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Predicting treatment failure in the subacute injury phase using the Orebro Musculoskeletal Pain Questionnaire: an
Douglas A Margison1, Douglas J French
1Workplace Health, Safety and Compensation Commission, Saint John, NB, Canada. margisod@whscc.nb.ca
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.
