Urdu Version Of Modified Oswestry Low Back Pain Scale; A Reliability And Validity Study

Study Overview
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Brief Summary
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The ultimate goal of this study is to interpret Modified Oswestry Low Back Pain Scale into Urdu and analyse its reliability and validity in the population of Pakistan lumber radiculopathy patients. Examine its correlation with Quebec back pain disability scale and the visual analogue scale, as well as the Roland-Morris disability questionnaire.

Detailed Description
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As per preceding commendation, Modified Oswestry Low Back Pain Scale will be translated into Urdu language from its English version and adapted culturally in Pakistan. 100 individuals will be selected on the basis of convenience sampling with clinical characteristics. The patient will answer the questionnaire package that included the Urdu version Modified Oswestry Low Back Pain Scale, Quebec back pain disability scale, Roland-Morris disability questionnaire and Visual analogue scale on the same day, with a 30-minute delay between the first and second application. Observer-1 will be conducting a third assessment after 7 days for intra-observer evaluation. Statistical Package of Social Sciences Version 24 will be used to enter and evaluate the data. Internal consistency will be measured using the Cronbach alpha value. To evaluated test-retest reliability, an intraclass correlation coefficient will be employed. The Modified Oswestry Low Back Pain Scale will be evaluated for content validity, construct validity, criterion validity, and responsiveness.

Official Title
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Psychometric Properties and Cultural Adaptation of Urdu Version of Modified Oswestry Low Back Pain Scale Among Pakistani Low Back Pain Patients

Conditions
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Lumbar Radiculopathy

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both genders, between the ages of 18 to 65, Individuals who could read and speak Urdu as a first language People who have been diagnosed with lumbar radiculopathy by a physician or neurosurgeon, Low Back Pain in the lower extremities with or without radicular pain. Exclusion Criteria: Female patients who were pregnant Patients with a mental health history, cancer, or neurological problems Acute low back pain is a frequent disease (included recent thoraco-lumbar trauma), Psychiatric and behavior issues, systemic disease (tumors and rheumatological diseases), and central or peripheral neurological problems Patients who had recently had a cerebrovascular accident or a myocardial infarction were also ruled out.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Oswestry Low Back Pain Scale | The Modified Oswestry Low Back Pain Scale includes one item for pain and nine items for daily living activities (personal care, lifting, walking, sitting, standing, sleeping, social life, and travel, employment/homemaking). There are a total of ten items in this scale. Each item is rated on a 6-point ordinal scale, with the best scenario being the best and the worst scenario being the worst. | 1st day | 
| Quebec back pain disability scale | The Quebec back pain disability scale assesses the degree of functional impairment. The items reflect basic everyday tasks that people with back discomfort may find challenging to do. Bed/rest (items 1-3), sitting/standing (items 4-6), ambulation (items 7-9), mobility (items 10-12), bending/stooping (items 13-16), and handling of large/heavy things (items 17-20) are the six domains of activity impacted by back pain. There are a total of 20 items in this scale. | 1st day | 
| Roland-Morris disability questionnaire | Roland-Morris disability questionnaire has a total of 24 components. Housework, sleeping, mobility, dressing, obtaining help, eating, irritability, and pain intensity are examples of daily physical activities and functions that may be impacted by Low Back Pain. | 1st day | 
| Visual analogue scale | The Visual Analogue Scale was created to represent the concept of a fundamental continuity. A Visual Analogue Scale is typically a straight stripe measuring 100 mm long, with word descriptions for each end. The patient draws a line through the spot on the line which they believe best describes their present state. The Visual Analogue Scale score is calculated by calculating in millimeters as from the line's left side to the point marked by that of the patient. It usually ranges from 0 indicating no pain to the 10 indicating worst pain. | 1st day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Modified Oswestry Low Back Pain Scale, Urdu Version, Reliability, Validity, Lumbar Radiculopathy, Low Back Pain