Content » Vol 36, Issue 6

Cross-cultural adaption of the manniche questionnaire for german-speaking low back pain patients

Martin J. Nuhr A1, Richard Crevenna A1, Michael Quittan A1, Alexandra Auterith A2, Günther F. Wiesinger A1, Thomas Brockow A3, Peter Nuhr A4, Veronika Fialka-Moser A1, Andrew Haig A5, Gerold Ebenbichler A1
A1 Department of Physical Medicine and Rehabilitation University of Vienna, Vienna General Hospital Vienna
A2 Department of Medical Statistic University of Vienna Vienna Austria
A3 Spa Medicine Research Institute Bad Elster Germany
A4 Nuhr-Zentrum, Spa Medicine Resort Senftenberg Austria
A5 Department of Physical Medicine and Rehabilitation University of Michigan Ann Arbor Michigan USA

DOI: 10.1080/16501970410031101


Objective: To develop and validate a cross-cultural version of the Manniche Low Back Pain Rating Scale (MRS) for use in German-speaking low back pain patients. Background: Clinical intervention research in back pain would be enormously facilitated if a small number of relevant, patient-centred questionnaires became internationally used. MRS seems to be particularly suitable for cross-cultural adaptation due to its coverage of multidimensional back pain-specific health domains. Methods: MRS was translated and back-translated, pre-tested and reviewed by a committee. The German version was tested in 126 patients with low back pain from all countries of German-speaking Europe. Reliability (subsample n =20), dimensionality and construct validity was assessed. Single-dimensionality, higher correlations of MRS with the physical scales compared with the mental scales of the MOS SF-36, a moderate to good correlation with the Roland Morris Questionnaire and a low correlation with the Finger Floor Distance were hypothesized. Results: Spearman's Rho for test-retest reliability was 0. 98 (p <0. 001); Cronbach's alpha 0. 95. Factor analysis revealed only 1 factor with an Eigenvalue >1 [3. 25]. MRS was strongly correlated with the Roland Morris Questionnaire (r =0. 91), and slightly correlated with the Finger Floor Distance (r =0. 23). Correlations of MRS with domains of the SF-36 "Physical Functioning", "Role Physical" and "Bodily Pain" were higher (r -0. 66 to -0. 72) than with "Role Emotional", "Mental Health" and "Social Functioning" (r -0. 34 to -0. 61). Conclusion: The German version of the MRS seems to be reliable, uni-dimensional and construct valid for the assessment of functional status in German-speaking low back pain patients.

Lay Abstract


Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.