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  • Oswestry Low Back Pain Disability Questionnaire Word Document

Get Oswestry Low Back Pain Disability Questionnaire Word Document

MODIFIED OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE Section 1: To be completed by patient. Name: Age: Date: Occupation: Number of days of back pain: (this episode) Section 2: To be completed.

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How to fill out the Oswestry Low Back Pain Disability Questionnaire Word Document online

The Oswestry Low Back Pain Disability Questionnaire is designed to assess how back pain affects daily activities. This guide will provide step-by-step instructions for filling out this important document online to ensure that you accurately convey your condition.

Follow the steps to successfully complete the questionnaire.

  1. Click the ‘Get Form’ button to access the questionnaire and open it in your preferred editor.
  2. Begin by completing Section 1: Enter your name, age, date, occupation, and the number of days you have experienced back pain during this episode.
  3. Proceed to Section 2: This section contains multiple-choice statements divided into different categories. For each category, carefully read the options and select the response that best describes your condition today by marking the line.
  4. Address the 'Pain Intensity' category first, ensuring you choose the statement that feels most accurate for your current pain level.
  5. Next, fill out the 'Personal Care' section, stating your ability to manage washing and dressing as it pertains to your pain level.
  6. Continue with the 'Lifting' category, indicating your ability to lift various weights and the impact of pain on this activity.
  7. Move to the 'Walking' category and assess how pain affects your ability to walk different distances.
  8. In the 'Sitting' section, describe your experience with pain while sitting, including duration and comfort level.
  9. Complete the sections for 'Standing,' 'Sleeping,' 'Social Life,' 'Traveling,' and 'Employment/Homemaking' in the same manner, marking the response that reflects your current abilities and pain levels.
  10. Lastly, save your progress. You can download, print, or share the form as required once you have completed all sections.

Complete the Oswestry Low Back Pain Disability Questionnaire online to ensure accurate assessment of your condition.

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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.

If all ten sections are completed the score is calculated as follows: Example: 16 (total scored) 50 (total possible score) x 100 = 32% If one section is missed or not applicable the score is calculated: 16 (total scored) 45 (total possible score) x 100 = 35.5% Minimum Detectable Change (90% confidence): 10%points ( ...

Each question is scored on a scale of 0 5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100).

Each question is scored on a scale of 0 5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100).

ODI is measured by a pulse oximeter, which is a device typically placed on the fingertip that shines a red light on the skin and can estimate the amount of oxygen in the peripheral blood.

The ODI score (index) is calculated as: For example: If all 10 sections are completed the score is calculated as follows: if 16 (total scored) out of 50 (total possible score) x 100 = 32% If one section is missed (or not applicable) the score is calculated: If 16 (total scored) / 45 (total possible score) x 100 = 35.5% ...

The items of the questionnaire are assessed on a 0 10 numeric rating scale in which 0 means no disability and 10 is maximum disability. The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities.

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 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.

Statement 1 is graded as 0 points; statement 6 is graded as 5 points. A total score of 50 is thus possible and would indicate 100% disability. So, for example, a total score of 10 of a possible 50 would constitute a 20% disability. This group can cope with most living activities.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
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
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232