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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۵، صفحات ۳۵۶-۳۶۴
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عنوان انگلیسی The Responsiveness of Three Persian Outcome Measures Following Physiotherapy Intervention in Patients with Chronic Non-Specific Neck Pain
چکیده انگلیسی مقاله Objectives: A prospective cohort study to evaluate and compare the responsiveness of the Persian version of the neck disability index (NDI), neck pain & disability scale (NPDS), neck outcome score (NOOS), and to determine the minimal clinically important difference (MCID) and minimal detectable change (MDC). To date, no studies have made a direct comparison between the responsiveness of the Persian version of NPDS, NDI, and NOOS questionnaires.Methods: At the end of the study, 55 patients with chronic non-specific neck pain completed the NPDS, NDI, and NOOS questionnaires at the beginning and end of three weeks of physiotherapy treatment. Additionally, patients completed the global rating of change scale to differentiate between improved and unimproved patients. Comparison of responsiveness was performed using anchor-based methods (receiver operating characteristic (ROC) curve and correlation analysis). MCID and MDC were assessed to investigate relevant changes for each questionnaire.Results: ROC curves analysis showed areas under the curves of 0.70, 0.64, and 0.43 to 0.63 for the NPDS, NDI, and NOOS subscales, respectively. The correlation coefficients between the global rating of the change scale and the change scores of the NPDS and NDI were 0.38 (P< 0.01) and 0.30 (P< 0.05), respectively. There were no significant correlations between NOOS subscales and global rating of change score (r=0.001- 0.21, P>0.05). The MCID for the NPDS, NDI, and NOOS subscales were 28.09 (score 0-100), 7.5 (score 0-50), and 13.75 to 28.64 (score 0-100), respectively. The MDCs were found to be in the following order: 47.1 points for NPDS, 36.1 for NDI, and 23.5 to 39.7 for NOOS subscales.Conclusion: The Persian NPDS seems more responsive than the NDI and NOOS questionnaires. The level of clinically meaningful change in NDI, NPDS, and NOOS questionnaires is in the range of measurement error. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Disability, Minimal clinically important difference, Neck disability questionnaires, neck pain, ROC curve
نویسندگان مقاله | Seyed Ramin Dabiri
Orthopedic Department, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran


| Mohammad Reza Tehrani
Department of Physical Therapy, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran


| Farzad Omidi-Kashani
Orthopedic Department, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran


| Hamed Mami-Pour
Department of Physical Therapy, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran


| Hamed Tabesh
Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


| Ali Moradi PhD
Orthopedic Research Centre, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran


| Salman Nazary-Moghadam
Department of Physical Therapy, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran- Orthopedic Research Centre, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
نشانی اینترنتی https://abjs.mums.ac.ir/article_22239.html
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