Links & Downloads
Man. Ther., Posturology Rehabil. J. 2017; 15
10.17784/mtprehabjournal.2017.15.505 doi: http://dx.doi.org/10.17784/mtprehabjournal.2017.15.505
Abstract:Background: Low back pain has been configured as a public health problem capable of compromising functional capacity, even in adolescents, however, there are no validated instruments for Brazilian adolescents. Objective: Validate the psychometric properties of the Nordic questionnaire for the evaluation of low back pain in Brazilian adolescents. Methods: The sample consisted of 150 adolescents (84 female), aged between 15 and 19 years. The Nordic questionnaire for the evaluation of low back pain in adolescents, was translated and culturally adapted into Portuguese (Brazil). A committee of experts followed the entire validation process. The questionnaire was administered in two moments, with a 14-day interval. Statistical analysis involved Kappa index. Results: After the slight modifications in the translation process, the expert committee considered that the Brazilian Portuguese version of the questionnaire presented semantic, idiomatic, cultural and conceptual equivalence. The results showed that, among the 15 items considered in the eight questions of the questionnaire, 66.6% presented substantial agreement (kappa between 0.61-0.80). The other items presented almost perfect agreement (kappa > 0.80). Conclusion: The Nordic questionnaire for the evaluation of low back pain in adolescents, after being translated and culturally adapted into the Portuguese (Brazil) language, showed adequate psychometric properties, with high reproducibility in all items, demonstrating that it can be used safely to evaluate the low back pain in Brazilian adolescents.
Keywords:Validation Studies, Surveys and Questionnaires, Low Back Pain, Pain Measurement, Adolescent.
1. Moreno MA. Low back pain in children and adolescents. JAMA Pediatr. 2017;171: 312.
2. Jeffries LJ, Milanese SF, Grimmer-Somers KA. Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine. 2007;32:2630-37.
3. MacDonald J, Stuart E, Rodenberg R. Musculoskeletal Low Back Pain in School-aged Children: A Review. JAMA Pediatr. 2017; 171:280-87.
4. Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, et al. Mechanisms of low back pain: a guide for diagnosis and therapy. Version 2. F1000Res. 2016 [revised 2016 Oct 11]; 5. pii: F1000 Faculty Rev-1530.
5. Landry BW, Fischer PR, Driscoll SW, Koch KM, Harbeck-Weber C, Mack KJ, et al. Managing Chronic Pain in Children and Adolescents: A Clinical Review. PM R. 2015;7:295-315.
6. Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaire for the analysis of musculoskeletal symptoms. Appl Ergon. 1997;18:233-37.
7. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186-91.
8. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of healthrelated quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417-32.
9. Scarabottolo CC, Pinto RZ, Oliveira CB, Zanuto EF, Cardoso JR, Christofaro DGD. Back and neck pain prevalence and their association with physical inactivity domains in adolescents. Eur Spine J. 2017 (in press).
10. De Vitta A, Martinez MG, Piza NT, Simeão SFAP, Ferreira NP. Prevalência e fatores associados à dor lombar em escolares. Cad Saúde Pública. 2011;27:1520-28.
11. Dorneles RCG, Oliveira HLR, Bergmann MLA, Bergmann GG. Flexibility and muscle strength/resistance indicators and screening of low back pain in adolescents. Rev Bras Cineantropom Desempenho Hum. 2016;18:93-102.
12. Saint-Maurice PF, Welk GJ, Burns R, Plowman SA, Corbin CB, Hannon JC. The criterion-referenced validity of the FITNESSGRAM Trunk-Extension test. J Sports Med Phys Fitness. 2015;55:1252-63.
13. Sjolie AN. Low-back pain in adolescents is associated with poor hip mobility and high body mass index. Scand J Med Sci Sports. 2004;14:168-75.
14. Sjölie AN. Psychosocial correlates of low-back pain in adolescents. Eur Spine J. 2002;11:582-88.
15. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-74.
16. Salminen JJ, Maki P, Oksanen A, Pentti J. Spinal mobility and trunk muscle strength in 15-year-old schoolchildren with and without low-back pain. Spine. 1992;17:405-11.
17. de Barros EN, Alexandre NM. Cross-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev. 2003;50:101-08.
18. Théroux J, Stomski N, Hodgetts CJ, Ballard A, Khadra C, Le May S, et al. Prevalence of low back pain in adolescents with idiopathic scoliosis: a systematic review. Chiropr Man Therap. 2017;25:10.
19. Manogharan S, Kongsted A, Ferreira ML, Hancock MJ. Do older adults with chronic low back pain differ from younger adults in regards to baseline characteristics and prognosis? Eur J Pain. 2017;21:866-73.
20. Bauer CM, Rast FM, Ernst MJ, Meichtry A, Kool J, Rissanen SM, et al. The effect of muscle fatigue and low back pain on lumbar movement variability and complexity. J Electromyogr Kinesiol. 2017;33:94-102.