Identification of neck-shoulder disorders in a 1 year follow-up study. Validation Of a questionnaire-based method

Pain. 2000 Jun;86(3):305-310. doi: 10.1016/S0304-3959(00)00261-X.


A cohort of 243 female sewing machine operators were studied by questionnaire and clinical examinations with the purpose to study the efficiency of a screening questionnaire-based method to identify prevalent and incident cases of neck-shoulder disorders. The cross-sectional correlation between self-reported neck-shoulder complaints scores and clinical signs of a neck-shoulder disorder was high. An assessed cut-of point of complaints could identify 90% of all cases fulfilling the criteria of rotator cuff tendinitis, while the complaint score with regard to clinical signs of myofascial pain syndrome was about 67%. In the follow-up analyses, incident clinical signs of disorders at 1 year follow-up were used as 'golden standard' in the validation of screening criteria, which included a defined increase of symptoms. Apparently increase of symptoms did not seem to be the optimal criteria for identification of incident cases. Alternatively a cut-of point of regional complaints in close relation to clinical examinations is recommended.

MeSH terms

  • Adult
  • Cohort Studies
  • Cross-Sectional Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Mass Screening / methods
  • Musculoskeletal Diseases / diagnosis*
  • Myofascial Pain Syndromes / diagnosis
  • Neck*
  • Physical Examination
  • Shoulder*
  • Surveys and Questionnaires
  • Tendinopathy / diagnosis