Oswestry Disability Index
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The Oswestry Disability Index (ODI) is an index derived from the Oswestry Low Back Pain
Questionnaire A questionnaire is a research instrument that consists of a set of questions (or other types of prompts) for the purpose of gathering information from respondents through survey or statistical study. A research questionnaire is typically a mix of ...
used by
clinicians A clinician is a health care professional typically employed at a skilled nursing facility or clinic. Clinicians work directly with patients rather than in a laboratory, community health setting or in research. A clinician may diagnose, treat a ...
and
researchers Research is creative and systematic work undertaken to increase the stock of knowledge. It involves the collection, organization, and analysis of evidence to increase understanding of a topic, characterized by a particular attentiveness to ...
to quantify
disability Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be Cognitive disability, cognitive, Developmental disability, d ...
for low
back pain Back pain (Latin: ''dorsalgia'') is pain felt in the back. It may be classified as neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. The lumbar area ...
and
quality of life Quality of life (QOL) is defined by the World Health Organization as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards ...
. This validated
questionnaire A questionnaire is a research instrument that consists of a set of questions (or other types of prompts) for the purpose of gathering information from respondents through survey or statistical study. A research questionnaire is typically a mix of ...
was first published by Jeremy Fairbank et al. in ''
Physiotherapy Physical therapy (PT), also known as physiotherapy, is a healthcare profession, as well as the care provided by physical therapists who promote, maintain, or restore health through patient education, physical intervention, disease preventio ...
'' in 1980. The current version was published in the journal ''
Spine Spine or spinal may refer to: Science Biology * Spinal column, also known as the backbone * Dendritic spine, a small membranous protrusion from a neuron's dendrite * Thorns, spines, and prickles, needle-like structures in plants * Spine (zoology), ...
'' in 2000.Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine 2000 Nov 15;25(22):2940-52
/ref> Four versions of the ODI are available in English and nine in other languages. Some published versions contain misprints, and many omit the scoring system. It is unclear, however, if these adapted versions of the ODI are as credible as the original ODI developed for English-speaking nations. The self-completed questionnaire contains ten topics concerning intensity of
pain Pain is a distressing feeling often caused by intense or damaging Stimulus (physiology), stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sense, sensory and emotional experience associated with, or res ...
, lifting, ability to care for oneself,
ability Abilities are powers an agent has to perform various Action (philosophy), actions. They include common abilities, like walking, and rare abilities, like performing a double backflip. Abilities are intelligent powers: they are guided by the person ...
to
walk Walking (also known as ambulation) is one of the main gaits of terrestrial locomotion among legged animals. Walking is typically slower than running and other gaits. Walking is defined as an "inverted pendulum" gait in which the body vaults over ...
, ability to
sit Sitting is a List of human positions, basic action and resting position in which the body weight is supported primarily by the bony ischial tuberosities with the buttocks in contact with the ground or a horizontal surface such as a chair seat, ...
,
sexual function Sexual function is how the body reacts in different stages of the sexual response cycle. It is defined as the ability of an individual to react sexually or to experience sexual pleasure. Assessment Relevant aspects of sexual function are describ ...
, ability to
stand Stand or The Stand may refer to: Other * To assume the upright position of standing * Forest stand, a group of trees * Area of seating in a stadium, such as bleachers * Stand (cricket), a relationship between two players * Stand (drill pipe) ...
,
social life ''Social Life'' is the second studio album by the American indie rock band Koufax. The song "Bright Side" was featured in an episode of the adult animated sitcom ''Clone High''. Background Unlike the previous album, ''Social Life'' was reco ...
, sleep quality, and ability to
travel Travel is the movement of people between distant geographical Location (geography), locations. Travel can be done by Pedestrian, foot, bicycle, automobile, train, boat, bus, airplane, ship or other means, with or without Baggage, luggage, a ...
. Each topic category is followed by 6 statements describing different potential scenarios in the patient's life relating to the topic. The patient then checks the statement which most closely resembles their situation. Each question is scored on a scale of 0–5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.


Scoring

* 0% –20%: Minimal disability * 21%–40%: Moderate Disability * 41%–60%: Severe Disability * 61%–80%: Crippling back pain * 81%–100%: These patients are either bed-bound or have an exaggeration of their symptoms.


References

{{reflist


External links


MAPI Research Trust site
with information about licensing, along with access to a review copy of the questionnaire Medical scoring system Medical diagnosis Bones of the vertebral column Pain scales