Cross-cultural Adaptation and Validation of Hindi Version of Roland Morris Disability Questionnaire for Chronic Low Back Pain in Indian Population

Spine (Phila Pa 1976). 2022 Sep 12. doi: 10.1097/BRS.0000000000004472. Online ahead of print.


Study design: A Cross-cultural adaptation, validation and psychometric analysis.

Objective: The main aim was to assess the validity and reliability of the Hindi version of the Roland Morris disability questionnaire(Hi RMDQ) for chronic low back pain.

Summary of background data: Roland Morris disability questionnaire is a standardised, self-administered tool for disability assessment in patients with chronic low back pain. However, its Hindi version has not been validated.

Methods: Cognitive debriefing was carried out with ten patients to ensure the comprehensibility of the Hi RMDQ. Following this, a hundred and twenty patients were asked to complete the finalised questionnaire along with the modified Oswestry Disability Index (modified ODQ), Quebec back pain disability score(QBPDS) and the verbal numeric rating scale (VNRS). The patients were then asked to again fill out the finalized questionnaire after 72 hours. The internal consistency and retest reliability of the Hindi translated version of the questionnaire was tested. Its correlation with the other scores was also analysed.

Results: The translated questionnaire showed excellent internal consistency (Cronbach's alpha of 0.989) and excellent retest reliability (ICC 0.978). There was a positive and statistically significant association between the Hi RMDQ, modified ODQ 0 (r: 0.807; P<0.01), QBPDS (r: 0.839; P<0.01) and VNRS (r: 0.713; P<0.01).

Conclusion: The Hi-RMDQ version is an easy-to-use, acceptable, reliable and valid tool to measure disability in the Indian population with nonspecific back pain with or without leg pain.

Level of evidence: 3.