Neck Pain Disability Index Questionnaire (Page 2 of 2) in pdf

SCORING TECHNIQUE FOR THE OSWESTRY LOW BACK DISABILITY QUESTIONNAIRE AND

NECK DISABILITY INDEX

1. Each of the 10 sections is scored separately (0 to 5 points each) and then added up (max. total = 50).

EXAMPLE:

Section 1. Pain Intensity

Point Value

A. ______ I have no pain at the moment

B. ______ The pain is very mild at the moment

C. ______ The pain is moderate at the moment

D. ______ The pain is fairly severe at the moment

E. ______ The pain is very severe at the moment

F. ______ The pain is the worst imaginable

2. If all 10 sections are completed, simply double the patients score.

3. If a section is omitted, divide the patient’s total score by the number of sections completed times 5.

FORMULA:

PATIENT’S SCORE

X 100 = ________ % DISABILITY

# OF SECTIONS COMPLETED X 5

EXAMPLE:

If 9 of 10 sections are completed, divide the patient’s score by 9 X 5 = 45; if……..

Patient’s Score:

Number of sections completed:

9 (9 X 5 = 45)

22/45 X 100 = 48 % disability

4. Interpretation of disability scores (from original article):

SCORE

INTERPRETATION OF THE OSWESTRY LBP DISABILITY QUESTIONNAIRE

0-20%

Can cope w/ most ADL’s. Usually no treatment needed, apart from advice on lifting,

Minimal

sitting, posture, physical fitness and diet. In this group, some patients have particular

Disability

difficulty with sitting and this may be important if their occupation is sedentary (typist,

driver, etc.)

20-40%

This group experiences more pain and problems with sitting, lifting and standing. Travel

Moderate

and social life are more difficult and they may well be off work. Personal care, sexual

Disability

activity and sleeping are not grossly affected, and the back condition can usually be

managed by conservative means.

40-60%

Pain remains the main problem in this group of patients by travel; personal care, social

Severe

life, sexual activity and sleep are also affected. These patients require detailed

Disability

investigation.

60-80%

Back pain impinges on all aspects of these patients’ lives both at home and at work.

Crippled

Positive intervention is required.

80-100%

These patients are either bed-bound or exaggerating their symptoms. This can be

evaluated by careful observation of the patient during the medical examination.

Reference:

Fairbanks CT, Couper C, Davies JB, O’Brien JP. The Oswestry low back pain disability

questionnaire. Physio Ther 1980;66:271-273.

Neck Pain Disability Index Questionnaire Page 2

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