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MODIFIED OSWESTRY LOW BACK PAIN …

409 North Sixth Street LoNgview, texaS 75601teLephoNe 903-758-2746 Fax 903-758-7127 #12804 4/2011 MODIFIED OSWESTRY LOW back pain disability INDEX (ODI)Purpose: The ODI is a disease-specific disability measure is used to establish a level of disability , stage a patient s acuity status1, and monitor change over : 1. The ODI is made up of 10 questions. Each question is scored from 0-5 (minimum to maximum).EXAMPLE: pain Intensity_____The pain is mild and comes and goes. (A check at this level is scored as 0)_____The pain is mild and does not vary much. (A check at this level is scored as 1)_____The pain is moderate and comes and goes. (A check at this level is scored as 2)_____The pain is moderate and does not vary much.

MODIFIED OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE Section 2 (con’t): To be completed by patient Standing _____I can stand as long as I want without increased pain.

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  Modified, Back, Pain, Disability, Oswestry, Modified oswestry low back pain, Modified oswestry low back pain disability

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