Sensitivity to change of the Neck Pain and Disability Scale

2011 | journal article; research paper. A publication of Göttingen

Jump to: Cite & Linked | Documents & Media | Details | Version history

Cite this publication

​Sensitivity to change of the Neck Pain and Disability Scale​
Blozik, E.; Himmel, W. ; Kochen, M. M. ; Herrmann‐Lingen, C.   & Scherer, M.​ (2011) 
European Spine Journal20(6) pp. 882​-889​.​ DOI: 

Documents & Media

586_2010_Article_1545.pdf227.14 kBAdobe PDF


Published Version

Usage license


Blozik, Eva; Himmel, Wolfgang ; Kochen, Michael M. ; Herrmann‐Lingen, Christoph ; Scherer, Martin
The Neck Pain and Disability Scale (NPAD) is a 20-item instrument to measure neck pain and related disability. The aim of this study was to assess sensitivity to change of the NPAD. A total of 411 participants from 15 general practices in the middle of Germany completed a multidimensional questionnaire including the German version of the NPAD and self-reported demographic and clinical information. Sensitivity to change was analysed by linear regression analysis of the NPAD at follow-up and educational level, age class, depression, anxiety, and deficits in social support, respectively, and by Pearson's correlation analyses between mean change in NPAD at follow-up and mean change in prognostic markers. Those having more than basic education (regression coefficient -7.2, p < 0.001) and/or being in a younger age class (-2.9, p = 0.020) consistently reported significantly lower average NPAD scores at follow-up compared to those with basic education and/or a older age class. In contrast, those who were classified to be depressed (regression coefficient 2.1, p < 0.001), anxious (1.9, p < 0.001), or having deficits in social support (5.5, p = 0.004) reported significantly higher NPAD scores. Change in depression, anxiety, and social support scale between baseline and follow-up was significantly correlated with change in the NPAD score. Hence, these data are in the direction anticipated across all baseline factors investigated. In conclusion, the NPAD seems to be a sensitive measure for use in clinical practice and future studies of neck pain and related disability.
Issue Date
European Spine Journal 
Institut für Allgemeinmedizin 
1432-0932; 0940-6719
German Ministry of Education and Research (BMBF) [01 GK 0516]; BMBF



Social Media