Modified Oswestry Low Back Pain Disability Index printable pdf download

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MODIFIED OSWESTRY LOW BACK PAIN DISABILITY INDEX (ODI)

Purpose: The ODI is a disease-specific disability measure is used to establish a level of disability, stage a patient’s

acuity status

, and monitor change over time.

Scoring:

1. The ODI is made up of 10 questions. Each question is scored from 0-5 (minimum to maximum).

EXAMPLE:

Pain Intensity

_____The pain is mild and comes and goes. (A check at this level is scored as 0)

_____The pain is mild and does not vary much. (A check at this level is scored as 1)

_____The pain is moderate and comes and goes. (A check at this level is scored as 2)

_____The pain is moderate and does not vary much. (A check at this level is scored as 3)

_____The pain is severe and comes and goes. (A check at this level is scored as 4)

_____The pain is severe and does not vary much. (A check at this level is scored as 5)

2. The point total from each section is summed and the then divided by the total number of questions

answered and multiplied by 100 to create a percentage disability. The scores range from 0-100% with lower

scores meaning less disability.

ODI = (Sum of items scored/Sum of sections answered) X 100

3. Typically all items are filled out so you can just add up the score from each section and double it to get the

final percentage score.

Measurement Characteristics: The measurement characteristics of the ODI are good to excellent. Test-Retest

ICC (2,1) 0.83 - 0.94 (1-14 days)2 and 0.90 over 4 weeks in a group of patients judged stable.

The minimal clini-

cally important difference for the Oswestry is 8 – 12 percentage points.

References:

1. Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome:

identifying and staging patients for conservative management. Phys.Ther. 1995; 75:470-489.

2. Fritz JM, Irrgang JJ. A Comparison of a Modified Oswestry Disability Questionnaire and the Quebec

Back Pain Disability Scale. Phys Ther 2001; 81:776-788.

3. Kopec JA, Esdaile JM. Spine Update. Functional disability scales for back pain. Spine 1995; 20:1943-1949.

Oswestry, page 1

#12804 4/2011

Modified Oswestry Low Back Pain Disability Index