Cervical and Thoracic Outcome Measures

Question 1

What is the most commonly used Outcome measure for Neck Pain? How is it scored?

Answer 1

Neck Disability Index

10 questions scored from 0-5 (higher score=greater disability)

Question 2

What is the design of the Patient Specific Functional Scale? How is it scored? What is the MCID?

Answer 2

3 patient-selected activities

scoring is the average individual item scores

MCID= 2.0 pts with cervical radiculopathy

Question 3

True or False: The FABQ has just as strong of correlation between fear avoidance belief, pain and disability with Neck pain patients and LBP patients.

Answer 3

False, FABQ has a weaker association with neck pain patients and the MCID is not known for neck pain pts. so use caution with interpreting results

Question 4

What is the MCID for the NPRS (pain scale)?

Answer 4

1.5-2 points is small but meaningful

Question 5

What does the global rating of change scale assess? What does it specifically ask? How is it scored? How are the scores interpreted?

Answer 5

Assesses overall response to care

asks “is the amount of change important to the patient”

scoring is between -7 to +7

change of score from 1-3=small improvement
change of score from 4-5=moderate improvement
change of score from 5-7=large improvement