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01.12.2015 | Original Article

Responsiveness and minimal important changes for the Neck Disability Index and the Neck Pain Disability Scale in Italian subjects with chronic neck pain

verfasst von: Marco Monticone, Emilia Ambrosini, Howard Vernon, Roberto Brunati, Barbara Rocca, Calogero Foti, Simona Ferrante

Erschienen in: European Spine Journal | Ausgabe 12/2015

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Abstract

Purpose

To evaluate the responsiveness and minimal important changes (MICs) for the Italian Neck Disability Index (NDI) and Neck Pain Disability Scale (NPDS) as well as which questionnaire was the most responsive in subjects with chronic neck pain (NP).

Methods

At the beginning and end of an 8-week rehabilitation programme, 200 patients completed the NDI and NPDS. After the programme, the global perceived effect (GPE) was also evaluated and collapsed to produce a dichotomous outcome (improved vs. stable). Responsiveness was calculated by distribution [effect size (ES); standardised response mean (SRM)] and anchor-based methods (ROC curves; correlations between change scores of NPDS and NDI, and GPE). ROC curves were also used to compute the best cutoff levels between improved and stable subjects (MICs).

Results

The ES was 0.66 and 0.73, and the SRM was 1.09–1.26 for the NDI and NPDS, respectively. The ROC analyses revealed AUCs of 0.96 and 0.91 for the NDI and NPDS, respectively; the MICs were 7-percentage points for the NDI (sensitivity: 98 %; specificity: 81 %) and 10 for NPDS (93; 83 %), showing equivalent responsiveness properties. Baseline NPDS scores did not affect MIC estimate for the NPDS, while, for the NDI, higher MICs were found for patients with worst disability levels. Correlations between change scores of the NDI and NPDS and GPE were, respectively, high (0.71) and moderate (0.59).

Conclusions

The Italian NDI and NPDS were equally sensitive in detecting clinical changes in subjects with chronic NP undergoing rehabilitation. We recommend taking the MICs into account when assessing patient improvement or planning studies in this clinical context.

Revicki D, Hays RD, Cella D, Sloan J (2008) Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. J Clin Epidemiol 61:102–109CrossRefPubMed

Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, de Vet HC (2010) The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient reported outcomes. J Clin Epidemiol 63(7):737–745CrossRefPubMed

de Vet HC, Terwee CB, Ostelo RW, Beckerman H, Knol DL, Bouter LM (2006) Minimal changes in health status questionnaires: distinction between minimally detectable change and minimally important change. Health Qual Life Outcomes 4:54PubMedCentralCrossRefPubMed

Vernon H, Mior S (1991) The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 14:409–415PubMed

Vernon H (2008) The Neck Disability Index: state-of-the-art, 1991–2008. J Manipulative Physiol Ther 31:491–502CrossRefPubMed

Wheeler AH, Goolkasian P, Baird AC, Darden BV 2nd (1999) Development of the Neck Pain and Disability Scale: item analysis, face, and criterion-related validity. Spine 24:1290–1294CrossRefPubMed

Goolkasian P, Wheeler AH, Gretz SS (2002) The neck pain and disability scale: test-retest reliability and construct validity. Clin J Pain 18:245–250CrossRefPubMed

Monticone M, Ferrante S, Vernon H, Rocca B, Dal Farra F, Foti C (2012) Development of the Italian version of the Neck Disability Index. Cross-cultural adaptation, factor analysis, reliability, validity and sensitivity to change. Spine (Phila Pa 1976) 37(17):E1038–E1044CrossRef

Monticone M, Baiardi P, Nido N, Righini C, Tomba A, Giovanazzi E (2008) Development of the Italian version of the Neck Pain and Disability Scale, NPDS-I. Spine (Phila Pa 1976) 33:E429–E434CrossRef

10.

Husted JA, Cook RJ, Farewell VT, Gladman DD (2000) Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol 53:459–468CrossRefPubMed

11.

Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, Bouter LM, de Vet HC (2010) The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol 18(10):22CrossRef

12.

Monticone M, Baiardi P, Vanti C, Ferrari S, Nava T, Montironi C, Rocca B, Foti C, Teli M (2012) Chronic neck pain and treatment of cognitive and behavioural factors. Results of a randomised controlled clinical trial. Eur Spine J 21(8):1558–1566PubMedCentralCrossRefPubMed

13.

Kamper SJ, Ostelo RW, Knol DL, Maher CG, de Vet HC, Hancock MJ (2012) Global perceived effect scales provided reliable assessments of health transition in people with musculoskeletal disorders, but ratings are strongly influenced by current status. J Clin Epidemiol 63:760–766CrossRef

14.

Zweig M, Campbell G (1993) Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem 39:561–577PubMed

15.

Schuller W, Ostelo RW, Janssen R, de Vet HC (2014) The influence of study population and definition of improvement on the smallest detectable change and the minimal important change of the neck disability index. Health Qual Life Outcomes 12(1):53PubMedCentralCrossRefPubMed

16.

de Vet HCW, Terwee CB, Mokkink LB, Knol DL (2011) Measurement in medicine. A practical guide. Cambridge University Press, CambridgeCrossRef

17.

Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H (2001) A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 26:788–797CrossRefPubMed

18.

Evans R, Bronfort G, Nelson B, Goldsmith CH (2002) Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine 27:2383–2389CrossRefPubMed

19.

Hoving JL, Koes BW, de Vet HC, van der Windt DA, Assendelft WJ, van Mameren H, Devillé WL, Pool JJ, Scholten RJ, Bouter LM (2002) Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain—a randomized, controlled trial. Ann Intern Med 136:713–722CrossRefPubMed

20.

Kjellman G, Oberg B (2002) A randomized clinical trial comparing general exercise, McKenzie treatment and a control group in patients with neck pain. J Rehabil Med 34:183–190CrossRefPubMed

21.

Hoving JL, De Vet HCW, Koes BW, van Mameren H, Deville WLJM, van der Windt DAWM, Assendelft WJJ, Pool JJM, Scholten RJPM, Korthals–De Bos IBC, Bouter LM (2006) Manual therapy, physical therapy, or continued care by the general practitioner for patients with neck pain—long-term results from a pragmatic randomized clinical trial. Clin J Pain 22:370–377CrossRefPubMed

22.

Kietrys DM, Galper JS, Verno V (2007) Effects of at-work exercises on computer operators. Work 28:67–75PubMed

23.

Lee H, Nicholson LL, Adams RD, Maher CG, Halaki M, Bae SS (2006) Development and psychometric testing of Korean language versions of 4 neck pain and disability questionnaires. Spine 31:1841–1845CrossRefPubMed

24.

Kose G, Hepguler S, Atamaz F, Oder G (2007) A comparison of four disability scales for Turkish patients with neck pain. J Rehabil Med 39:358–362CrossRefPubMed

25.

Stratford PW, Riddle DL, Binkley JM, Spadoni G, Westaway MD, Padfield B (1999) Using the Neck Disability Index to make decisions concerning individual patients. Physiother Can 51:107–112

26.

Pool JJ, Ostelo RW, Hoving JL, de Bouter LM, Vet HC (2007) Minimal clinically important change of the Neck Disability Index and the Numerical Rating Scale for patients with neck pain. Spine 32:3047–3051CrossRefPubMed

27.

Cleland JA, Childs JD, Whitman JM (2008) Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil 89(1):69–74CrossRefPubMed

28.

Young BA, Walker MJ, Strunce JB, Boyles RE, Whitman JM, Childs JD (2009) Responsiveness of the Neck Disability Index in patients with mechanical neck disorders. Spine J 9(10):802–808CrossRefPubMed

29.

Jorritsma W, Dijkstra PU, de Vries GE, Geertzen JH, Reneman MF (2012) Detecting relevant changes and responsiveness of Neck Pain and Disability Scale and Neck Disability Index. Eur Spine J 21(12):2550–2557.24PubMedCentralCrossRefPubMed

Titel: Responsiveness and minimal important changes for the Neck Disability Index and the Neck Pain Disability Scale in Italian subjects with chronic neck pain
verfasst von: Marco Monticone
Emilia Ambrosini
Howard Vernon
Roberto Brunati
Barbara Rocca
Calogero Foti
Simona Ferrante
Publikationsdatum: 01.12.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 12/2015
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-015-3785-5

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