PMID- 19632904 OWN - NLM STAT- MEDLINE DCOM- 20091216 LR - 20220311 IS - 1878-1632 (Electronic) IS - 1529-9430 (Linking) VI - 9 IP - 10 DP - 2009 Oct TI - Responsiveness of the Neck Disability Index in patients with mechanical neck disorders. PG - 802-8 LID - 10.1016/j.spinee.2009.06.002 [doi] AB - PURPOSE: Report the test-retest reliability, construct validity, minimum clinically important difference (MCID), and minimal detectable change (MDC) for the Neck Disability Index (NDI). STUDY DESIGN/SETTING: Cohort study of patients presenting to outpatient physical therapy clinics. PATIENT SAMPLE: Ninety-one subjects with a primary complaint of neck pain, with or without concomitant upper extremity (UE) symptoms, who were participants in a randomized clinical trial. OUTCOME MEASURES: NDI and the 15-point Global Rating of Change (GRC) self-report measures. METHODS: All subjects completed the NDI at baseline and at a 3-week follow-up. Additionally, subjects completed the GRC scale, which was used to dichotomize patients into improved or stable groups. Changes in the NDI were used to assess test-retest reliability, construct validity, MCID, and MDC. RESULTS: Test-retest reliability was moderate for the NDI (intraclass correlation coefficient, 0.64; 95% confidence interval, 0.19-0.84). For the NDI, the MCID was 7.5 points and the MDC was 10.2 points. CONCLUSIONS: The NDI appears to demonstrate adequate responsiveness based on statistical reference criteria when used in a sample that approximates the high percentage of patients with neck pain and concomitant UE referred symptoms. Because the MCID is within the bounds of measurement error, a 10-point change (the MDC) should be used as the MCID. FAU - Young, Brian A AU - Young BA AD - Department of Physical Therapy, Sheppard AFB, TX, USA. byoungpt@earthlink.net FAU - Walker, Michael J AU - Walker MJ FAU - Strunce, Joseph B AU - Strunce JB FAU - Boyles, Robert E AU - Boyles RE FAU - Whitman, Julie M AU - Whitman JM FAU - Childs, John D AU - Childs JD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090725 PL - United States TA - Spine J JT - The spine journal : official journal of the North American Spine Society JID - 101130732 SB - IM CIN - Spine J. 2009 Oct;9(10):854-6. PMID: 19664967 MH - Area Under Curve MH - Cohort Studies MH - *Disability Evaluation MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multicenter Studies as Topic MH - Neck Pain/*rehabilitation MH - ROC Curve MH - Randomized Controlled Trials as Topic MH - Reproducibility of Results MH - *Severity of Illness Index EDAT- 2009/07/28 09:00 MHDA- 2009/12/17 06:00 CRDT- 2009/07/28 09:00 PHST- 2008/02/15 00:00 [received] PHST- 2009/05/01 00:00 [revised] PHST- 2009/06/06 00:00 [accepted] PHST- 2009/07/28 09:00 [entrez] PHST- 2009/07/28 09:00 [pubmed] PHST- 2009/12/17 06:00 [medline] AID - S1529-9430(09)00268-X [pii] AID - 10.1016/j.spinee.2009.06.002 [doi] PST - ppublish SO - Spine J. 2009 Oct;9(10):802-8. doi: 10.1016/j.spinee.2009.06.002. Epub 2009 Jul 25.