Responsiveness of Chinese version of Neck Outcome Score in subjects with neck pain_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LI Peifang ,  NING Ning , LIU Hao , SONG Yueming , CHEN Jiali , ZHANG Xinyu , ZHANG Yueer

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Neck Outcome Score; responsiveness; neck pain; questionnaire; cross-cultural adaption

DOI：

10.7507/1002-1892.201801021

Video：

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ObjectiveTo analyze responsiveness of Chinese version of Neck Outcome Score (NOOS-C) and provide a reliable measure to assess intervention effect for patients with neck pain.MethodsCross-cultural adaptation of NOOS was performed according to the Beaton’s guidelines for cross-cultural adaptation of self-report measures. Eighty patients with neck pain were recruited between September 2016 and May 2017. Those patients were assessed using NOOS-C and Chinese version of Neck Disability Index (NDI) before and after intervention. And 71 patients completed those questionnaires. The statistic differences of the score of each subscale and the total scale before and after intervention were evaluated by paired-samples t test. Internal responsiveness was determined by effect size (ES) and standardized response mean (SRM) based on the calculated difference before and after intervention. External responsiveness was analyzed by Spearman correlation coefficient.ResultsThe differences in symptom subscale, sleep disturbance subscale, participating in everyday life subscale, every day activity and pain subscale, and the scale between before and after intervention were significant (P<0.05) except for mobility subscale (P>0.05). The difference of NDI-C before and after intervention was –12.11%±17.45%, ES was 0.77, and SRM was 0.69. The difference of NOOS-C before and after intervention was 13.74±17.22, ES was 0.83, and SRM was 0.80. Spearman correlation analysis revealed that the relativity about NOOS-C and NDI-C before and after intervention were both negative (r=–0.914, P=0.000; r=–0.872, P=0.000).ConclusionNOOS-C’s responsiveness is good.

Citation： LI Peifang, NING Ning, LIU Hao, SONG Yueming, CHEN Jiali, ZHANG Xinyu, ZHANG Yueer. Responsiveness of Chinese version of Neck Outcome Score in subjects with neck pain. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(5): 554-557. doi: 10.7507/1002-1892.201801021 Copy

1.	Bliss SJ, Flanders SA, Saint S. Clinical problem-solving. A pain in the neck. N Engl J Med, 2004, 350(10): 1037-1042.
2.	梁兆暉. 針刺治療慢性頸痛的療效評價. 廣州: 中山大學, 2009.
3.	Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J, 2006, 15(6): 834-848.
4.	Holtermann A, Hansen JV, Burr H, et al. Prognostic factors for long-term sickness absence among employees with neck-shoulder and low-back pain. Scand J Work Environ Heal, 2010, 36(1): 34-41.
5.	Martin BI, Deyo RA, Mirza SK, et al. Expenditures and health status among adults with back and neck problems. JAMA, 2008, 299(6): 656-664.
6.	宋雪, 楊大偉, 張立源, 等. 撳針治療頸椎病頸痛的臨床觀察. 世界中西醫結合雜志, 2017, 12(2): 262-265.
7.	Juul T, S?gaard K, Roos EM, et al. Development of a patient-reported outcome: the Neck OutcOme Score (NOOS)—Content and construct validity. J Rehabil Med, 2015, 47(9): 844-853.
8.	Juul T, S?gaard K, Davis AM, et al. Psychometric properties of the Neck OutcOme Score, Neck Disability Index, and Short Form-36 were evaluated in patients with neck pain. J Clin Epidemiol, 2016, 79: 31-40.
9.	EwaRoos. Knee injury and osteoarthritis outcome score[EB/OL].(2016-07-01) [2017-03-06]. http://www.koos.nu/index.html.
10.	Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 2000, 25(24): 3186-3191.
11.	Wu S, Ma C, Mai M, et al. Translation and validation study of Chinese versions of the neck disability index and the neck pain and disability scale. Spine (Phila Pa 1976), 2010, 35(16): 1575-1579.
12.	劉綺, 麥明泉, 肖靈君, 等. 中文版 Oswestry 功能障礙指數評定慢性腰痛患者的反應度研究. 中國康復醫學雜志, 2010, 25(7): 621-624.
13.	方賢聰, 程繼偉, 盛錫華. Oswestry 功能障礙指數評定腰椎滑脫癥患者的反應度和最小有意義變化研究. 中國現代醫生, 2017, 55(28): 16-20.
14.	方積乾. 生存質量測定方法及應用. 北京: 北京醫科大學出版社, 2000: 63.
15.	Wells G, Beaton D, Shea B, et al. Minimal clinically important differences: review of methods. J Rheumatol, 2001, 28(2): 406-412.
16.	Wright JG, Young NL. A comparison of different indices of responsiveness. J Clin Epidemiol, 1997, 50(3): 239-246.
17.	Husted JA, Cook RJ, Farewell VT, et al. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiology, 2000, 53(5): 459-468.
18.	潘發明. 醫用統計方法及其 SPSS 軟件實現. 合肥: 中國科學技術大學出版社, 2012: 280.

1. Bliss SJ, Flanders SA, Saint S. Clinical problem-solving. A pain in the neck. N Engl J Med, 2004, 350(10): 1037-1042.
2. 梁兆暉. 針刺治療慢性頸痛的療效評價. 廣州: 中山大學, 2009.
3. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J, 2006, 15(6): 834-848.
4. Holtermann A, Hansen JV, Burr H, et al. Prognostic factors for long-term sickness absence among employees with neck-shoulder and low-back pain. Scand J Work Environ Heal, 2010, 36(1): 34-41.
5. Martin BI, Deyo RA, Mirza SK, et al. Expenditures and health status among adults with back and neck problems. JAMA, 2008, 299(6): 656-664.
6. 宋雪, 楊大偉, 張立源, 等. 撳針治療頸椎病頸痛的臨床觀察. 世界中西醫結合雜志, 2017, 12(2): 262-265.
7. Juul T, S?gaard K, Roos EM, et al. Development of a patient-reported outcome: the Neck OutcOme Score (NOOS)—Content and construct validity. J Rehabil Med, 2015, 47(9): 844-853.
8. Juul T, S?gaard K, Davis AM, et al. Psychometric properties of the Neck OutcOme Score, Neck Disability Index, and Short Form-36 were evaluated in patients with neck pain. J Clin Epidemiol, 2016, 79: 31-40.
9. EwaRoos. Knee injury and osteoarthritis outcome score[EB/OL].(2016-07-01) [2017-03-06]. http://www.koos.nu/index.html.
10. Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 2000, 25(24): 3186-3191.
11. Wu S, Ma C, Mai M, et al. Translation and validation study of Chinese versions of the neck disability index and the neck pain and disability scale. Spine (Phila Pa 1976), 2010, 35(16): 1575-1579.
12. 劉綺, 麥明泉, 肖靈君, 等. 中文版 Oswestry 功能障礙指數評定慢性腰痛患者的反應度研究. 中國康復醫學雜志, 2010, 25(7): 621-624.
13. 方賢聰, 程繼偉, 盛錫華. Oswestry 功能障礙指數評定腰椎滑脫癥患者的反應度和最小有意義變化研究. 中國現代醫生, 2017, 55(28): 16-20.
14. 方積乾. 生存質量測定方法及應用. 北京: 北京醫科大學出版社, 2000: 63.
15. Wells G, Beaton D, Shea B, et al. Minimal clinically important differences: review of methods. J Rheumatol, 2001, 28(2): 406-412.
16. Wright JG, Young NL. A comparison of different indices of responsiveness. J Clin Epidemiol, 1997, 50(3): 239-246.
17. Husted JA, Cook RJ, Farewell VT, et al. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiology, 2000, 53(5): 459-468.
18. 潘發明. 醫用統計方法及其 SPSS 軟件實現. 合肥: 中國科學技術大學出版社, 2012: 280.

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Responsiveness of Chinese version of Neck Outcome Score in subjects with neck pain

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