Oswestry Disability Index
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Objective
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Patient-completed questionnaire which gives a subjective percentage score of level of function (disability) in activities of daily living in those rehabilitating from low back pain. Suitable for the English speaking population only.
Intended Population
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Acute or chronic low back pain. Most effective for persistent severe disability[1]
Method of Use[edit | edit source]
Questionnaire examines perceived level of disability in 10 everyday activities of daily living.
The 6 statements are scored from 0 to 5 with the first statement scoring 0 through to the last at 5, e.g.,
Section 1 - Pain intensity
• I have no pain at the moment. Score = 0
• The pain is very mild at the moment. Score = 1
• The pain is moderate at the moment. Score = 2
• The pain is fairly severe at the moment. Score = 3
• The pain is very severe at the moment. Score = 4
• The pain is the worst imaginable at the moment. Score = 5
If more than one box is marked in each section, take the highest score.
The ODI score (index) is calculated as:
For example:
If all 10 sections are completed the score is calculated as follows:
if 16 (total scored) out of 50 (total possible score) x 100 = 32%
If one section is missed (or not applicable) the score is calculated:
If 16 (total scored) / 45 (total possible score) x 100 = 35.5%
Rounding the percentage to a whole number for convenience is suggested.
Reference
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Fairbank J, Davies J, Couper J, OBrien J (1980) The Oswestry low back pain disability questionnaire Physiotherapy 66, 8, 271-273
Evidence[edit | edit source]
Reliability[edit | edit source]
The ODI addresses a broader concept of disability than that directly related to pain intensity[2].
Validity[edit | edit source]
Fisher K, Johnston M (1997) Validation of the ODQ, its sensitivity as a measure of change following treatment and its relationship with other aspects of the chronic pain experience Physiotherapy Theory and Practice 13, 67-80
Responsiveness[edit | edit source]
Bolton JE, Fish RG (1997) Responsiveness of the Revised Oswestry Disability Questionnaire Eur J Chiropractic 45, 1, 9-14
Miscellaneous
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Resources
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Baker D, Pynsent PB, Fairbank JCT (1989) The Oswestry disability index revisited: its reliability, repeatability, and validity, and a comparison with St Thomas Disability Index. In Roland MO, Jenner JR eds (1989) Back Pain: new approaches to rehabilitation and education. New York, NY. Manchester University Press 174-186
http://www.orthosurg.org.uk/odi/
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Davies, Claire C.1; Nitz, Arthur J. Psychometric properties of the Roland-Morris Disability Questionnaire compared to the Oswestry Disability Index: a systematic review. Physical Therapy Reviews, Volume 14, Number 6, December 2009 , pp. 399-408(10)
- ↑ Gronblad M, Hupli M et al (1989) Intercorrelation and test-retest reliability of the pain disability index and the Oswestry disability questionnaire and their correlation with pain intensity in low back pain patients The Clinical Journal of Pain 9, 189-195.
