Evidence map›Paper›PMID 37667238›Full record

ArticleBMC musculoskeletal disorders2023

The Observable Movement Quality scale for patients with low back pain (OMQ-LBP): validity and reliability in a primary care setting of physical therapy.

M J H van Dijk, A M van der Wal, J Mollema, B Visser, H Kiers, Y Heerkens, M W G Nijhuis- van der Sanden

Open access · goldAbstract read
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In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

M J H van DijkUtrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands. margriet.vandijk@radboudumc.nl.
A M van der WalUtrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands.
J MollemaUtrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands.
B VisserCentre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands.
H KiersUtrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands.
Y HeerkensDepartment Occupation & Health, HAN University of Applied Sciences, Nijmegen, the Netherlands.
M W G Nijhuis- van der SandenRadboud University Medical CenterRadboud Institute for Health Sciences, IQ Healthcare, Nijmegen, the Netherlands.
University of Applied Sciences Utrecht · NLAmsterdam University of Applied Sciences · NLHAN University of Applied Sciences · NLRadboud University Medical Center · NLRadboud University Nijmegen · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Observable Movement Quality scale for patients with low back pain (OMQ-LBP) is a newly developed measurement instrument for use in primary care settings of physical and exercise therapists to assess movement quality (MQ) of patients with low back pain (LBP).

objectiveThis study aims to determine validity, reliability and feasibility of the OMQ-LBP. The OMQ-LBP consists of a standardized movement circuit (performed twice) consisting of five daily activities problematic for LBP patients, which are scored with an 11-item observation list.

methodsConstruct validity was determined by testing seven hypotheses on associations between constructs (n = 85 patients with LBP) and four hypotheses on known group differences (n = 85 patients with LBP and n = 63 healthy controls; n = 35 matched participant-patients having VAS-pain ≥ 20 mm during and/or after both circuits and healthy controls). Internal consistency was analyzed with Cronbach's alpha (n = 85 patients with LBP). For inter- and intra-rater reliability Intraclass Correlation Coefficient (ICC) values were examined (n = 14 therapists: seven primary care physical therapists and seven exercise therapists). Additionally, content validity and feasibility were determined using thematic analysis of a brief interview with participants, patients (n = 38) and therapists (n = 14).

resultsAfter Bonferroni correction 2/7 associations between constructs and 2/4 significant group differences were confirmed. Cronbach's alpha was 0,79. The ICC-values of interrater reliability of the OMQ-LBP total score and the duration score were 0.56 and 0.99 and intra-rater reliability 0.82 and 0,93, respectively. Thematic analysis revealed five themes. Three themes elucidate that both patients and therapists perceived the content of the OMQ-LBP as valid. The fourth theme exhibits that OMQ-LBP provides a clear and unambiguous language for MQ in patients with LBP. Theme 5 depicts that the OMQ-LBP seems feasible, but video recording is time-consuming.

conclusionsThe OMQ-LBP is a promising standardized observational assessment of MQ during the five most problematic daily activities in patients with LBP. It is expected that uniform and objective description and evaluation of MQ add value to clinical reasoning and facilitate uniform communication with patients and colleagues.

Indexed as

Low Back PainAllied Health PersonnelHumansPhysical Therapy ModalitiesPrimary Health CareReproducibility of ResultsActivitiesExercise therapyLow back painMovement qualityPhysiotherapyStandardized observational assessment

Identifiers

PMID37667238
PMCPMC10476334
OpenAlexW4386417048

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