Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Low Back Oswestry Form

Get Low Back Oswestry Form

OSWESTRY INDEX QUESTIONNAIRE This questionnaire is designed to help us better understand how your back pain affects your ability to manage everyday life activities. Please mark in each section the.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Low Back Oswestry Form online

The Low Back Oswestry Form is a helpful tool designed to assess how back pain impacts daily activities. This guide provides clear, step-by-step instructions for filling out the form online, ensuring a smooth experience for all users.

Follow the steps to complete the Low Back Oswestry Form online

  1. Press the ‘Get Form’ button to access the Low Back Oswestry Form and open it in your preferred online editor.
  2. Begin by entering your personal information at the top of the form, including your name and the date.
  3. Review Section 1 titled 'Pain Intensity' and select the statement that best describes your current level of pain. Make sure to choose only one option.
  4. Proceed to Section 2 on 'Personal Care' and mark the box that reflects your ability to manage personal care tasks in relation to your pain level.
  5. In Section 3, 'Lifting,' indicate how pain affects your ability to lift weights, selecting the statement that most accurately describes your situation.
  6. Move to Section 4, 'Sitting,' and decide which option correlates with your ability to sit comfortably and for how long.
  7. For Section 5, 'Standing,' choose the statement that best captures your ability to stand without discomfort.
  8. In Section 6, 'Walking,' select the option that describes your walking capabilities in the context of your pain.
  9. Next, in Section 7, 'Traveling,' mark the statement that aligns with your ability to travel without pain impacting your journeys.
  10. In Section 8, 'Sleeping,' indicate how your pain affects your sleep quality by choosing the most applicable option.
  11. Move to Section 9, 'Changing Degree of Pain,' and select the statement that reflects your current pain trend.
  12. Finally, review your answers for accuracy. Once satisfied, you can save your changes, download the form, print it, or share it as needed.

Complete your Low Back Oswestry Form online today for a better understanding of your back pain.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Oswestry Low Back Pain Disability Questionnaire
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability...
Learn more
Oswestry Low Back Pain Disability Questionnaire
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability...
Learn more
9ffd10fb 2767 4077 8da0 3d44a81102e9...
Apr 3, 2018 — radiculopathy due to herniated disc disease, residual low back. pain, and...
Learn more

Related links form

AUXILIARY APPLICATION - Baltimore Washington Medical Center - Mybwmc Controlled Substance Agreement Form Provider Adverse Incident Report Form - Massachusetts Behavioral Timely Filing Waiver Form - Masspartnership

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

The Oswestry Disability Index (ODI) is calculated based on each score of the ODQ, which consists of ten items. Each of the ten items is scored from 0 to 5, and the total is added and multiplied by 2. Therefore, the ODI ranges from 0 to 100. A higher score on the ODI indicates a more severe disability caused by LBP.

The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools [1].

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.

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.

Originally published in 1980, The Oswestry Disability Index (ODI) [1] is a validated, 10-point patient-reported outcome questionnaire. It is considered the 'gold standard' [2] for measuring disability and quality of life (QoL) impairment for adults with low back pain (LBP).

The score ranges from 0 (no disability) to 24 (max. disability) depending on the questionnaire used. [2] Roland and Morris omitted describing the various levels of disability (for example, 40%–60% of disability is severe).

The Oswestry Disability Index (ODI) is calculated based on each score of the ODQ, which consists of ten items. Each of the ten items is scored from 0 to 5, and the total is added and multiplied by 2. Therefore, the ODI ranges from 0 to 100. A higher score on the ODI indicates a more severe disability caused by LBP.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Low Back Oswestry Form
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program