Description

The Oswestry Low Back Pain Disability Questionnaire can be used to assess patients with low back pain by determining its impact on the activities of daily living. It was developed at the Robert Jones and Agnes Hunt Orthopaedic Hospital, in Oswestry, Shropshire, England.


 

Questionnaire description:

(1) 10 sections describing the pain and its impact

(2) Each section scored from 0 to 5, with higher values indicating more severe impact.

 

Section 1: Pain Intensity

Section 2: Personal Care

Section 3: Lifting

Section 4: Walking

Section 5: Sitting

Section 6: Standing

Section 7: Sleeping

Section 8: Sex Life

Section 9: Social Life

Section 10: Travelling

 

total score =

= SUM(points for all 10 sections)

 

disability in percent =

= (total score) / 50 * 100

 

If not all of the questions are answered, then

 

disability in percent =

= (total score) / (5 * (number of questions answered)) * 100

 

Interpretation:

• 0% to 20%: minimal disability: The patient can cope with most living activities. Usually no treatment is indicated apart from advice on lifting, sitting and exercise.

• 21%-40%: moderate disability: The patient experiences more pain and difficulty with sitting, lifting and standing. Travel and social life are more difficult and they may be disabled from work. Personal care, sexual activity and sleeping are not grossly affected, and the patient can usually be managed by conservative means.

• 41%-60%: severe disability. Pain remains the main problem in this group but activities of daily living are affected. These patients require a detailed investigation.

• 61%-80%: crippled. Back pain impinges on all aspects of the patient's life. Positive intervention is required.

• 81%-100%: These patients are either bed-bound or exaggerating their symptoms.

 


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