Agreement between Original and Rasch-Approved Neck Disability Index

Abstract Background: Given the high prevalence of neck pain, the neck disability index (NDI) has been used to evaluate patient status and treatment outcomes. Modified versions were proposed as solutions to measurement deficits in the NDI. However, the original 10-item NDI was scored out of 50 and is still the most frequently administered version. Examining the extent of agreement between traditional and Rasch-based versions using Bland-Altman (B&A) plots will inform our understanding of score differences that might rise from using different versions. Therefore, the objective of current study was to describe the extent of agreement between different versions of NDI.Methods: The current study was a secondary data analysis. The study data was compiled from two prospectively collected data sources. We performed a comprehensive literature search to identify Rasch approved NDI within four databases including Embase, Medline, PubMed, and Google Scholar. Alternate forms and scorings were compared to each other and to the standard NDI. We graphed B&A plots and calculated the mean difference and the 95% limits of agreement (LoA; ±1.96 times the standard deviation).Results: Two Rasch approved alternative versions (8 vs 5 items) were identified from 303 screened publications. We analyzed data from 201 (43 males and 158 females) patients attending community clinics for neck pain. We found that the mean difference was approximately 10% of the total score between the 10-item and 5-item (-4.6 points), whereas the 10-item versus 8-item and 8-item versus 5-item had smaller mean differences (-2.3 points). The B&A plots displayed wider 95% LoA for the agreement between 10-item and 8-item (LoA: -12.0, 7.4) and 5-item (LoA: -14.9, 5.8) compared with the LoA for the 8-item and 5-item (LoA: -7.8, 3.3). Conclusion: Two Rasch-based NDI solutions (8 vs 5 items) which differ in number of items and conceptual construction are available to provide interval level scoring. They both provide scores that are substantially different from the ordinal NDI, which does not provide interval level scoring. Smaller differences between the two Rasch solutions exist and may relate to the items included. Due to the size and unpredictable nature of the bias between measures, they should not be used interchangeably.

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Agreement between Original and Rasch-Approved Neck Disability Index

10.21203/rs.3.rs-18446/v3 ◽

2020 ◽

Author(s):

ZE LU ◽

Joy C. MacDermid ◽

Goris Nazari

Keyword(s):

Neck Pain ◽

Neck Disability Index ◽

Secondary Data ◽

Study Data ◽

Mean Difference ◽

Patient Status ◽

Alternate Forms ◽

The Mean ◽

Mean Differences ◽

Neck Disability

Abstract Background: Given the high prevalence of neck pain, the neck disability index (NDI) has been used to evaluate patient status and treatment outcomes. Modified versions were proposed as solutions to measurement deficits in the NDI. However, the original 10-item NDI scored out of 50 is still the most administered. Examining the extent of agreement between traditional and Rasch-based versions using Bland-Altman (B&A) plots will inform our understanding of score differences that might rise from using different versions. Therefore, the objective of current study was to describe the extent of agreement between different versions of NDI.Methods: The current study was a secondary data analysis where the study data was compiled from two prospectively collected data sources. We performed a comprehensive literature search to identify Rasch approved NDI within four databases including Embase, Medline, PubMed, and Google Scholar. Alternate forms and scoring were compared to each other and the standard NDI. We graphed B&A plots and calculated the mean difference and the 95% limits of agreement (LoA; ±1.96 times the standard deviation).Results: Two Rasch approved alternative versions (8 vs 5 items) were identified from 303 screened publications. We analyzed data from 201 (43 males and 158 females) patients attending community clinics for neck pain. We found that the mean difference was approximately 10% of the total score between the 10-item and 5-item (-4.6 points), whereas the 10-item versus 8-item and 8-item versus 5-item had smaller mean differences (-2.3 points). The B&A plots displayed wider 95% LoA for the agreement between 10-item and 8-item (LoA: -12.0, 7.4) and 5-item (LoA: -14.9, 5.8) compared with the LoA for the 8-item and 5-item (LoA: -7.8, 3.3). Conclusion: Two Rasch-based NDI solutions (8 vs 5 items) that differ in number of items and conceptual construction are available to provide interval level scoring. They both provide scores that are substantially different from the ordinal NDI, which does not provide interval level scoring. Smaller differences between the two Rasch solutions exist and may relate to the items included. Due to the size and unpredictable nature of the bias between measures, they should not be used interchangeably.

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Agreement between Original and Rasch-Approved Neck Disability Index

10.21203/rs.3.rs-18446/v2 ◽

2020 ◽

Author(s):

ZE LU ◽

Joy C. MacDermid ◽

Goris Nazari

Keyword(s):

Neck Pain ◽

Neck Disability Index ◽

Secondary Data ◽

Study Data ◽

Mean Difference ◽

Patient Status ◽

High Prevalence ◽

The Mean ◽

Mean Differences ◽

Neck Disability

Abstract Background: Given the high prevalence of neck pain, the neck disability index (NDI) has been used widely to evaluate patient status and treatment outcomes. Modified versions have been proposed as solutions to measurement deficits in the NDI. However, the original 10-item NDI scored out of 50 is still the commonly administered. Examining the extent of agreement between traditional and Rasch-based versions using Bland-Altman (B&A) plots will inform our understanding of score differences that might rise from using different versions. Therefore, the objective of current study was to describe the extent of agreement between different versions of NDI. Methods: The current study was a secondary data analysis where the study data was compiled from two prospectively collected data source. We performed a comprehensive literature search to identify Rasch-approved NDI within four databases including Embase, Medline, PubMed, and Google Scholar. Modified version to identify Rasch analyses which provided alternative forms and scoring. We graphed B&A plots and calculated the mean difference and the 95% limits of agreement (LoA; ±1.96 times the standard deviation). Results: Two Rasch approved alternative versions (8- and 5- item) were identified from 303 screened publications. We analyzed data from 201 (43 males and 158 females) patients attending community clinics for neck pain. We found that the mean difference was approximately 10% of the total score between the 10-item and 5-item (-4.6 points), whereas the 10-item versus 8-item and 8-item versus 5-item had smaller mean differences (-2.3 points). The B&A plots displayed wider 95% LoA for the agreement between 10-item and 8-item (LoA: -12.0, 7.4) and 5-item (LoA: -14.9, 5.8) compared with the LoA for the 8-item and 5-item (LoA: -7.8, 3.3). Conclusion: Two Rasch-based NDI solutions (8 vs 5 items) that differ in number of items and conceptual construction are available to provide interval level scoring. They both scores that are substantially different from the traditional ordinal NDI, which does not provide interval level scoring. Smaller differences between the two Rasch solutions exist and may relate to the items included. Due to the size and unpredictable nature of the bias between measures, they should not be used interchangeably.

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Agreement between Original and Rasch-Approved Neck Disability Index

10.21203/rs.3.rs-18446/v1 ◽

2020 ◽

Author(s):

ZE LU ◽

Joy C. MacDermid ◽

Goris Nazari

Keyword(s):

Neck Pain ◽

Adult Population ◽

Neck Disability Index ◽

Secondary Data ◽

Study Data ◽

Mean Difference ◽

Small Magnitude ◽

Social Burden ◽

The Mean ◽

Neck Disability

Abstract Background: The neck disability index (NDI) has been used widely to monitor the treatment outcomes from patients’ perspective, given that neck pain is a notable social burden with a high prevalence (33%) within the adult population. Previous researchers have examined its psychometric properties and latent construct. Uptake of modified versions of NDI have been limited, however, the traditional/original NDI is still commonly administered. Examining the extent of agreement between traditional and Rasch-based versions using Bland-Altman (B&A) plots will inform our understanding of score differences. Therefore, the objective of current study was to describe the extent of agreement between different versions of NDI.Methods: The current study was a secondary data analysis where the study data was compiled from two prospectively collected data source. We performed a comprehensive literature search to identify Rasch analyses of the NDI within four databases including Embase, Medline, PubMed, and Google Scholar. Modified version with associate score transformation solution was obtained if they meet the predefined criteria. We established B&A plot by the mean difference and the 95% limits of agreement (LoA; ±1.96 times the standard deviation).Results: Two Rasch approved versions (8- and 5- item) that met the study criteria were identified from 303 publications. We analyzed 201 (43 males and 158 females) patients attending community clinics for neck pain. We found that the mean difference was approximately 10% of the total score between the 10-item and 5-item (-4.6 points), whereas the 10-item versus 8-item and 8-item versus 5-item had similar mean differences that were about half (-2.3 points). The B&A plots displayed wider 95% LoA for the agreement between 10-item and 8-item (LoA: -12.0, 7.4) and 5-item (LoA: -14.9, 5.8) compared with the agreement of 8-item and 5-item (LoA: -7.8, 3.3). Conclusion: Our study is the first to examine the agreement between each versions of NDI. Due to the unpredictable bias and wide 95% LoA, the traditional 10-item version should not be used interchangeably with other two Rasch-approved versions even with a small magnitude of bias. Different coverage of content should be considered during the decision of 8- and 5-item NDI.

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Comparison of effectiveness of muscle energy technique with Mulligan mobilization in patients with non-specific neck pain

Journal of the Pakistan Medical Association ◽

10.47391/jpma.981 ◽

2021 ◽

pp. 1-10

Author(s):

Anam Manzoor ◽

Naveed Anwar ◽

Kehkshan khalid ◽

Rizwan Haider ◽

Mehwish Saghir ◽

...

Keyword(s):

Neck Pain ◽

Pain Intensity ◽

Functional Status ◽

Group Analysis ◽

Neck Disability Index ◽

Muscle Energy Technique ◽

The Mean ◽

Muscle Energy ◽

Neck Disability ◽

Group 1

Abstract Background: Neck pain is very common in general population. The onset of pain may be sudden or insidious, recurrent or persistent in nature. The prevalence of neck pain in Pakistan is not known. The neck pain that persists for more than 3 months is called chronic neck pain. There are different physiotherapy techniques to manage nonspecific neck pain including Mulligan mobilization and muscle energy technique. Objective: to compare the efficacy of muscle energy technique with Mulligan mobilization in patients having non-specific neck pain. Methodology: This quasi-experimental study was conducted at Mayo hospital physiotherapy department, Lahore. The study duration was six months from March 2017 to September 2017. Sample size calculated was 56 by using g power software. Random sampling technique was used. Subjects were divided into two groups. In the group 1 patients; muscle energy technique was used and in group 2; Mulligan mobilization as natural apophyseal glides (NAGs) and sustained natural apophyseal glides (SNAGs) were used. The pain intensity, functional status of neck and cervical range of motion (ROM) were measured before and after treatment session by using visual analogue (VAS), neck disability index (NDI) and goniometer. Independent t-test was applied for between group analysis. Results: The mean age of participants is 36.89±9.28. The mean improvement in pain intensity was 3.61 for the Muscle energy technique group and for Mulligan group it was 4.86 after three weeks’ treatment. The functional status score according to neck disability index (NDI) pre-treatment mean for the group 1 was 12.04±4.69 and Continuous....

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The Role of Anterior Cervical Discectomy and Fusion on Relieving Axial Neck Pain in Patients With Single-Level Disease: A Systematic Review and Meta-Analysis

Global Spine Journal ◽

10.1177/2192568219837923 ◽

2019 ◽

Vol 10 (3) ◽

pp. 312-323

Author(s):

Colby Oitment ◽

Tracy Watson ◽

Victor Lam ◽

Mohammed Aref ◽

Alex Koziarz ◽

...

Keyword(s):

Systematic Review ◽

Neck Pain ◽

Meta Analysis ◽

Neck Disability Index ◽

Clinically Significant ◽

Mean Differences ◽

Neck Disability ◽

Axial Neck Pain

Study Design: Systematic review and meta-analysis. Objectives: This study aims to evaluate the effects of anterior cervical decompression and fusion (ACDF) on axial neck pain in adult patients receiving surgery for myelopathy, radiculopathy, or a combination of both. Methods: Two independent reviewers completed a librarian-assisted search of 4 databases. Visual Analogue Scale (VAS) and Neck Disability Index (NDI) scores were extracted preoperatively and at 3, 6, 12, 24, 36, 48, and 48+ months postoperatively for ACDF groups and pooled using a random-effects model. Results: Of 17 850 eligible studies, 37 were included for analysis, totaling 2138 patients analyzed with VAS and 2477 with NDI score. Individual VAS mean differences were reduced at 6 weeks (−2.5 [95% confidence interval (CI): −3.5 to −1.6]), 3 months (−2.9 [−3.7 to −2.2]), 6 months (−3.2 [−3.9 to −2.6]), 12 months (−3.7 [−4.3 to −3.1]), 24 months (−4.0 [−4.4 to −3.5]), 48 months (−4.6 [−5.5 to −3.8]), and >48 months (−4.7 [−5.8 to −3.6]) follow-up ( P < .0001 for all endpoints). Individual NDI mean differences were reduced at 6 weeks (−26.7 [−30.9 to −22.6]), 3 months (−29.8 [−32.7 to −26.8]), 6 months (−31.2 [−35.5 to −26.8)], 12 months (−29.3 [−33.2 to −25.4]), 24 months (−28.9 [−32.6 to −25.2]), 48 months (−33.1 [−37.4 to −28.7]), and >48 months (−37.6 [−45.9 to −29.3]) follow-up ( P < .0001 for all endpoints). Conclusions: ACDF is associated with a significant reduction in axial neck pain compared with preoperative values in patients being treated specifically for myelopathy or radiculopathy. This influences the preoperative discussions surgeons may have with patients regarding their expectations for surgery. The effects seen are stable over time and represent a clinically significant reduction in axial neck pain.

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Effectiveness of static and intermittent cervical tractions in the management of patients with chronic non-specific neck pain: A pilot randomised trial

Nigerian Journal of Medical Rehabilitation ◽

10.34058/njmr.v20i1.172 ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Nazir Bashir Mukhtar ◽

Zaharau Ado Sabari ◽

Bashir Kaka

Keyword(s):

Neck Pain ◽

Range Of Motion ◽

Analogue Scale ◽

Randomised Trial ◽

Neck Disability Index ◽

Pain Disability ◽

Significant Difference ◽

Cervical Traction ◽

The Mean ◽

Neck Disability

Background: Physiotherapists commonly employ cervical traction for patients with neck pain. There is a dearth of literature on the effects of static and intermittent cervical traction on pain, range of motion and disability among patients with chronic non-specific neck pain. Therefore, this study aims to compare the effect of static and intermittent cervical traction on pain, disability and range of motion among patients with chronic, non-specific neck pain.Methods: Twenty-four participants were randomised into two groups – Static and Intermittent cervical traction respectively. They were recruited from the Aminu Kano Teaching Hospital and the National Orthopaedic Hospital in Dala-Kano, Kano. Both groups received exercises and infrared treatment, in addition to Static and Intermittent cervical traction. Outcomes were assessed at the baseline and at the end of six weeks of intervention. Pain was assessed through the use of a Visual Analogue Scale, neck disability through a Neck Disability Index questionnaire and cervical range of motion with a goniometer. Data was analysed using descriptive and inferential statistics, and alpha was set at <0.05.Results: The mean ages of the participants were 46.00±7.81 and 36.00±15.02 for the groups Static and Intermittent respectively. Both groups were comparable at baseline (p>0.05). Both Static and Intermittent cervical traction was effective in reducing the disability (p<0.05) and pain (p<0.05). There was no significant difference between the groups at six weeks in terms of pain, disability and range of motion (P>0.05).Conclusion and recommendation: Both Static and Intermittent cervical traction effectively manages chronic, non-specific neck pain and neither is superior to the other.

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A Novel Virtual Reality Technique (Cervigame®) Compared to Conventional Proprioceptive Training to Treat Neck Pain: A Randomized Controlled Trial

Journal of Biomedical Physics and Engineering ◽

10.31661/jbpe.v9i3jun.556 ◽

2019 ◽

Vol 9 (3Jun) ◽

Cited By ~ 1

Author(s):

I Rezaei ◽

M Razeghi ◽

S Ebrahimi ◽

S Kayedi ◽

A Rezaeian Zadeh

Keyword(s):

Virtual Reality ◽

Visual Analogue Scale ◽

Neck Pain ◽

Analogue Scale ◽

Controlled Trial ◽

Neck Disability Index ◽

Repeated Measure ◽

Balance Test ◽

Proprioceptive Training ◽

Neck Disability

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.

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Granisetron vs. lidocaine injection to trigger points in the management of myofascial pain syndrome: a double-blind randomized clinical trial

Scandinavian Journal of Pain ◽

10.1515/sjpain-2020-0154 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Zahra Rezasoltani ◽

Hanna Ehyaie ◽

Reza Kazempour Mofrad ◽

Fatemeh Vashaei ◽

Reza Mohtasham ◽

...

Keyword(s):

Neck Pain ◽

Myofascial Pain ◽

Neck Disability Index ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Double Blind ◽

Upper Trapezius ◽

Disability Scale ◽

Neck Disability

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.

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THU0453 THIRD OCCIPITAL NERVE RADIO-FREQUENCY UNDER FLUOROSCOPIC GUIDANCE IN MANAGEMENT OF CERVICOGENIC HEADACHE IN RHEUMATOID ARTHRITIS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.241 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 463.2-464

Author(s):

A. Alawamy ◽

M. Hassanien ◽

E. Talaat ◽

E. Kamel

Keyword(s):

Rheumatoid Arthritis ◽

Cervical Spine ◽

Neck Pain ◽

Neck Disability Index ◽

Cervicogenic Headache ◽

Control Group ◽

Fluoroscopic Guidance ◽

Occipital Nerve ◽

Nocturnal Pain ◽

Neck Disability

Background:Rheumatoid arthritis is a common type of autoimmune arthritis characterized by chronic inflammation. Cervical spine is often affected specially in long lasting diseaseObjectives:Evaluate efficacy of Third occipital nerve Radiofrequency under fluoroscopic guidance to treat refractory cervicogenic headache in RA patients.Methods:The current study was revised and approved from the local ethical committee of Faculty of Medicine; Assiut University, then registered in the clinical trials under the number ofNCT03852355. Inclusion criteria included, Patients who fulfilled the American College of Rheumatology (ACR) (2010) criteria for RA and suffering from upper neck pain and/or headache due to bilateral 3rd occipital nerve involvement, excluding other local cervical spine pathologies was confirmed by MRI and previously failed conservative treatment for at least three months prior to enrollment. Sixty adult patients were randomly assigned to one of the two studied groups Group 1 (RF, n = 30), received bilateral Third occipital nerve Radiofrequency under fluoroscopic guidance or Group 2 (control group, n = 30), received oral prednisolone 10 mg/day. The two groups were then followed-up with neck disability index (NDI), nocturnal neck pain VAS score and headache score every two weeks for three months. Sleep disturbance, sleep disability index were reassessed six months post intervention. Post interventional assessment was done by pain physician who were kept blind to the grouping process.Results:Neck disability index (1ry outcome), Nocturnal pain VAS, and severity of headache showed significant differences during the whole post-interventional study period. The patients in RF group demonstrated significant improvement of pain in comparison to baseline value over the whole six months with p-value < 0.001 as regard to the fore-mentioned three parameters. On the other aspect, the control group patients showed significant improvement in comparison to its baseline value after the 2nd, 12th and 24th weeks only as follows: (0.001,0.003, 0.003 for the NDI) (p values of 0.02,0.01, 0.01 for the nocturnal pain VAS), (0.001 0.009, 0.005 for the headache VAS severity.Conclusion:Radiofrequency of 3rd occipital nerve is effective in treatment of refractory cervicogenic headache in RA.Disclosure of Interests: :None declared

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