St John Providence Health System Modified Oswestry Low Back Pain Disability Questionnaire 2010-2025 free printable template

Modified Ancestry Low Back Pain Disability Questionnaire Patient Name: Date of Birth: / / Date: / / This questionnaire has been designed to give us information as to how your back or leg pain is affecting

How to fill out modified oswestry questionnaire

How to fill out St John Providence Health System Modified Oswestry

1. Obtain the St John Providence Health System Modified Oswestry questionnaire form.
2. Read the instructions carefully before starting to fill out the form.
3. Begin with Section 1: Pain intensity. Select the statement that best describes your pain level.
4. Proceed to Section 2: Personal care. Check the option that best reflects your ability to perform personal care tasks.
5. Continue to Section 3: Lifting. Indicate how your back pain affects your ability to lift objects.
6. Move on to Section 4: Walking. Choose the statement that matches your walking capability.
7. Fill out Section 5: Sitting. Reflect on how your back pain impacts your ability to sit.
8. Complete Section 6: Standing. Select the corresponding option for your standing ability.
9. Answer Section 7: Sleeping. Indicate how your back pain affects your sleep.
10. Fill the Section 8: Social life. Describe the impact of your condition on socializing.
11. Complete Section 9: Travel. Note how your back pain impacts your ability to travel.
12. Finally, review your answers to ensure accuracy and consistency before submission.

Who needs St John Providence Health System Modified Oswestry?

1. Patients experiencing back pain who seek a better understanding of their functional status.
2. Individuals undergoing treatment for spine-related issues.
3. Healthcare providers needing to assess a patient's level of disability related to back pain.
4. Patients involved in rehabilitation programs aimed at improving mobility and reducing pain.

People Also Ask about

How do you interpret Oswestry scores?

A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. Minimal clinical difference has been evaluated across numerous types of spinal surgery, and has been shown to vary significantly.

What is modified Oswestry disability Questionnaire?

This questionnaire has been designed to give your therapist information as to how your back pain has affected your ability to manage in every day life. Please answer every question by placing a mark on the line that best describes your condition today.

What do Oswestry scores mean?

The final score/index ranges from 0-100. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. Minimal clinical difference has been evaluated across numerous types of spinal surgery, and has been shown to vary significantly.

What is a good Oswestry score?

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

What is the score on the modified Oswestry scale?

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 reliable is the Modified Oswestry Disability Index?

The ODI addresses a broader concept of disability than that directly related to pain intensity. Test-retest reliability has been shown to be high, a study by Fairbank et al recorded values ranging from = 0.83 to 0.99 that can vary over a given period of time.

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What is St John Providence Health System Modified Oswestry?

The St John Providence Health System Modified Oswestry is a modified version of the Oswestry Disability Index, designed to assess the degree of disability in individuals with back pain.

Who is required to file St John Providence Health System Modified Oswestry?

Patients experiencing back pain or related conditions, as part of their assessment process, are typically required to fill out the St John Providence Health System Modified Oswestry.

How to fill out St John Providence Health System Modified Oswestry?

Patients fill out the St John Providence Health System Modified Oswestry by rating their level of difficulty in various daily activities due to back pain, usually by selecting a percentage that reflects their condition.

What is the purpose of St John Providence Health System Modified Oswestry?

The purpose of the St John Providence Health System Modified Oswestry is to evaluate the impact of back pain on a patient's daily life and to assist healthcare providers in creating an effective treatment plan.

What information must be reported on St John Providence Health System Modified Oswestry?

Patients must report their level of difficulty regarding various activities such as lifting, walking, sitting, sleeping, and social involvement, based on how their back pain affects them.