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Ancestry Low Back Pain Disability Questionnaire PATIENT NAME: DATE: SCORE: This questionnaire is designed to give use information as to how your back (leg) pain has affected your ability to manage
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How to fill out revised owestry

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How to fill out revised Oswestry:

01
Start by reading the instructions carefully. The revised Oswestry questionnaire is a widely-used tool for assessing disability related to low back pain.
02
Begin by providing basic demographic information, such as your name, age, and gender. This is important for record-keeping.
03
The revised Oswestry consists of 10 sections, with each section focusing on a specific activity or function affected by low back pain. For each section, you will be presented with six statements. Select the statement that most accurately describes your level of disability or pain in that particular activity.
04
It is important to be honest and provide the most accurate response based on your current condition. Avoid overestimating or underestimating your abilities in order to obtain a more accurate assessment.
05
Once you have completed all 10 sections, carefully review your answers to ensure they accurately reflect your disability or pain level. Make any necessary changes or corrections before submitting the questionnaire.
06
After filling out the revised Oswestry, you may be asked to provide additional information or comments about your pain or disability. Take this opportunity to provide any relevant details that were not covered in the questionnaire.
07
Finally, submit the completed revised Oswestry to the relevant healthcare professional or organization who requested it. They will use the information provided to assess your level of disability and plan appropriate treatment or interventions.

Who needs revised Oswestry:

01
Individuals experiencing low back pain: The revised Oswestry questionnaire is primarily used to assess disability related to low back pain. If you are experiencing chronic or acute low back pain, healthcare professionals may use this tool to evaluate the impact of the pain on your daily activities and functioning.
02
Healthcare professionals: Doctors, physical therapists, chiropractors, and other healthcare professionals often use the revised Oswestry questionnaire to objectively assess and quantify a patient's level of disability due to low back pain. This allows them to develop appropriate treatment plans and track the progress of their patients over time.
03
Researchers and clinical trials: The revised Oswestry questionnaire is also frequently used in research studies and clinical trials that focus on low back pain. By using a standardized assessment tool like the revised Oswestry, researchers can gather consistent and comparable data across different participants and studies, facilitating scientific advancements in understanding and treating low back pain.
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Revised Oswestry is a modified version of the Oswestry Disability Index (ODI) used to assess disability and functional impairment in individuals with lower back pain.
Healthcare professionals, such as doctors, physical therapists, and chiropractors, may be required to administer and file the Revised Oswestry for patients with lower back pain.
Revised Oswestry is typically filled out by the patient, who answers questions related to their level of pain and how it affects their daily activities. Healthcare professionals may also assist in interpreting and documenting the responses.
The purpose of Revised Oswestry is to assess the impact of lower back pain on an individual's ability to perform daily tasks and activities, as well as to track changes in their condition over time.
Revised Oswestry includes questions about pain intensity, ability to stand, walk, and lift objects, as well as how pain affects activities like work and sleep.
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