Get the free Revised Oswestry Low Back Pain Questionnaire
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Revised Ancestry Low Back Pain Questionnaire Patient Name Patient Number Date This questionnaire is designed to enable us to understand how much your low back pain has affected your ability to manage
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How to fill out revised oswestry low back
How to fill out revised Oswestry Low Back:
01
Start by providing your personal information, including your name, age, and contact details.
02
Indicate the date of completion and the reason for filling out the revised Oswestry Low Back form.
03
Evaluate the severity of your pain or discomfort in various daily activities on a scale of 0-5.
04
Answer each question honestly and to the best of your ability, considering how your back pain affects your ability to perform specific tasks.
05
The form consists of ten sections, including pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life (if applicable), social life, and traveling.
06
In each section, assess your current ability to carry out the mentioned activities by marking the corresponding box with an "X" or a number based on the given instructions.
07
Take your time to read each question carefully, ensuring that you understand the provided options and selecting the most accurate response.
08
If you are unsure about any question or find that none of the options precisely apply to your situation, seek clarification from a healthcare professional.
09
After completing all sections, add up the scores for each question to determine your total Oswestry Disability Index (ODI) score.
10
The higher the ODI score, the more your back pain affects your daily life and functionality.
Who needs revised Oswestry Low Back:
01
Individuals suffering from chronic low back pain.
02
Patients seeking medical or rehabilitative treatment for their back condition.
03
Individuals assessing the impact of their back pain on their daily activities.
04
Healthcare providers and researchers collecting data on patients' functional limitations and outcomes related to low back pain.
05
Insurance companies or disability evaluation agencies for assessing the extent of disability caused by back pain.
06
Anyone interested in understanding their own level of disability or tracking changes in their condition over time.
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