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Roland-Morris Low Back Pain Questionnaire

Roland-Morris Low Back Pain And Disability Questionnaire (RMQ)

At Ottawa Physiotherapy Clinic, we understand how chronic back pain can impact your quality of life. Low back pain, in particular, is one of the most common issues people face, often limiting daily activities and mobility. To assess and track the severity of this pain and the associated disabilities, the Roland-Morris Low Back Pain and Disability Questionnaire (RMQ) is a reliable tool that helps gauge the impact of back pain on your daily life. At Physiocare Physiotherapy & Rehab Centre, our expert physiotherapists use tools like the RMQ to create personalized treatment plans designed to reduce pain and improve function, helping our patients get back to the activities they love.

RMQ Assesses Low Back Pain and Disability

Source: Stratford PW, Binkley J, Solomon P, Finch E, Gill C, Moreland J. Defining the minimum level of detectable change for the Roland-Morris questionnaire. Phys Ther. 1996 Apr;76(4):359-65; discussion 66-8. 

The Roland-Morris Questionnaire (RMQ) is a self-administered disability measure in which greater levels of disability are reflected by higher numbers on a 24-point scale. The RMQ has been shown to yield reliable measurements, which are valid for inferring the level of disability, and to be sensitive to change over time for groups of patients with low back pain.

Scoring instructions

The patient is instructed to put a mark next to each appropriate statement. Add up the total number of marked statements to get a patient’s score.

Interpretation of scores

Roland and Morris did not provide descriptions of the varying degrees of disability (eg, 40%-60% is severe disability). Clinical improvement over time can be graded based on the analysis of serial questionnaire scores. If, for example, at the beginning of treatment, a patient’s score was 12 and, at the conclusion of treatment, their score was 2 (10 points of improvement), we would calculate an 83% (10/12 x 100) improvement.

Roland-Morris Low Back Pain and Disability Questionnaire(RMQ) 

Instructions 

Patient name:_______________________________  File#:_____________  Date:__________

Please read instructions: When your back hurts, you may find it difficult to do some of the things you normally do. Mark only the sentences that describe you today.

  •  I stay at home most of the time because of my back.
  •  I change position frequently to try to get my back comfortable.
  •  I walk more slowly than usual because of my back.
  •  Because of my back, I am not doing any jobs that I usually do around the house.
  •  Because of my back, I use a handrail to get upstairs.
  •  Because of my back, I lie down to rest more often.
  •  Because of my back, I have to hold on to something to get out of an easy chair.
  •  Because of my back, I try to get other people to do things for me.
  •  I get dressed more slowly than usual because of my back.
  •  I only stand up for short periods of time because of my back.
  •  Because of my back, I try not to bend or kneel down.
  •  I find it difficult to get out of a chair because of my back.
  •  My back is painful almost all of the time.
  •  I find it difficult to turn over in bed because of my back.
  •  My appetite is not very good because of my back.
  •  I have trouble putting on my socks (or stockings) because of the pain in my back.
  •  I can only walk short distances because of my back pain.
  •  I sleep less well because of my back.
  •  Because of my back pain, I get dressed with the help of someone else.
  •  I sit down for most of the day because of my back.
  •  I avoid heavy jobs around the house because of my back.
  •  Because of back pain, I am more irritable and bad tempered with people than usual.
  •  Because of my back, I go upstairs more slowly than usual.
  •  I stay in bed most of the time because of my back. 

The RMQ is a valuable tool for tracking your progress and guiding treatment. At Physiocare Physiotherapy & Rehab Centre, we are dedicated to providing professional physiotherapy in Ottawa, helping you manage and overcome back pain. 

To monitor your own progress, you can download the Roland-Morris Low Back Pain and Disability Questionnaire here.

FAQs:

The Roland-Morris Disability Questionnaire (RMQ) is a self-assessment tool used to measure how low back pain affects your daily activities. It consists of 24 statements, and the more items you select, the greater the level of disability related to your back pain.

  • Designed for low back pain assessment
  • Simple yes/no checklist format
  • Tracks functional limitations in daily life

The RMQ score is calculated by counting the number of statements you mark that apply to you. Each selected statement equals one point, giving a total score out of 24, where higher scores indicate greater disability.

  • Score range: 0 to 24
  • Higher score = more severe limitation
  • Easy to repeat over time for tracking

A high RMQ score indicates that low back pain is significantly affecting your daily function and mobility. It suggests greater difficulty with tasks like walking, sitting, or dressing, and may require structured treatment such as physiotherapy.

  • More activity limitations
  • Increased pain impact
  • May need clinical intervention

Physiotherapists use the RMQ to assess baseline disability, monitor progress, and adjust treatment plans. It helps track improvements in function over time and ensures therapy is aligned with patient-specific recovery goals.

  • Initial assessment tool
  • Progress tracking over sessions
  • Guides personalized rehab plans

Yes, the RMQ is sensitive to changes over time, making it effective for tracking recovery. A decrease in score indicates improvement in function and reduction in disability related to back pain.

  • Compare scores over time
  • Lower score = improvement
  • Useful for treatment evaluation

A meaningful improvement is typically seen when there is a noticeable reduction in the RMQ score over time. For example, a drop from 12 to 2 reflects a major functional improvement and significant recovery progress.

  • Large score reduction = better function
  • Used to measure treatment success
  • Helps quantify recovery

The RMQ is suitable for individuals experiencing low back pain who want to assess how it affects their daily life. It is commonly used by patients and physiotherapists in both clinical and home settings.

  • People with acute or chronic back pain
  • Patients undergoing physiotherapy
  • Individuals tracking recovery at home

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About the Author
Prateeksha Viradiya, Physiotherapist at Physiocare

Prateeksha Viradiya

Certified in Pelvic Floor, Acupuncture, Certified ROST Therapist | RAPID Treatment Specialist at Physiocare Physiotherapy and Rehab Centre
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