Predicting treatment failure in the subacute injury phase using the Orebro Musculoskeletal Pain Questionnaire: an observational prospective study in a workers' compensation system

J Occup Environ Med. 2007 Jan;49(1):59-67. doi: 10.1097/JOM.0b013e31802db51e.

Abstract

Objective: The goal of the present study was to examine if patient scores on a brief biopsychosocial screening questionnaire--the Orebro Musculoskeletal Pain Questionnaire (OMPQ)--could predict clinical discharge status ("fit" vs "not fit" for return to work) after a standardized 6-week physical therapy-based work conditioning program.

Methods: The OMPQ was administered to a derivation sample of 200 injured workers with soft tissue injuries before beginning treatment. A clinical cutoff score of 147 was subsequently tested in a second validation sample of 211 injured workers.

Results: The OMPQ was able to correctly predict the discharge status of 85% of claimants.

Conclusions: These results suggest that the OMPQ can facilitate clinical decision-making through early identification of individuals likely to fail a unidisciplinary physical therapy program and who may benefit from more complete biopsychosocial treatment.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Disability Evaluation
  • Female
  • Humans
  • Language
  • Male
  • Musculoskeletal Diseases / diagnosis
  • Musculoskeletal Diseases / psychology
  • Musculoskeletal Diseases / rehabilitation*
  • New Brunswick
  • Pain / diagnosis*
  • Pain Measurement / methods*
  • Physical Therapy Modalities*
  • Prospective Studies
  • Surveys and Questionnaires*
  • Treatment Failure
  • Workers' Compensation / statistics & numerical data*