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Run: Oswestry Disability Index Scoring Sheet

Oswestry Disability Index Scoring Sheet template for documenting ODI responses, calculating the disability percentage, and comparing change from a prior scor...

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Assessment Context

Patient ID or chart number (required)

Enter the local patient identifier used in your clinical system. Avoid collecting SSN or other unnecessary PII.

Assessment date (required)

Date the ODI was completed.

Visit type (required)

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 (required)

Personal care (required)

Lifting (required)

Walking (required)

Sitting (required)

Standing (required)

Sleeping (required)

Sex life

Optional if not applicable or if the patient declines to answer.

Social life (required)

Traveling (required)

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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