Dear Emma
Are these of any help?
Harding VR, Williams A C De C, Richardson PH, et al (1994) The development
of a battery of measures for assessing physical functioning of chronic pain
patients Pain 58, 367 - 375, might be of some value.
King S, Wessel J, Bhambhani Y (1999) Validity and reliability of the 6
minute walk in persons with fibromyalgia J Rheumatol 26, 10, 2233-7.
You might find the CSP outcome measures database of some use in helping you
select an appropriate measure. The Chartered Society of Physiotherapy (CSP)
has developed this database of outcome measures to help members select
measures.
It's housed at the National Institute for Clinical Excellence (NICE). It
includes generic measures (e.g. SF 36), disability scales (e.g. Barthel
Index), and condition - specific measures (e.g.Roland-Morris disability
questionnaire). It is not exhaustive, and will be updated. The measures in
contains are not being 'recommended' by the CSP, rather the database
includes measures members may come across and want information on. It
contains information to help selection/rejection of a measure, and is of use
to all practitioners interested in recording the outcome of care using
standardised measures.
Accessing the CSP Outcome Measures Database
The best way to access the database is via the Internet, but you can do it
in other ways:
Go to http://www.nice.org.uk
· Click on 'databases' (top, centre icon).
· Click 'search online'
· Search For: put in 'csp' and a key word e.g. 'back pain'
· Search Categories: tick - 'Title', 'Abstract', 'Keywords'.
· Database: tick - 'Bibliography'
· Date: 'until' '2000'
· Results: tick 'Simple'
· When you see a measure you are interested in, double click on the 'Title'
and the whole record will be expanded.
Any inquiries, please contact Ralph Hammond, MCSP, Email:
[log in to unmask]
As I said it isn't exhaustive, but it might help you to se that there is a
wide range of different sorts of measures to consider.
An article by Deyo et al (1998) Outcome measures for low back pain research
Spine 23, 18, 2003 - 2013, might give you some food for thought.
Another type of measure, the Patient Generated Index might be worth
considering: http://www.dundee.ac.uk/epidemiology/pgi.
If you do go to the site and find there are measures missing, which you
think should be on, please let me know!!
Yours
Ralph Hammond MCSP
Professional Adviser
Research and Clinical Effectiveness Unit
The Chartered Society of Physiotherapy
14 Bedford Row
London WC1R 4ED
UK
Tel: 020 7306 6636
Fax: 020 7306 6611
Website: http://www.csp.org.uk
-----Original Message-----
From: acthydro1 [mailto:[log in to unmask]]
Sent: 28 March 2000 08:19
To: [log in to unmask]
Subject: Re:
Hi Emma,
I am interested...why have you decided to change to the Roland Morris? Do
the
participants in your group fill out both questionniares? I have been trying
out
a few different Questionnaires (including the Quebec and Roland-Morris)
over
the past couple of years and have finally arrived at the conclusion that the
Oswestry best suits my patient base. I do not like the Roland Morris because
there is not enough flexibility for "chronic pain" patients in the Yes / No
answers, when often patients will report improvements which are not black /
white. I have also found that the Quebec contains too many non-relevant
functional activities (eg throwing a ball; lifting a "heavy" suitcase. On
the
other hand the Oswestry I think is also limited in its wording with its
emphasis on "pain"? I am sorry that I don't have any of the info that you
are
interested in but I am interested in your choice of questionnaires and your
experiences!
Di Howell
ACT Hydrotherapy Consultancy
Canberra
Australia
emma newton wrote:
> dear all
>
> we have both a Back fitness programme and a lumbar stability exercise
group
> in our out-patient department in Nottingham.
>
> Pre- and post- group we have until now been using the SF36 and the
> Oswestry disability questionnaire. However, we will be soon changing to
use
> the Roland Morris and Oswestry to give us more functional outcomes.
>
> I have been looking around for objective measurement tests, and I
> know that another department uses the timed five minute walking test as it
> is validated for use with back patients.
>
> Does anyone have any comments on the use of the shuttle walking test
> (like what is used for pulmonary patients) for back patients. I know it is
> not validated but I heard that if we could make it "comparable"
> then this would be OK. How do you prove that something is "comparable" ?
>
> Does anyone have any other ideas on what to use ?
>
> I eagerly await any replies.
>
> Emma Newton MCSP
> Senior II Physiotherapist
> Ropewalk House, Nottingham
>
> ______________________________________________________
> Get Your Private, Free Email at http://www.hotmail.com
Viruses were not found. Checked by AVP.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|