Development of Roland-Morris Disability Questionnaire – 24 (RM-24 Tool)

The Roland– Morris Disability questionnaire is a measure for health status that is designed to be completed by patients for assessing the physical disability that can be caused due to low back pain. It was originally designed for usage in research by Roland and Morris in the year 1983 for measuring outcomes in clinical trials but at the same time it was also found helpful for patient-monitoring in clinical practice. Initially it was designed for primary care in United Kingdom but at the same time was used in other settings. In 2000, review of the papers relating to the questionnaire was done. The derivation of RMDQ was done from SIP (Sickness Impact Profile) which is a measure of 136-items of health status (Beaton et al., 2000) covering all areas of mental and physical functions. The original authors have selected 24 items from SIP as they are mainly related to the physical functions which are mainly influenced by low back pain.  Every item was tagged with a phrase “because of my back pain” for distinguishing the disability due to back pain from the other disabilities. This is a distinction that the patients generally will able do without any difficulty (Ren, 1998).There is a pain-rating consisting of 6-point scale that the original RMDQ contains in pain thermometer form. But the present authors give recommendation for the SF-36 pain scale (Von Korff et al., 2000). The RMDQ is simple and short to complete and very well taken up by patients. Stratford et al.(1994) found ambiguous or incomplete responses to RMDQ as compared to Oswestry questionnaire.

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