Journal ArticleDOI
The Oswestry Disability Index.
Jeremy Fairbank,Paul Pynsent +1 more
TLDR
The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure, and the process of using the ODI is reviewed and should be the subject of further research.Abstract:
Study design The Oswestry Disability Index (ODI) has become one of the principal condition-specific outcome measures used in the management of spinal disorders. This review is based on publications using the ODI identified from the authors' personal databases, the Science Citation Index, and hand searches of Spine and current textbooks of spinal disorders. Objectives To review the versions of this instrument, document methods by which it has been validated, collate data from scores found in normal and back pain populations, provide curves for power calculations in studies using the ODI, and maintain the ODI as a gold standard outcome measure. Summary of background data It has now been 20 years since its original publication. More than 200 citations exist in the Science Citation Index. The authors have a large correspondence file relating to the ODI, that is cited in most of the large textbooks related to spinal disorders. Methods All the published versions of the questionnaire were identified. A systematic review of this literature was made. The various reports of validation were collated and related to a version. Results Four versions of the ODI are available in English and nine in other languages. Some published versions contain misprints, and many omit the scoring system. At least 114 studies contain usable data. These data provide both validation and standards for other users and indicate the power of the instrument for detecting change in sample populations. Conclusions The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure. The process of using the ODI is reviewed and should be the subject of further research. The receiver operating characteristics should be explored in a population with higher self-report disabilities. The behavior of the instrument is incompletely understood, particularly in sensitivity to real change.read more
Citations
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Journal ArticleDOI
The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire.
Martin Roland,Jeremy Fairbank +1 more
TL;DR: These two widely used measures, the Roland–Morris Disability Questionnaire (RDQ) or the Oswestry Disability Index (ODI), are described and evidence of their validity and reliability and some comparative results obtained with the use of the two questionnaires are provided.
Journal ArticleDOI
Responsiveness of the Numeric Pain Rating Scale in Patients with Low Back Pain
TL;DR: Clinicians can be confident that a 2-point change on the numerical pain rating scale (NPRS) represents clinically meaningful change that exceeds the bounds of measurement error.
Journal ArticleDOI
Surgical versus Nonsurgical Therapy for Lumbar Spinal Stenosis
James Neil Weinstein,Tor D. Tosteson,Jon D. Lurie,Anna N. A. Tosteson,Emily A. Blood,Brett Hanscom,Harry N. Herkowitz,Frank P. Cammisa,Todd J. Albert,Scott D. Boden,Alan S. Hilibrand,Harley Goldberg,Sigurd Berven,Howard S. An +13 more
TL;DR: Patients who underwent surgery showed significantly more improvement in all primary outcomes than did patients who were treated nonsurgically, and the combined as-treated analysis showed a significant advantage for surgery by 3 months for allPrimary outcomes.
Journal ArticleDOI
Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome.
Krishna Kumar,Rod S Taylor,Line Jacques,Sam Eldabe,Mario Meglio,Joan Molet,Simon Thomson,Jim O'Callaghan,Elon Eisenberg,Germain Milbouw,Eric Buchser,Gianpaolo Fortini,Jonathan Richardson,Richard B. North +13 more
TL;DR: In selected patients with FBSS, SCS provides better pain relief and improves health‐related quality of life and functional capacity compared with CMM alone.
Journal ArticleDOI
Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales.
Anne G. Copay,Steven D. Glassman,Brian R. Subach,Sigurd Berven,Thomas C. Schuler,Leah Y. Carreon +5 more
TL;DR: A review of prospectively collected patient-reported outcomes data shows the minimum detectable change (MDC) appears as a statistically and clinically appropriate MCID value.
References
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ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS: A Practical Scale
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