Neck Disability Index: Difference between revisions

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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div>  
<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox">
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'''Original Editor '''- [[User:Rachael Lowe|Rachael Lowe]], [[User:Sean Wauters|Sean Wauters]]  
'''Original Editor '''- [[User:Rachael Lowe|Rachael Lowe]], [[User:Sean Wauters|Sean Wauters]]
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
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Revision as of 12:44, 26 November 2010

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editor - Rachael Lowe, Sean Wauters Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Objective
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The NDI is a modification of the Oswestry Low Back Pain Disability Index. It is a patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. The NDI has sufficient support and usefulness to retain its current status as the most commonly used self-report measure for neck pain[1].

Intended Population[edit | edit source]

Chronic neck pain, musculoskeletal neck pain and whiplash injuries.

Method of Use
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The NDI can be scored as raw score [2] or doubled, and expressed as a percent [3]. Each section is scored on a 0-5 scale, with the first statement being “0” (ie. No pain) and the last statement being “5” (ie. Worst imaginable pain). A higher score indicates more patient-rated disability. There is no statement in the original literature on how to handle missing data. To use the NDI for patient decisions, a clinically important change was calculated as 5 points, with a sensitivity of 0.78 and a specificity of 0.80[4].

Reference[edit | edit source]

Vernon H, Mior S. (1991) The neck disability index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics 14, 409-15[2]

Evidence[edit | edit source]

Reliability[edit | edit source]

Vernon H, Mior S. (1991) The neck disability index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics 14, 409-15[2]

Validity[edit | edit source]

Mark Chan Ci En, Dean A. Clair and Stephen J. Edmondston. Manual Therapy, 2009, 14(4):433-438[5]

Responsiveness[edit | edit source]

The NDI appears to demonstrate adequate responsiveness in patients with neck pain and concomitant upper extrmity referred symptoms[6]. Young et al [6] suggest that a 10-point change should be used as the minimum clinically important difference.


Riddle DL, Stratford PW. Use of generic versus region specific functional status measures on patients with cervical spine disorders. Physical Therapy, 1998;78:951-963[3]

Miscellaneous[edit | edit source]

Stratford PW, Riddle DL, Binkley JM et al (1999) Using the neck disability index to make decisions concerning individual patients Physiotherapy Canada, 2,107-112[4].

Jette DU, Jette AM (1996) Physical therapy and health outcomes in patients with spinal impairments. Physical Therapy 76, 930-45[7]

Links[edit | edit source]

View Neck Disability Index

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Macdermid JC, Walton DM, Avery S, Blanchard A, Etruw E, McAlpine C, Goldsmith CH. Journal of Orthopedic and Sports Physical Therapy. 2009 May;39(5):400-17.
  2. 2.0 2.1 2.2 Vernon H, Mior S. The neck disability index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics, 1991, 14:409-15
  3. 3.0 3.1 Riddle DL, Stratford PW. Use of generic versus region specific functional status measures on patients with cervical spine disorders. Physical Therapy, 1998;78:951-963
  4. 4.0 4.1 Stratford PW, Riddle DL, Binkley JM et al (1999) Using the neck disability index to make decisions concerning individual patients Physiotherapy Canada, 2,107-112.
  5. Mark Chan Ci En, Dean A. Clair and Stephen J. Edmondston. Manual Therapy, 2009, 14(4):433-438
  6. 6.0 6.1 Young BA, Walker MJ, Strunce JB, Boyles RE, Whitman JM, Childs JD. Responsiveness of the Neck Disability Index in patients with mechanical neck disorders. Spine, 2009 Jul 24, online article ahead of print.
  7. Jette DU, Jette AM. Physical therapy and health outcomes in patients with spinal impairments. Physical Therapy, 1996; 76:930-45