Neck Disability Index

Original Editor - Rachael Lowe

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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]

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[6]

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. Jette DU, Jette AM. Physical therapy and health outcomes in patients with spinal impairments. Physical Therapy, 1996; 76:930-45