Providence Low Back Pain and Disability Index 2013-2025 free printable template

LOW BACK PAIN AND DISABILITY INDEX REVISED OSWESTRY Patient Name Date // Please read instructions carefully. This questionnaire has been designed to give the doctor information as to how your low back pain has affected your ability to manage everyday life. Please read all statements in each section and mark the box which most closely describes your problem* SECTION 1 - PAIN INTENSITY SECTION 6 - STANDING The pain comes and goes and is very mild. I can stand as long as I want without pain* The...

How to fill out modified odi form

How to fill out Providence Low Back Pain and Disability Index

1. Obtain a copy of the Providence Low Back Pain and Disability Index form.
2. Read the instructions carefully before starting.
3. Begin filling out the patient identification section with the necessary information.
4. Proceed to the first section, which usually assesses the level of pain experienced in the lower back.
5. Move to the next sections which may ask about activities affected by pain, such as sitting, standing, or sleeping.
6. Rate each activity based on the provided scale (usually a numeric scale indicating severity or frequency).
7. Review the entire form to ensure all questions have been answered accurately.
8. Submit the completed index for evaluation.

Who needs Providence Low Back Pain and Disability Index?

1. Individuals experiencing chronic low back pain.
2. Patients seeking assessment for low back pain-related disability.
3. Healthcare providers wanting to evaluate the impact of low back pain on daily activities.
4. Pain management specialists requiring a standardized assessment tool.
5. Researchers studying low back pain and its effects on quality of life.

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How is the modified Oswestry disability questionnaire scored?

Each question is scored from 0-5 (minimum to maximum). 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.

What is a normal score for Oswestry Disability Index?

SCORE DISABILITY LEVEL 0 - 4 No disability 5 - 14 Mild disability 15 - 24 Moderate disability 25 - 34 Severe disability 35 - 50 Completely disabled The Oswestry Disability Index (aka the Oswestry Low Back Pain Disability Questionnaire) is an ex- tremely important tool that researchers and disability evaluators use to

How do you administer Oswestry Disability Index?

Each section is scored on a 0–5 scale, 5 representing the greatest disability. The index is calculated by dividing the summed score by the total possible score, which is then multiplied by 100 and expressed as a percentage. Thus, for every question not answered, the denominator is reduced by 5.

What is a bad Oswestry score?

41%-60%: severe disability: Pain remains the main problem in this group but activities of daily living are affected. These patients require a detailed investigation. 61%-80%: crippled: Back pain impinges on all aspects of the patient's life. Positive intervention is required.

What is the latest version of the Oswestry Disability Index?

The most current version of the ODI is version 2.1.

What is a 60 Oswestry Disability Index score?

A Disability Index Score of 0% to 20% equals minimal disability, 21% to 40% equals moderate disability, 41% to 60% equals severe disability, 61% to 80% equals crippled, and 81% to 100% indicates a patient that is either bed-bound or exaggerating their symptoms.

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What is Providence Low Back Pain and Disability Index?

The Providence Low Back Pain and Disability Index is a self-administered questionnaire designed to assess the level of disability and pain associated with low back pain.

Who is required to file Providence Low Back Pain and Disability Index?

Individuals experiencing low back pain or disability are typically required to fill out the Providence Low Back Pain and Disability Index as part of their clinical evaluation.

How to fill out Providence Low Back Pain and Disability Index?

To fill out the Providence Low Back Pain and Disability Index, respondents answer specific questions related to their pain levels, functional limitations, and how low back pain affects their daily activities.

What is the purpose of Providence Low Back Pain and Disability Index?

The purpose of the Providence Low Back Pain and Disability Index is to quantify the impact of low back pain on an individual's daily life and to assist healthcare providers in evaluating treatment efficacy.

What information must be reported on Providence Low Back Pain and Disability Index?

The information reported on the Providence Low Back Pain and Disability Index includes pain intensity, functional limitations, and any specific activities affected by low back pain.