 Roland Morris Disability Questionnaire RMDQ: This is a commonly utilised instrument for measuring spinal disability as an outcome measure 19. It is a 24-item questionnaire that is relevant to low back pain disability. RMDQ is easy to score by totalling the sum of circled items maximum is 24 which represent the final score. The Roland Morris study was referred to as the best single study of assessing short-term outcome of primary care patients with low back pain20. 