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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

  • Patient ID or chart number
    Enter the local patient identifier used in your clinical system. Avoid collecting SSN or other unnecessary PII.
  • Assessment date
    Date the ODI was completed.
  • Visit type
    Select the visit type so the score can be compared appropriately.
  • Prior ODI score
    Enter the most recent prior ODI score if available for change-score tracking.
  • 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
  • Sex life
    Optional if not applicable or if the patient declines to answer.
  • Social life
  • Traveling

Scoring and Interpretation

  • Number of answered items
  • Raw ODI score
    Sum of item scores. If sex life is not answered, score based on answered items per local policy.
  • ODI percentage disability
    Calculated as the ODI percentage disability score.
  • Change from prior ODI score
    Positive values indicate improvement if the prior score is higher than the current score; negative values indicate worsening.
  • Minimal clinically important difference met?
    A change of 12.8 points represents the minimal clinically important difference (MCID).

Clinical Review

  • Clinician name
    Optional if your system captures the author automatically.
  • Clinical comments
    Optional notes about interpretation, patient tolerance, or reasons for any omitted item.
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