Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) as an outcome measure for patients with low back pain

reference values in healthy volunteers

Hiroshi Hashizume, Shin Ichi Konno, Katsushi Takeshita, Mitsuru Fukui, Kazuhisa Takahashi, Kazuhiro Chiba, Masabumi Miyamoto, Morio Matsumoto, Yuichi Kasai, Masahiko Kanamori, Shunji Matsunaga, Noboru Hosono, Tsukasa Kanchiku, Hiroshi Taneichi, Nobuhiro Tanaka, Masahiro Kanayama, Takachika Shimizu, Mamoru Kawakami

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: In 2007, the Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) was established to overcome the limitations of the original JOA scoring system developed in 1986. Although this new self-administered questionnaire is a more accurate outcome measure for evaluating patients with low back pain, physicians were unable to as certain the exact status of a patient at a single time point because of a lack of reference values. This study aimed to establish the reference values of JOABPEQ in different age and gender groups using data obtained from healthy volunteers. Methods: This study was conducted in 21 university hospitals and affiliated hospitals from October 2012 to July 2013. The JOABPEQ includes 25 questions that yield five domains to evaluate individuals with low back pain from five different perspectives. A total of 1,456 healthy volunteers (719 men, 737 women; age range, 20–89 years) answered the questionnaire. The differences in scores according to age and gender were examined by non-parametric tests. Results: The JOABPEQ scores significantly decreased with age in the domains of lumbar spine dysfunction, gait disturbance, and social life dysfunction. In these three domains, the median scores approached the 100 possible points in individuals aged 20–70 for both genders. However, the median scores for lumbar spine dysfunction and social life dysfunction decreased to 83.0 and 65.0–78.0 points, respectively, in individuals in their 80 s and 70–80 s, respectively; and the scores for gait disturbance decreased to 93.0 and 71.0 points for males and females in their 80 s. Overall, the median scores for pain-related and psychological disorders were 100 and 60.0–72.0 points, respectively. Conclusion: The reference values for JOABPEQ according to age and gender were established herein. Patients with low back pain should be evaluated with this new self-administered questionnaire taking these reference values into account.

Original languageEnglish
Pages (from-to)264-280
Number of pages17
JournalJournal of Orthopaedic Science
Volume20
Issue number2
DOIs
Publication statusPublished - 2015

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Back Pain
Low Back Pain
Orthopedics
Healthy Volunteers
Reference Values
Outcome Assessment (Health Care)
Gait
Spine
Surveys and Questionnaires
Age Groups
Psychology
Physicians
Pain

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) as an outcome measure for patients with low back pain : reference values in healthy volunteers. / Hashizume, Hiroshi; Konno, Shin Ichi; Takeshita, Katsushi; Fukui, Mitsuru; Takahashi, Kazuhisa; Chiba, Kazuhiro; Miyamoto, Masabumi; Matsumoto, Morio; Kasai, Yuichi; Kanamori, Masahiko; Matsunaga, Shunji; Hosono, Noboru; Kanchiku, Tsukasa; Taneichi, Hiroshi; Tanaka, Nobuhiro; Kanayama, Masahiro; Shimizu, Takachika; Kawakami, Mamoru.

In: Journal of Orthopaedic Science, Vol. 20, No. 2, 2015, p. 264-280.

Research output: Contribution to journalArticle

Hashizume, H, Konno, SI, Takeshita, K, Fukui, M, Takahashi, K, Chiba, K, Miyamoto, M, Matsumoto, M, Kasai, Y, Kanamori, M, Matsunaga, S, Hosono, N, Kanchiku, T, Taneichi, H, Tanaka, N, Kanayama, M, Shimizu, T & Kawakami, M 2015, 'Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) as an outcome measure for patients with low back pain: reference values in healthy volunteers', Journal of Orthopaedic Science, vol. 20, no. 2, pp. 264-280. https://doi.org/10.1007/s00776-014-0693-1
Hashizume, Hiroshi ; Konno, Shin Ichi ; Takeshita, Katsushi ; Fukui, Mitsuru ; Takahashi, Kazuhisa ; Chiba, Kazuhiro ; Miyamoto, Masabumi ; Matsumoto, Morio ; Kasai, Yuichi ; Kanamori, Masahiko ; Matsunaga, Shunji ; Hosono, Noboru ; Kanchiku, Tsukasa ; Taneichi, Hiroshi ; Tanaka, Nobuhiro ; Kanayama, Masahiro ; Shimizu, Takachika ; Kawakami, Mamoru. / Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) as an outcome measure for patients with low back pain : reference values in healthy volunteers. In: Journal of Orthopaedic Science. 2015 ; Vol. 20, No. 2. pp. 264-280.
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abstract = "Background: In 2007, the Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) was established to overcome the limitations of the original JOA scoring system developed in 1986. Although this new self-administered questionnaire is a more accurate outcome measure for evaluating patients with low back pain, physicians were unable to as certain the exact status of a patient at a single time point because of a lack of reference values. This study aimed to establish the reference values of JOABPEQ in different age and gender groups using data obtained from healthy volunteers. Methods: This study was conducted in 21 university hospitals and affiliated hospitals from October 2012 to July 2013. The JOABPEQ includes 25 questions that yield five domains to evaluate individuals with low back pain from five different perspectives. A total of 1,456 healthy volunteers (719 men, 737 women; age range, 20–89 years) answered the questionnaire. The differences in scores according to age and gender were examined by non-parametric tests. Results: The JOABPEQ scores significantly decreased with age in the domains of lumbar spine dysfunction, gait disturbance, and social life dysfunction. In these three domains, the median scores approached the 100 possible points in individuals aged 20–70 for both genders. However, the median scores for lumbar spine dysfunction and social life dysfunction decreased to 83.0 and 65.0–78.0 points, respectively, in individuals in their 80 s and 70–80 s, respectively; and the scores for gait disturbance decreased to 93.0 and 71.0 points for males and females in their 80 s. Overall, the median scores for pain-related and psychological disorders were 100 and 60.0–72.0 points, respectively. Conclusion: The reference values for JOABPEQ according to age and gender were established herein. Patients with low back pain should be evaluated with this new self-administered questionnaire taking these reference values into account.",
author = "Hiroshi Hashizume and Konno, {Shin Ichi} and Katsushi Takeshita and Mitsuru Fukui and Kazuhisa Takahashi and Kazuhiro Chiba and Masabumi Miyamoto and Morio Matsumoto and Yuichi Kasai and Masahiko Kanamori and Shunji Matsunaga and Noboru Hosono and Tsukasa Kanchiku and Hiroshi Taneichi and Nobuhiro Tanaka and Masahiro Kanayama and Takachika Shimizu and Mamoru Kawakami",
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AU - Hashizume, Hiroshi

AU - Konno, Shin Ichi

AU - Takeshita, Katsushi

AU - Fukui, Mitsuru

AU - Takahashi, Kazuhisa

AU - Chiba, Kazuhiro

AU - Miyamoto, Masabumi

AU - Matsumoto, Morio

AU - Kasai, Yuichi

AU - Kanamori, Masahiko

AU - Matsunaga, Shunji

AU - Hosono, Noboru

AU - Kanchiku, Tsukasa

AU - Taneichi, Hiroshi

AU - Tanaka, Nobuhiro

AU - Kanayama, Masahiro

AU - Shimizu, Takachika

AU - Kawakami, Mamoru

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N2 - Background: In 2007, the Japanese orthopaedic association back pain evaluation questionnaire (JOABPEQ) was established to overcome the limitations of the original JOA scoring system developed in 1986. Although this new self-administered questionnaire is a more accurate outcome measure for evaluating patients with low back pain, physicians were unable to as certain the exact status of a patient at a single time point because of a lack of reference values. This study aimed to establish the reference values of JOABPEQ in different age and gender groups using data obtained from healthy volunteers. Methods: This study was conducted in 21 university hospitals and affiliated hospitals from October 2012 to July 2013. The JOABPEQ includes 25 questions that yield five domains to evaluate individuals with low back pain from five different perspectives. A total of 1,456 healthy volunteers (719 men, 737 women; age range, 20–89 years) answered the questionnaire. The differences in scores according to age and gender were examined by non-parametric tests. Results: The JOABPEQ scores significantly decreased with age in the domains of lumbar spine dysfunction, gait disturbance, and social life dysfunction. In these three domains, the median scores approached the 100 possible points in individuals aged 20–70 for both genders. However, the median scores for lumbar spine dysfunction and social life dysfunction decreased to 83.0 and 65.0–78.0 points, respectively, in individuals in their 80 s and 70–80 s, respectively; and the scores for gait disturbance decreased to 93.0 and 71.0 points for males and females in their 80 s. Overall, the median scores for pain-related and psychological disorders were 100 and 60.0–72.0 points, respectively. Conclusion: The reference values for JOABPEQ according to age and gender were established herein. Patients with low back pain should be evaluated with this new self-administered questionnaire taking these reference values into account.

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