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How to use or fill out the Revised Owestry Low Back Pain Questionnaire online
The Revised Owestry Low Back Pain Questionnaire is a vital tool designed to evaluate the impact of back pain on your daily activities. This guide will assist you in accurately completing the questionnaire online, ensuring that your responses reflect your current condition.
Follow the steps to accurately complete the questionnaire online.
- Press the ‘Get Form’ button to access the questionnaire and open it in the editor.
- Begin by entering your name and the date at the top of the form. This identifies your submission and helps keep track of your responses.
- Each section of the questionnaire relates to a specific aspect of daily living affected by back pain. Read the instructions provided at the beginning of each section carefully.
- In Section 1, 'Pain intensity', circle the one statement that best describes your current level of pain. Choose the option that reflects your experience accurately.
- Proceed to Section 2, 'Personal care', and consider how back pain influences your ability to wash and dress. Circle the statement that is most applicable.
- Continue with Section 3, 'Lifting'. Evaluate your capacity to lift weights and circle the response that resonates with your current situation.
- In Section 4, 'Walking', assess your walking capacity in relation to pain. Circle the answer that you find most fitting.
- Move on to Section 5, 'Sitting'. Reflect on your ability to sit comfortably and choose the most appropriate statement.
- For Section 6, 'Standing', determine how long you can stand before experiencing pain and circle the corresponding choice.
- Section 7, 'Sleeping', requires you to evaluate the impact of pain on your sleep. Circle the statement that best describes your situation.
- In Section 8, 'Social life', consider how back pain affects your social interactions and select the answer that aligns with your experience.
- Section 9 focuses on 'Traveling'. Assess how pain influences your travel capabilities and make your choice.
- Lastly, in Section 10, 'Changing degree of pain', reflect on the progression of your pain and circle the statement that best describes your condition.
- If there is any additional comment you would like to add, write it in the comment section provided.
- Finally, sign and date the questionnaire at the bottom to verify that the information provided is accurate and complete.
- Review your responses for accuracy. Once satisfied, you can save the completed form, download it, print a copy, or share it as needed.
Complete your Revised Owestry Low Back Pain Questionnaire online today for effective management of your back pain.
Related links form
Interpreting the Oswestry Disability Index requires understanding that higher indexes represent higher disability levels. A detailed analysis of the index allows healthcare providers to assess the impact of pain on the patient's daily life. Utilizing tools like the Revised Oswestry Low Back Pain Questionnaire can significantly enhance interpretation accuracy and treatment efficacy.
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Please read: This questionnaire is designed to enable us to understand how much your low back pain has affected your ability to. For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5. This questionnaire has been designed to give your therapist information as to how your back pain has affected your ability to manage in everyday life. Patient name: Date: This questionnaire has been designed to give the doctor information as to how your back pain has affected your ability to manage everyday. The pain comes and goes and is very mild. ❑B. The pain is mild and does not vary much. ❑C. Fairbank, Jeremy MD, FRCS. Section 1 – Pain Intensity. □ I can tolerate the pain I have without having to use pain medication. Please Read: This questionnaire is designed to enable us to understand how much your pain has affected your ability to manage everyday activities.
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