Oswestry Disability Index Scoring Sheet

Administer and score the Oswestry Disability Index (ODI) for low back pain at initial evaluation and discharge, including interpretation of clinically meaningful change.

Screening Context

• Assessment Date
  Date the ODI was completed.
• Assessment Type
  Select whether this is the baseline or discharge administration.
• Patient Identifier
  Use the minimum necessary identifier used by your organization for record matching. Do not enter SSN.
• Completed By
  Optional clinician or staff name/initials for audit trail.

ODI Item Responses

• Pain Intensity
• Personal Care
• Lifting
• Walking
• Sitting
• Standing
• Sleeping
• Social Life
• Traveling
• Employment Status
  Optional context for interpretation. Do not collect more employment detail than needed.

Scoring and Interpretation

• ODI Total Score
  Sum of the 9 scored items entered above.
• ODI Percentage Disability
  Calculated percentage disability based on the total score.
• Baseline ODI Score
  Enter the prior ODI total score if this is a discharge reassessment.
• Change From Baseline
  Positive values indicate improvement when comparing baseline to discharge.
• Minimal Clinically Important Difference Met?
  Use the 12.8-point threshold to interpret meaningful change when a baseline score is available.
• Clinical Notes
  Optional interpretation, limitations, or follow-up actions. Avoid unnecessary PII.