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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2017 June;53(3):359-65

DOI: 10.23736/S1973-9087.17.04398-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

The predictive value of subsets of the Örebro Musculoskeletal Pain Screening Questionnaire for return to work in chronic low back pain

Emmanuelle OPSOMMER 1 , Gilles RIVIER 2, Geert CROMBEZ 3, Roger HILFIKER 4

1 School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland; 2 Clinique Romande de Réadaptation SUVAcare, Sion, Switzerland; 3 University of Ghent, Gent, Belgium; 4 School of Health Sciences, University of Applied Sciences and Arts of Western Switzerland (HES-SO) Valais-Wallis, Sion, Switzerland


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BACKGROUND: Studies have shown that positive recovery expectations are associated with positive health outcomes in patients with chronic low back pain (CLBP) such as return to work (RTW) and the time to RTW.
AIM: To compare the predictive value for RTW in CLBP using different subsets of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ).
DESIGN: Longitudinal cohort study.
SETTING: Rehabilitation center.
POPULATION: Ninety-eight inpatients with CLBP (>3 months).
METHODS: The ÖMPSQ at baseline was used to predict RTW three months after discharge from the rehabilitation clinic. The area under the ROC-curve was calculated based on a logistic regression model. Cox-regression was used to analyze time to RTW with C statistics for the original full (25-items) version of the ÖMPSQ, the 10-item version as well as for the two items about self-expected RTW and self-expected recovery.
RESULTS: The area under the curve (AUC) for the overall score of the full version ÖMPSQ was 0.82 (95% CI: 0.73 to 0.90), the AUC for the short version was 0.79 (95% CI: 0.70 to 0.88), the AUC for the item about self-expected recovery (#15) was 0.67 (95% CI: 0.57 to 0.78), and the AUC for the item about self-expected RTW (#16) was 0.76 (95% CI: 0.66 to 0.85). Harrell’s C for the full version was 0.74 (95% CI: 0.66 to 0.81), for the short version the C was 0.71 (95% CI: 0.64 to 0.79), for item #15 the C was 0.62 (95% CI: 0.53 to 0.72), and for item #16 the C was 0.71 (95% CI: 0.64 to 0.78).
CONCLUSIONS: Two items about expectations from the ÖMPSQ showed similar predictive value for RTW compared to the short and full original versions, and could be used as first screening questions.
CLINICAL REHABILITATION IMPACT: Clinicians may make an informed choice whether they use the full or the short version of the ÖMPSQ for screening of psychosocial problems, or whether they use the two single items about expectations. Knowledge about patient’s expectations provides a base for discussion between health professionals and the patient.


KEY WORDS: Low back pain - Pain measurement - Surverys and questionnaires - Predictive value of tests - Return to work - Mass screening

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Publication History

Issue published online: June 15, 2017
Article first published online: April 4, 2017
Manuscript accepted: March 22, 2017
Manuscript revised: March 20, 2107
Manuscript received: July 3, 2016

Per citare questo articolo

Opsommer E, Rivier G, Crombez G, Hilfiker R. The predictive value of subsets of the Örebro Musculoskeletal Pain Screening Questionnaire for return to work in chronic low back pain. Eur J Phys Rehabil Med 2017;53:359-65. DOI: 10.23736/S1973-9087.17.04398-2

Corresponding author e-mail

emmanuelle.opsommer@hesav.ch