Oswestry Disability Index Scoring Sheet
Oswestry Disability Index Scoring Sheet
Administers and scores the Oswestry Disability Index (ODI) for low back pain at initial evaluation and discharge, including change-score tracking against the 12.8-point minimal clinically important difference.
Assessment Context
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Patient ID or chart number
Enter the local patient identifier used in your clinical system. Avoid collecting SSN or other unnecessary PII.
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Assessment date
Date the ODI was completed.
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Visit type
Select the visit type so the score can be compared appropriately.
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Prior ODI score
Enter the most recent prior ODI score if available for change-score tracking.
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Assessment notes
Optional clinical context relevant to scoring interpretation. Do not include unnecessary PII.
Oswestry Disability Index Items
- Pain intensity
- Personal care
- Lifting
- Walking
- Sitting
- Standing
- Sleeping
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Sex life
Optional if not applicable or if the patient declines to answer.
- Social life
- Traveling
Scoring and Interpretation
- Number of answered items
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Raw ODI score
Sum of item scores. If sex life is not answered, score based on answered items per local policy.
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ODI percentage disability
Calculated as the ODI percentage disability score.
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Change from prior ODI score
Positive values indicate improvement if the prior score is higher than the current score; negative values indicate worsening.
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Minimal clinically important difference met?
A change of 12.8 points represents the minimal clinically important difference (MCID).
Clinical Review
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Clinician name
Optional if your system captures the author automatically.
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Clinical comments
Optional notes about interpretation, patient tolerance, or reasons for any omitted item.
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