Modified Oswestry Low Back Pain Disability Questionnaire
Name:_______________________________________________ Date: _____/_____/______
Please Read:
This questionnaire has been designed to give your We realize you may feel that two of the statements in
doctor/therapist information as to how your back pain any one section relate to you, but please just mark the
has affected your ability to manage everyday life. box which most closely describes your current
Please answer every section, and mark in each section condition
only the one box that best describes your condition
today.
Section 1 Pain Intensity Section 6 Standing
I can tolerate the pain I have without having to use I can stand as long as I want without increased pain.
pain medication. I can stand as long as I want but increases my pain.
The pain is bad but I manage without having to take Pain prevents me from standing for more than 1
pain medication. hour.
Pain medication provides me complete relief from Pain prevents me from standing for more than
pain. hour.
Pain medication provides me moderate relief from Pain prevents me from standing for more than 10
pain. mins.
Pain medication provides me little relief from pain. Pain prevents me from standing at all.
Pain medication has no effect on the pain
Section 2 Personal Care (Washing, Dressing, etc.) Section 7 Sleeping
I can take care of myself normally without causing Pain does not prevent me from sleeping well.
increased pain. I can sleep well only by using pain medication.
I can take care of myself normally but it increases Even when I take pain medication, I sleep less than
my pain. 6 hours.
It is painful to take care of myself and I am slow Even when I take pain medication, I sleep less than
and careful. 4 hours.
I need help but I am able to manage most of my Even when I take pain medication, I sleep less than
personal care. 2 hours.
I need help every day in most aspects of my care. Pain prevents me from sleeping at all
I do not get dressed, wash with difficulty and stay
in bed.
Section 3 Lifting Section 8 Social Life
I can lift heavy weights without increased pain. My social life is normal and does not increase my
I can lift heavy weights but it causes increased pain. pain.
Pain prevents me from lifting heavy weights off the My social life is normal, but it increases my level of
floor, but I can manage if weights are conveniently pain.
positioned, e.g. on a table. Pain prevents me from participating in more
Pain prevents me from lifting heavy weights but I energetic activities (ex sports, dancing, etc.
can manage light to medium weights if they are Pain prevents me from going out very often.
conveniently positioned. Pain has restricted my social life to my home.
I can lift only very light weights. I have hardly any social life because of my pain.
I cannot lift or carry anything at all.
Section 4 - Walking Section 9 Traveling
Pain does not prevent me walking any distance. I can travel anywhere without increased pain.
Pain prevents me walking more than 1 mile. I can travel anywhere but it increases my pain.
Pain prevents me walking more than mile Pain restricts travel over 2 hours.
Pain prevents me walking more than mile Pain restricts travel over 1 hour.
I can only walk using crutches or a cane. Pain restricts my travel to short necessary journeys
I am in bed most of the time and have to crawl to under hour.
the toilet. Pain prevents all travel except for visits to the
doctor/therapist or hospital.
Section 5 - Sitting
I can it in any chair as long as I like.
I can only sit in my favorite chair as long as I like.
Pain prevents me sitting more than 1 hour.
Pain prevents me from sitting more than hour.
Pain prevents me from sitting more than 10 mins.
Pain prevents me from sitting at all.
Puntuacin total: 45- (5* N de items no contestados). X 100
Suma de puntuacin de tems contestados.
PORCENTAJE LIMITACIN FUNCIONAL IMPLICACIONES
No precisa tratamiento solo
0 20 %. Mnima
consejos posturales y ejercicio.
20 40%. Moderada Tratamiento conservador.
40 60%. Intensa Requiere estudio en profundidad.
60 80%. Discapacidad Requiere intervencin positiva.
Postrado en la cama o exagera sus
+ 80% Mxima
sntomas.
