Week 1- Outcome Measures in Low Back Pain Flashcards
MDC
Minimal detectable change
MCID
Minimal clinically important difference
What are the outcome measures for patients with low back disorders?
- Modified Oswestry Low Back Pain Disability Questionnaire (ODI)
- Fear-Avoidance Beliefs Questionnaire (FABQ)
How many items are measured on the ODI?
- 10 total
- 8 address ADLs
- 2 address pain
How is the ODI scored?
- 0-5
- Increased score = increased disability
Minimum important change
- No single agreed upon value
- 6-10% change
- 30% from baseline
What does the FABQ address?
- Patient beliefs about work and physical activity
- ID patients with fear avoidance who are at risk for prolonged disability
What items are measured on the FABQ?
- 16 total
- 5: physical activity subscale
- 11: work subscale
How is the FABQ scored?
- 0-6
- FABQpa: use items 2-5 (24 possible points)
- FABQw: use items 6, 7, 9-12, 15 (42 possible points)
What are the high scores for the FABQ?
- FABQpa: >15
- FABQw: >34
What additional measures of pain and function are used with LBP?
- ROM (w/ bubble inclinometer)
- Numeric pain rating scale (NPRS)
- Body chart
- Global rating of change (GROC, GRC)
- Asterisk signs and test-retest
Use of a body chart in treating LBP
Track symptom location and quality
What is considered meaningful in the NPRS?
1.5-2 points considered small but meaningful
What does the GROC address?
- Assess overall response to care
- Need to ask if the amount of change is important to the patient
How is the GROC scored?
-7 to +7
