PMID- 36833155
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230227
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 11
IP  - 4
DP  - 2023 Feb 20
TI  - Establishing Responsiveness and Minimal Clinically Important Difference of Quebec 
      Back Pain Disability Scale (Hindi Version) in Chronic Low Back Pain Patients 
      Undergoing Multimodal Physical Therapy.
LID - 10.3390/healthcare11040621 [doi]
LID - 621
AB  - Increasing emphasis is placed on physical functional measures to examine 
      treatments for chronic low back pain (CLBP). The Quebec Back Pain Disability 
      Scale (Hindi version) (QBPDS-H) has never been evaluated for responsiveness. The 
      objectives of this study were to (1) examine the internal and external 
      responsiveness of the Quebec Back Pain Disability Scale (Hindi version) (QBPDS-H) 
      and (2) find out the minimal clinically important difference (MCID) and minimal 
      detectable change (MDC) in the functional ability of patients with chronic low 
      back pain (CLBP) undergoing multimodal physical therapy treatment. In this 
      prospective cohort study, QBPDS-H responses were recorded at the baseline and 
      after eight weeks from 156 CLBP patients undergoing multimodal physiotherapy 
      treatment. To differentiate between the clinically unimproved (n = 65, age: 44.16 
      +/- 11.8 years) and clinically improved (n = 91, age: 43.28 +/- 10.7 years) scores of 
      patients from the initial assessment to the last follow-up, the Hindi version of 
      the Patient's Global Impression of Change (H-PGIC) scale was utilized. Internal 
      responsiveness was large (E.S. (pooled S.D.) (n = 91): 0.98 (95% CI = 1.14-0.85) 
      and Standardized Response Mean (S.R.M.) (n = 91): 2.57 (95% CI = 3.05-2.17)). In 
      addition, the correlation coefficient and receiver operative characteristics 
      (R.O.C.) curve were used to assess the QBPDS-H external responsiveness. MCID and 
      MDC were detected by the R.O.C. curve and standard error of measurements 
      (S.E.M.), respectively. The H-PGIC scale showed moderate responsiveness (rho = 
      0.514 and area under the curve (A.U.C.) = 0.658; 95% CI, 0.596-0.874), while the 
      MDC achieved 13.68 points, and the MCID was found have 6 points (A.U.C. = 0.82; 
      95% CI: 0.74-0.88, sensitivity = 90%, specificity = 61%). This study shows that 
      QBPDS-H has moderate levels of responsiveness in CLBP patients receiving 
      multimodal physical therapy treatment, so it can be used to measure the changes 
      in disability scores. MCID and MDC changes were also reported with QBPDS-H.
FAU - Ahmad, Irshad
AU  - Ahmad I
AUID- ORCID: 0000-0002-6012-9207
AD  - Department of Medical Rehabilitation Sciences, College of Applied Medical 
      Sciences, King Khalid University, Abha 61413, Saudi Arabia.
FAU - Sharma, Akhil
AU  - Sharma A
AD  - St. Stephens Hospital, Tis Hazari, New Delhi 110054, India.
FAU - Zaidi, Sahar
AU  - Zaidi S
AUID- ORCID: 0000-0002-1950-1150
AD  - Department of Physiotherapy, Jamia Hamdard, New Delhi 110062, India.
FAU - Alshahrani, Mastour Saeed
AU  - Alshahrani MS
AUID- ORCID: 0000-0003-2290-8207
AD  - Department of Medical Rehabilitation Sciences, College of Applied Medical 
      Sciences, King Khalid University, Abha 61413, Saudi Arabia.
FAU - Gautam, Ajay Prashad
AU  - Gautam AP
AD  - Department of Medical Rehabilitation Sciences, College of Applied Medical 
      Sciences, King Khalid University, Abha 61413, Saudi Arabia.
FAU - Raizah, Abdullah
AU  - Raizah A
AD  - Department of Orthopedic Surgery, College of Medicine, King Khalid University, 
      Abha 61413, Saudi Arabia.
FAU - Reddy, Ravi Shankar
AU  - Reddy RS
AUID- ORCID: 0000-0001-6638-0585
AD  - Department of Medical Rehabilitation Sciences, College of Applied Medical 
      Sciences, King Khalid University, Abha 61413, Saudi Arabia.
FAU - Verma, Shalini
AU  - Verma S
AD  - Department of Physiotherapy, Jamia Hamdard, New Delhi 110062, India.
FAU - Tanwar, Tarushi
AU  - Tanwar T
AUID- ORCID: 0000-0001-5475-3591
AD  - Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New 
      Delhi 110025, India.
FAU - Hussain, Mohammad Ejaz
AU  - Hussain ME
AD  - Faculty of Allied Health Sciences and Physiotherapy, SGT University, Gurugram 
      122505, India.
FAU - Malhotra, Deepak
AU  - Malhotra D
AUID- ORCID: 0000-0003-1413-6681
AD  - Department of Physiotherapy, Jamia Hamdard, New Delhi 110062, India.
FAU - Uddin, Shadab
AU  - Uddin S
AUID- ORCID: 0000-0001-5945-8209
AD  - Department of Physical Therapy, Faculty of Applied Medical Sciences, Jazan 
      University, Jazan 82911, Saudi Arabia.
FAU - Mukhtar, Emadeldin Mohammed
AU  - Mukhtar EM
AD  - Department of Radiological Sciences, College of Applied Medical Sciences, King 
      Khalid University, Abha 61413, Saudi Arabia.
LA  - eng
GR  - R.G.P.2/122/43/King Khalid University/
PT  - Journal Article
DEP - 20230220
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC9957059
OTO - NOTNLM
OT  - activity limitations
OT  - low back pain
OT  - patient-reported outcome measures
COIS- The authors declare no conflict of interest.
EDAT- 2023/02/26 06:00
MHDA- 2023/02/26 06:01
PMCR- 2023/02/20
CRDT- 2023/02/25 02:10
PHST- 2022/12/21 00:00 [received]
PHST- 2023/02/12 00:00 [revised]
PHST- 2023/02/15 00:00 [accepted]
PHST- 2023/02/25 02:10 [entrez]
PHST- 2023/02/26 06:00 [pubmed]
PHST- 2023/02/26 06:01 [medline]
PHST- 2023/02/20 00:00 [pmc-release]
AID - healthcare11040621 [pii]
AID - healthcare-11-00621 [pii]
AID - 10.3390/healthcare11040621 [doi]
PST - epublish
SO  - Healthcare (Basel). 2023 Feb 20;11(4):621. doi: 10.3390/healthcare11040621.