Disability Index

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Description

A 24-item, self-report questionnaire about how low back pain affects functional activities. This protocol asks the respondent to assess how they feel today.

Specific Instructions

It is acceptable to add boxes to indicate where patients should tick each item.

The questionnaire may be adapted for use online or by telephone.

Availability

Available

Protocol

When your back hurts, you may find it difficult to do some of the things you normally do.

This list contains sentences that people have used to describe themselves when they have back pain. When you read them, you may find that some stand out because they describe you today. 

As you read the list, think of yourself today. When you read a sentence that describes you today, put a tick against it. If the sentence does not describe you, then leave the space blank and go on to the next one. Remember, only tick the sentence if you are sure it describes you today.

  1. I stay at home most of the time because of my back.
  2. I change position frequently to try and get my back comfortable.
  3. I walk more slowly than usual because of my back.
  4. Because of my back, I am not doing any of the jobs that I usually do around the house.
  5. Because of my back, I use a handrail to get upstairs.
  6. Because of my back, I lie down to rest more often.
  7. Because of my back, I have to hold on to something to get out of an easy chair.
  8. Because of my back, I try to get other people to do things for me.
  9. I get dressed more slowly than usual because of my back.
  10. I only stand for short periods of time because of my back.
  11. Because of my back, I try not to bend or kneel down.
  12. I find it difficult to get out of a chair because of my back.
  13. My back is painful almost all the time.
  14. I find it difficult to turn over in bed because of my back.
  15. My appetite is not very good because of my back pain.
  16. I have trouble putting on my socks (or stockings) because of the pain in my back.
  17. I only walk short distances because of my back.
  18. I sleep less well because of my back.
  19. Because of my back pain, I get dressed with help from someone else.
  20. I sit down for most of the day because of my back.
  21. I avoid heavy jobs around the house because of my back.
  22. Because of my back pain, I am more irritable and bad tempered with people than usual.
  23. Because of my back, I go upstairs more slowly than usual.
  24. I stay in bed most of the time because of my back.

Scoring

The score of the RMDQ is the total number of items checked—i.e., from a minimum of 0 to a maximum of 24.

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Lifestage

Adolescent, Adult, Senior, Pregnancy

Participants

Patients with mild to moderate disability due to acute, sub-acute, or chronic low back pain.

Selection Rationale

The Roland-Morris Disability Questionnaire is specific to low back pain and correlates well with other tests which measure physical disability, including the following:

  • Physical subscales of 36-Item Short Form Survey
  • Physical subscales of Sickness Impact Profile
  • Quebec Low Back Scale
  • Oswestry Disability Questionnaire
  • Pain ratings

Language

Chinese, English, Spanish

Standards
StandardNameIDSource
Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

Roland-Morris Disability Questionnaire (RMDQ)

Source

Roland, M., & Morris, R. (1983). A study of the natural history of back pain: Part 1: Development of a reliable and sensitive measure of disability in low-back pain. Spine, 8(2), 141–144. https://doi.org/10.1097/00007632-198303000-00004

General References

Chiarotto, A., Mexwell, L. J., Terwee, C. B., Wells, G. A., Tugwell, P., & Ostelo, R. W. (2016). Roland-Morris Disability Questionnaire and Oswestry Disability Index: Which has better measurement properties for measuring physical functioning in nonspecific low back pain? Systematic review and meta-analysis. Physical Therapy & Rehabilitation Journal, 96(10),1620–1637. https://doi.org/10.2522/ptj.20150420

Davies, C. C., & Nitz, A. J. (2009). Psychometric properties of the Roland-Morris Disability Questionnaire compared to the Oswestry Disability Index: a systematic review. Physical Therapy Reviews, 14(6), 399–408. https://doi.org/10.1179/108331909X12540993898134  

Macedo, L. G., Maher, C. G., Latimer, J., Hancock, M. J., Machado, L. A. C., & McAuley, J. H. (2011). Responsiveness of the 24-, 18- and 11-item versions of the Roland Morris Disability Questionnaire. European Spine Journal, 20(3), 458–463. https://doi.org/10.1007/s00586-010-1608-2

Roland, M., & Fairbank, J. (2000). The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine, 25(24), 3115–3124. https://doi.org/10.1097/00007632-200012150-00006

Protocol ID

171601

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX171601_Low_Back_Pain_Disability_Index_Appetite_Not_Good
PX171601150000 My appetite is not very good because of my more
back pain. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Avoid_Heavy_Jobs_House
PX171601210000 I avoid heavy jobs around the house because more
of my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Change_Position_Frequently
PX171601020000 I change position frequently to try and get more
my back comfortable. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Difficult_Get_Out_Chair
PX171601120000 I find it difficult to get out of a chair more
because of my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Difficult_Turn_Over_Bed
PX171601140000 I find it difficult to turn over in bed more
because of my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Dress_Slowly
PX171601090000 I get dressed more slowly than usual because more
of my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Dress_With_Help
PX171601190000 Because of my back pain, I get dressed with more
help from someone else. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Get_Other_People_Do_Things
PX171601080000 Because of my back, I try to get other more
people to do things for me. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Go_Upstairs_Slowly
PX171601230000 Because of my back, I go upstairs more more
slowly than usual. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Hold_Something_Get_Out_Easy_Chair
PX171601070000 Because of my back, I have to hold on to more
something to get out of an easy chair. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Irritable_Bad_Tempered_With_People
PX171601220000 Because of my back pain, I am more irritable more
and bad tempered with people than usual. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Lie_Down_Often
PX171601060000 Because of my back, I lie down to rest more often. N/A
PX171601_Low_Back_Pain_Disability_Index_Not_Doing_Job_House
PX171601040000 Because of my back, I am not doing any of more
the jobs that I usually do around the house. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Painful_Almost_All_Time
PX171601130000 My back is painful almost all the time. N/A
PX171601_Low_Back_Pain_Disability_Index_Sit_Most_Day
PX171601200000 I sit down for most of the day because of my back. N/A
PX171601_Low_Back_Pain_Disability_Index_Sleep_Less
PX171601180000 I sleep less well because of my back. N/A
PX171601_Low_Back_Pain_Disability_Index_Stand_Short_Period
PX171601100000 I only stand for short periods of time more
because of my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Stay_Bed
PX171601240000 I stay in bed most of the time because of my back. N/A
PX171601_Low_Back_Pain_Disability_Index_Stay_Home
PX171601010000 I stay at home most of the time because of more
my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Trouble_Put_On_Socks
PX171601160000 I have trouble putting on my socks (or more
stockings) because of the pain in my back. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Try_Not_Bend_Kneel
PX171601110000 Because of my back, I try not to bend or more
kneel down. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Use_Handrail
PX171601050000 Because of my back, I use a handrail to get more
upstairs. show less
N/A
PX171601_Low_Back_Pain_Disability_Index_Walk_Short_Distance
PX171601170000 I only walk short distances because of my back. N/A
PX171601_Low_Back_Pain_Disability_Index_Walk_Slowly
PX171601030000 I walk more slowly than usual because of my back. N/A
Bone and Joint
Measure Name

Low Back Pain Disability Index

Release Date

October 21, 2022

Definition

A questionnaire assessing low back pain.

Purpose

The Roland-Morris Disability Questionnaire is designed to assess self-rated physical disability caused by low back pain.

Keywords

activities of daily living, pain, functional mobility, bone and joint, pain management, patient reported outcomes

Measure Protocols
Protocol ID Protocol Name
171601 Low Back Pain Disability Index
Publications

There are no publications listed for this protocol.