Comparison of the Neck Disability Index and the Neck Bournemouth Questionnaire in a sample of patients with chronic uncomplicated neck pain
Comparison of the Neck Disability Index and the Neck Bournemouth Questionnaire in a sample of patients with chronic uncomplicated neck pain
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DOI：
10.1016/j.jmpt.2007.03.009
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发表时间：
2007-05-01
影响因子：
1.3
通讯作者：
Cieslak, Kathryn R.
中科院分区：
文献类型：
--
作者：
Gay, Ralph E.;Madson, Timothy J.;Cieslak, Kathryn R.
目的：比较颈部功能障碍指数(NDI)和颈部伯恩茅斯问卷(NBQ)在慢性无并发症颈痛患者中对变化的敏感性。持续3个月以上的无并发症的颈部疼痛(无肩痛或神经根症状)的受试者，参加了为期4周的治疗，包括湿热、颈部锻炼和松动或按摩。测量结果包括标准化反应均值(变化敏感度)、Cronbachα(内部一致性)和两个问卷之间以及疼痛视觉模拟量表与每个问卷之间的双向Spearman相关(收敛效度)。结果：NDI的平均得分变化(SD)为6.22(5.12)，NBQ的平均得分变化为14.00(11.99)。标准化回答均数分别为1.21和1.17。两份问卷都比疼痛视觉模拟量表(0.68)对变化更敏感。所有3种结果工具的变化分数之间存在中等相关性(Spearman 0.46~0.57)。NBQ的内部一致性高于NDI。结论：在这组慢性无并发症的颈痛患者中，NDI和NBQ的表现相当。两者都对变化敏感，在慢性颈部疼痛的研究中都将是有效的结果工具。两者都具有可接受的内部一致性，并适合用作单一结果量表。
Objective: This study compares the sensitivity to change of the Neck Disability Index (NDI) and the Neck Bournemouth Questionnaire (NBQ) in patients with chronic uncomplicated neck pain.Methods: This prospective longitudinal study was completed in an outpatient physical therapy clinic. Subjects, with uncomplicated neck pain (no concurrent shoulder pain or nerve root symptoms) for more than a 3-month duration, participated in a 4-week course of therapy that included moist heat, neck exercises, and either mobilization or massage. Outcome measures included standardized response means (sensitivity to change), Cronbach alpha (internal consistency), and 2-way Spearman correlations between the 2 questionnaires and between a pain Visual Analog Scale and each questionnaire (convergent validity).Results: Mean (SD) score change of the NDI was 6.22 (5.12), and of the NBQ, 14.00 (11.99). Standardized response means were 1.21 and 1.17, respectively. Both questionnaires were more sensitive to change than the pain Visual Analog Scale (0.68). There was moderate correlation between the change scores of all 3 outcome tools (Spearman 0.46-0.57). The NBQ had higher internal consistency than the NDI.Conclusions: The NDI and the NBQ performed comparably in this group of patients with chronic uncomplicated neck pain. Both are sensitive to change and would be efficient outcome tools in studies of chronic neck pain. Both had acceptable internal consistency and are appropriate for use as single-outcome scales.