BioPsychoSocial
Assessment Tools for the Elderly - Assessment Summary Sheet
Test: Oswestry
Low Back Pain Disability Questionnaire
Year:
1980; Revised 1986
Domain:
Biological, Social
Variations/Translations:
A computerized version exists, a version was
developed for studies of chiropractic care omitted the section on
sex life, another version was created for North America removing
the section on sex life and adding one on employment/homemaking.
It has been translated into several different languages.
Assessment
Setting: Clinical
Method of
Delivery: Self-administered
questionnaire
Description:
The Oswestry questionnaire indicates
the extent to which a person’s functional level is
restricted by back or leg pain, concentrating on the effects
rather than nature of pain. It includes 10 six-pt scales which
rate the 1) intensity of pain and 2) the effect of pain on:
personal care; lifting; walking; sitting; standing; sleeping; sex
life; social life; and traveling. It represents a measurement of
disability due to pain, rather than pain as an impairment. It is
most often used in addition to VAS measures and the McGill Pain
Questionnaire.
Scoring/Interpretation:
Each section is scored on a 0-to-5 scale, with
higher values representing greater disability. The sum of 10
scores is expressed as a percentage of the maximum score; termed
the Oswestry Disability Index (ODI). ODI scores from 0 to 20
represent minimal disability, 20 to 40 represent moderate
disability, 40 to 60 represent severe disability, scores over 60
represent severe disability from pain in several areas of life.
Time to
Administer: Less than 5 minutes
Availability:
Available as appendix in several studies. Also
available online (see below)
Software: N/A
Website:
http://www.medicalcriteria.com/site/index.php?option=com_content&view=article&id=171:neurooswestry&catid=64:neurology&Itemid=80&lang=en
Quantitative/Qualitative:
Quantitative
Validity
(Quantitative): Oswestry scores
correlated -0.23 with the Sense of Coherence scale. An effect size
of 0.80 has been reported for the Oswestry questionnaire.
Reliability
(Quantitative): Test-retest
reliability of 0.99. Fairbank (1980) also reported “good
internal consistency” but offered no statistical summary.
References:
Fairbank, J.C.T.,
Couper, J., Davies, J.B., et al. (1980). The Oswestry Low Back
Pain Disability Questionnaire. Physiotherapy,
66, 271-273.
Comments:
There
remain few reports of the validity and reliability of this
instrument.
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