Evidence map›Paper›PMID 36371173›Full record

ArticleBMC musculoskeletal disorders2022

15-item Roland-Morris Disability Questionnaire (RMDQ-15): structural and criterion validity on patients with chronic low back pain.

Natália Teixeira Frota, Cid André Fidelis-de-Paula-Gomes, André Pontes-Silva, Jocassia Silva Pinheiro, Sulamizia Filomena Costa de Jesus, Gabriel Henrique Santin Apahaza, Cesário da Silva Souza, Mariana Arias Avila, Almir Vieira Dibai-Filho

Registry-linked trialAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07458776 (Effects of Muscle Energy Technique and Pilates Exercises on Pain and Physical Function in Patients With Nonspecific Low Back Pain), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07458776 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Muscle Energy Technique and Pilates Exercises on Pain and Physical Function in Patients With Nonspecific Low Back Pain: A Randomized Clinical Trial

TypeinterventionalSponsorUniversity of LahoreRan2025 to 2025Enrolled72ConditionsNonspecific Low Back PainArmsMuscle Energy Technique, Pilates Exercises
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Natália Teixeira FrotaDepartment of Medicine, Universidade Federal Do Maranhão, São Luís, MA, Brazil.
Cid André Fidelis-de-Paula-GomesRehabilitation Sciences, Universidade Nove de Julho, SP, São Paulo, Brazil.
André Pontes-SilvaDepartment of Physical Therapy, Universidade Federal de São Carlos, Rod. Washington Luís, Km 235, SP, 13565-905, São Carlos, Brazil.
Jocassia Silva PinheiroRehabilitation and Functional Performance, Universidade de São Paulo, SP, Ribeirão Preto, Brazil.
Sulamizia Filomena Costa de JesusPhysical Education, Universidade Federal Do Maranhão, MA, São Luís, Brazil.
Gabriel Henrique Santin ApahazaRehabilitation Sciences, Universidade Nove de Julho, SP, São Paulo, Brazil.
Cesário da Silva SouzaSociety, Technologies, and Public Policies, Centro Universitário Tiradentes, AL, Maceió, Brazil.
Mariana Arias AvilaDepartment of Physical Therapy, Universidade Federal de São Carlos, Rod. Washington Luís, Km 235, SP, 13565-905, São Carlos, Brazil. m.avila@ufscar.br.
Almir Vieira Dibai-FilhoPhysical Education, Universidade Federal Do Maranhão, MA, São Luís, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Roland-Morris Disability Questionnaire (RMDQ) is one of the most used instruments to measure self-reported disability in patients with low back pain, however, the uncertainty on which version to use may lead to inadequate disability measurement and consequently, improper management of patients with chronic low back pain.

objectiveTo propose a short version of the RMDQ, compare it with the other short versions presented by the specialized literature, and identify the best internal structure of the RMDQ for the Brazilian population.

methodsThis is a cross-sectional study in which we used confirmatory factor analysis to identify the best structure of the RMDQ. We assessed 545 participants, most of which were women, aged ≥ 30 years old, single, with mean low back pain intensity ~ 5 points, and mean pain chronicity ~ 72 months. We used lavaan and semPlot packages, with implementation of a tetrachoric matrix and the robust diagonally weighted least squares extraction method. We also used fit indices chi-square/degree of freedom, comparative fit index, Tucker-Lewis index, root mean square error of approximation, and standardized root mean squared residual. For the comparison between models, we considered the structure with the lowest values of the Akaike information criterion and Bayesian information criterion. In addition, we assessed criterion validity via Spearman's correlation coefficient to correlate the long and short versions. In this study, the 15-item structure was created through the use of modification indices to identify redundant items (9 items were excluded).

resultsRMDQ structure with one domain and 15 items and the structure with two domains and 16 items showed all fit indices with adequate values, but the one-dimensional version showed the lowest Akaike information criterion and Bayesian information criterion values. Regarding criterion validity, correlation between the RMDQ with 24 items and 15 items is adequate (rho = 0.954, p < 0.001).

conclusionThe RMDQ-15 is a short version of the RMDQ instrument with the most adequate internal structure and satisfactorily correlated with the long version of the instrument.

Indexed as

Low Back PainAdultBayes TheoremCross-Sectional StudiesDisability EvaluationFemaleHumansMaleReproducibility of ResultsSurveys and QuestionnairesFactor analysis, statisticalFunctional statusMusculoskeletal disordersReproducibility of results

Identifiers

PMID36371173
PMCPMC9652881

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.