Version 2.78

99576-1 When you read a sentence that describes you today, mark the box next to it

Form Context

When your back hurts, you may find it difficult to do some of the things you normally do. This list contains some sentences that people have used to describe themselves when they have back pain. When you read them, you may find that some stand out because they describe you today. As you read the list, think of yourself today. When you read a sentence that describes you today, mark the box next to it. If the sentence does not describe you, then leave the space blank and go on to the next one. Remember, only mark the sentence if you are sure that it describes you today

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Impact of back pain today
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.RMDQ
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6137-5

Answer Code Score Answer ID
I stay at home most of the time because of my back. LA33003-7
I change position frequently to try to get my back comfortable. LA33004-5
I walk more slowly than usual because of my back. LA33005-2
Because of my back, I am not doing any jobs that I usually do around the house. LA33006-0
Because of my back, I use a handrail to get upstairs. LA33007-8
Because of my back, I lie down to rest more often. LA33008-6
Because of my back, I have to hold on to something to get out of an easy chair. LA33009-4
Because of my back, I try to get other people to do things for me. LA33010-2
I get dressed more slowly than usual because of my back. LA33011-0
I only stand for short periods of time because of my back. LA33660-4
Because of my back, I try not to bend or kneel down. LA33012-8
I find it difficult to get out of a chair because of my back. LA33013-6
My back is painful almost all of the time. LA33014-4
I find it difficulty to turn over in bed because of my back. LA33015-1
My appetite is not very good because of my back. LA33016-9
I have trouble putting on my sock (or stockings) because of the pain in my back. LA33017-7
I can only walk short distances because of my back pain. LA33018-5
I sleep less well because of my back. LA33020-1
Because of my back pain, I get dressed with the help of someone else. LA33021-9
I sit down for most of the day because of my back. LA33022-7
I avoid heavy jobs around the house because of my back. LA33023-5
Because of back pain, I am more irritable and bad tempered with people than usual. LA33024-3
Because of my back, I go upstairs more slowly than usual. LA33025-0
I stay in bed most of the time because of my back. LA33026-8

Member of these Panels

LOINC Long Common Name
99574-6 Roland Morris Disability Questionnaire panel [RMDQ]

99575-3 Total score [RMDQ]

Fully-Specified Name

Component
Total Score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
RMDQ

Basic Attributes

Class
SURVEY.RMDQ
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99574-6 Roland Morris Disability Questionnaire panel [RMDQ]

Example Units

Unit Source
{score} Example UCUM Units