Reliability and validity of the Turkish Version of Arthritis Research UK Musculoskeletal Health Questionnaire

Evaluation of the Psychometric Properties of the Musculoskeletal Health Questionnaire (MSK-HQ) in a Population of Professional Basketball Players: A Cross-Sectional Study

Background and Objective: Musculoskeletal disorders affect a large portion of the population worldwide. The musculoskeletal health questionnaire is a helpful tool for assessing the health state of patients with these disorders. The primary goal of this study is to evaluate the psychometric properties of the MSK_HQ-IT in a population of professional basketball players. The secondary aim is to assess the prevalence of musculoskeletal disorders. Material and Methods: The study was performed from September to October 2022. The questionnaire was completed using an online or paper form, to which personal data were collected. Data were collected by submitting a translated version of the musculoskeletal health questionnaire directly to professional athletes. Results: A total of 63 basketball players were recruited. Regarding functional limitations, the body parts mentioned by the sample were the left ankle (23.8%) and the right ankle (17.5%), followed by the lumbar column and right hip (15.9%). Regarding pain, the data are more homogeneous, with a distribution in line with functional limitations. A peak of pain was perceived in the left foot, with a mean score of 4. Cronbach's alpha showed a value of 0.85. Conclusions: The musculoskeletal health questionnaire shows promising results in evaluating the health state of a population of professional athletes. Further studies are needed to enlarge the sample and possibly open it to more categories of professional sports.

Minimal clinical datasets for spine-related musculoskeletal disorders in primary and outpatient care settings: a scoping review

OBJECTIVES

Effective measurement and monitoring of health status in patients with spine-related musculoskeletal (MSK) disorders are essential for providing appropriate care and improving outcomes. Minimal clinical datasets are standardized sets of key data elements and patient-centered outcomes that can be measured and recorded during routine clinical care. Our scoping review aimed to identify and map current evidence on minimal clinical datasets for measuring and monitoring health status in patients with spine-related MSK disorders in primary and outpatient healthcare settings.

STUDY DESIGN AND SETTING

We followed the JBI (formerly Joanna Briggs Institute) methodology for scoping reviews. MEDLINE, CINAHL, Cochrane Library, Index to Chiropractic Literature, MANTIS, ProQuest Dissertations and Theses Global, and medRxiv preprint repository were searched from database inception to August 1, 2021. Two reviewers independently screened titles and abstracts, full-text articles, and charted the evidence. Findings were synthesized and summarized descriptively.

RESULTS

After screening 5,583 citations and 301 full-text articles, 104 studies about 32 individual minimal clinical datasets were included. Most minimal clinical datasets were developed for patient populations with spine-involving inflammatory arthritis, nonspecific or degenerative spinal pain, and MSK disorders in general. The minimal clinical datasets varied substantially in terms of the author-reported time-to-complete (1-48 minutes) and the number of items (5-100 items). Fifty percent of the datasets involved healthcare professionals in their development process, and only 28% involved patients. Health domain items were most frequently linked to the components of activities and participation (43.9%) and body functions (28.6%), according to the International Classification of Functioning, Disability, and Health. There is no standardized definition of minimal clinical datasets to measure and monitor health status of patients with spine-related MSK disorders in routine clinical practice. Common core elements identified were practicality, feasibility in a busy routine practice, time efficiency, and the capability to be used across different healthcare settings.

CONCLUSION

Due to the absence of a standard definition for minimal clinical datasets for patients with spine-related MSK disorders, there is a lack of consistency in the selection of key data elements and patient-centered outcomes that should be included. More research on the implementation and feasibility of minimal clinical datasets in routine care settings is warranted and needed. It is essential to involve all relevant partners in the development process of minimal clinical datasets to ensure successful implementation and adoption in routine primary care.

Investigation of Musculoskeletal System Problems and Psychosocial Status of Teachers and Physiotherapists Working in Special Education Centers

Amaç: Bu çalışmanın amacı; özel eğitim ve rehabilitasyon merkezlerinde aktif olarak çalışan öğretmen ve fizyoterapistlerin kas-iskelet sistemi problemleri ile ağrı, iş doyum, mesleki tükenmişlik ve yaşam kalitesi durumlarının incelenmesidir.Yöntem: Çalışmamıza özel eğitim merkezlerinde çalışan 92 öğretmen ve 92 fizyoterapist katıldı. Çalışma yüz yüze görüşmeler şeklinde gerçekleştirildi. Katılımcıların demografik bilgileri kaydedilerek, Kas İskelet Sistemi Sağlık Sorgulaması (KİS-SS), McGill-Melzack Ağrı Anketi, Minnesota İş Doyum Anketi, Maslach Tükenmişlik Anketi ve EuroQol 5D Yaşam Kalitesi Ölçeği anket formları uygulandı.Bulgular: Katılımcıların yaş ortalamaları ve vücut kütle indeksi (VKİ) ortalamaları açısından grupların benzer olduğu belirlendi (p>0.05). Her iki grupta da kadın katılımcı sayısının erkeklerden daha fazla olduğu, cinsiyet dağılımlarının gruplarda farklı olduğu tespit edildi (p<0,05). Meslekte aktif çalışma sürelerinin her iki grupta da benzer olduğu görüldü (p>0,05). Haftalık çalışma sürelerinde ise öğretmenlerin fizyoterapistlerden daha uzun süre çalıştığı belirlendi (p<0,05). Aynı zamanda fizyoterapistlerin yaşam kalitelerinin daha yüksek (p<0,05), ağrı seviyesinin daha düşük olduğu saptanırken (p<0,05); iş doyum, mesleki tükenmişlik ve KİS-SS değerlerinin benzer olduğu bulundu (p>0,05).Sonuç: Çalışmanın sonunda özel eğitimde çalışan fizyoterapist ve öğretmenlerin iş doyumu, mesleki tükenmişlik ve kas-iskelet sistemi sorunlarının benzer olduğu belirlendi. Genel yaşam kalitesinin fizyoterapistlerde daha yüksek olduğu ve öğretmenlerin ağrı skorlarının daha fazla olduğu tespit edildi. Fizyoterapistlerin öğretmenlere göre haftalık çalışma süresinin daha az olması ağrı skorlarının daha az olmasının bir nedeni olabileceği gibi, öğretmenlere göre daha aktif bir çalışma modeline sahip olmaları ve bir sağlık profesyoneli olarak fizyoterapistlerin ağrı yönetimi konusunda bilgi sahibi olmaları da bu sonucun bir nedeni olabilir. Yaşam kalitesinde ortaya çıkan farkın ise ağrı skoruyla ilişkili olabileceğini düşünmekteyiz. İş doyum, mesleki tükenmişlik ve KİS-SS değerlerinin benzer olmasının sebebi olarak aynı merkezlerde çalışan fizyoterapist ve öğretmenlerin benzer sorunlar yaşaması, benzer yöneticilerle çalışması ve benzer tatmin duyguları tatmaları olduğunu düşünmekteyiz.

Validation of the Musculoskeletal Health Questionnaire in a general population sample: a cross-sectional online survey in Hungary

BACKGROUND

The Versus Arthritis Musculoskeletal Health Questionnaire (MSK-HQ) measures symptom severity and health-related quality of life (HRQoL) of people with musculoskeletal (MSK) conditions. We aimed to test the psychometric properties of the MSK-HQ among the general adult population and identify the determinants of MSK-HQ states. In addition, we aimed to explore the relationship between MSK-HQ and standard well-being measurement tools.

METHODS

The translation proccess of the MSK-HQ into Hungarian followed the standard methods provided by the developer. A cross-sectional online survey was performed in Hungary involving a population normative sample (N = 2004, women: 53.1%; mean age: 48.3, SD = 16.6 years). Socio-demographic characteristics and self-reported MSK disorders were recorded. Alongside the MSK-HQ, standard measures of HRQoL (EQ-5D-5L), physical functioning (HAQ-DI) and well-being (ICECAP-A/O, WHO-5, Happiness VAS) were applied. Clinical and convergent validity were assessed by subgroup comparisons (Mann-Whitney-U and Kruskal-Wallis tests) and Spearman's rank correlations. Internal consistency was assessed by Cronbach's alpha. Test-retest reliability (N = 50) was evaluated by intraclass correlation coefficient (ICC). Predictors of MSK-HQ were analysed by ordinary least square multiple regressions.

RESULTS

The mean MSK-HQ index score was 44.1 (SD = 9.9). MSK-HQ scores were significantly lower in subgroups with self-reported MSK disorders. Correlations were strong between MSK-HQ and EQ-5D-5L (0.788), EQ VAS (0.644) and HAQ-DI (-0.698) and moderate with the well-being measures (p < 0.05). Cronbach's alpha was 0.924 and ICC was 0.936 (p < 0.05). Being a man, living in the capital, having higher income and education were positively associated with MSK-HQ scores.

CONCLUSIONS

This is the first study to prove the validity and reliability of the MSK-HQ among the general public. The impact of socio-demographic characteristics on MSK-HQ scores deserves consideration in clinical studies.