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Scaling of the revised Oswestry low back pain questionnaire

  • Stephen J. Page
    Affiliations
    Department of Physical Medicine and Rehabilitation, University of Cincinnati College of Medicine, Cincinnati, OH (Page); Kessler Medical Rehabilitation Research & Education Corp, West Orange, NJ (Shawaryn, Cernich); University of Medicine and Dentistry–New Jersey Medical School, Newark, NJ (Shawaryn); and Institute of Objective Measurement, Chicago, IL (Linacre)
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  • Marla A. Shawaryn
    Affiliations
    Department of Physical Medicine and Rehabilitation, University of Cincinnati College of Medicine, Cincinnati, OH (Page); Kessler Medical Rehabilitation Research & Education Corp, West Orange, NJ (Shawaryn, Cernich); University of Medicine and Dentistry–New Jersey Medical School, Newark, NJ (Shawaryn); and Institute of Objective Measurement, Chicago, IL (Linacre)
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  • Alison N. Cernich
    Affiliations
    Department of Physical Medicine and Rehabilitation, University of Cincinnati College of Medicine, Cincinnati, OH (Page); Kessler Medical Rehabilitation Research & Education Corp, West Orange, NJ (Shawaryn, Cernich); University of Medicine and Dentistry–New Jersey Medical School, Newark, NJ (Shawaryn); and Institute of Objective Measurement, Chicago, IL (Linacre)
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  • John M. Linacre
    Affiliations
    Department of Physical Medicine and Rehabilitation, University of Cincinnati College of Medicine, Cincinnati, OH (Page); Kessler Medical Rehabilitation Research & Education Corp, West Orange, NJ (Shawaryn, Cernich); University of Medicine and Dentistry–New Jersey Medical School, Newark, NJ (Shawaryn); and Institute of Objective Measurement, Chicago, IL (Linacre)
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      Abstract

      Page SJ, Shawaryn MA, Cernich AN, Linacre JM. Scaling of the revised Oswestry low back pain questionnaire. Arch Phys Med Rehabil 2002;83:1579-84. Objective: To evaluate the measurement properties of the Revised Oswestry Disability Questionnaire (RODQ) by using rating scale analyses. Design: Calibration of item responses by using a data set. Setting: Four outpatient therapy clinics in the northeastern United States. Patients: Convenience sample of 95 community-dwelling adults exhibiting mild to severe low back pain-related disability (LBP-D). Interventions: Not applicable. Main Outcome Measure: The RODQ. Results: Several Rasch analyses were performed, with 1 item deleted and 2 response categories collapsed, creating a better test without increased error. A schema for item administration and evaluation was also developed. Conclusions: By using the abbreviated scale, suggested item order, and predicted responses, abbreviated versions of the instrument can be applied to measure LBP-D more efficiently. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

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