Template:Oswestry: Difference between revisions
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'''Oswestry Low Back Disability Questionnaire''' | |||
<div class="oswestry-container"> | |||
{| class="wikitable" | {| class="wikitable" | ||
!colspan="3"|1. PAIN INTENSITY | !colspan="3"|1. PAIN INTENSITY | ||
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|<html><input class="start-item" name="one" type="radio" id="q1-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="one" type="radio" id="q1-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|2. PERSONAL CARE (e.g. Washing, Dressing) | !colspan="3"|2. PERSONAL CARE (e.g. Washing, Dressing) | ||
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|<html><input class="start-item" name="two" type="radio" id="q2-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="two" type="radio" id="q2-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|3. LIFTING | !colspan="3"|3. LIFTING | ||
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|<html><input class="start-item" name="three" type="radio" id="q3-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="three" type="radio" id="q3-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|4. WALKING | !colspan="3"|4. WALKING | ||
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|<html><input class="start-item" name="four" type="radio" id="q4-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="four" type="radio" id="q4-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|5. SITTING | !colspan="3"|5. SITTING | ||
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|<html><input class="start-item" name="five" type="radio" id="q5-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="five" type="radio" id="q5-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|6. STANDING | !colspan="3"|6. STANDING | ||
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|<html><input class="start-item" name="six" type="radio" id="q6-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="six" type="radio" id="q6-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|7. SLEEPING | !colspan="3"|7. SLEEPING | ||
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|<html><input class="start-item" name="seven" type="radio" id="q7-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="seven" type="radio" id="q7-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|8. SOCIAL LIFE | !colspan="3"|8. SOCIAL LIFE | ||
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|<html><input class="start-item" name="eight" type="radio" id="q8-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="eight" type="radio" id="q8-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|9. TRAVELLING | !colspan="3"|9. TRAVELLING | ||
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|<html><input class="start-item" name="nine" type="radio" id="q9-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="nine" type="radio" id="q9-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|10. EMPLOYMENT/HOMEMAKING | !colspan="3"|10. EMPLOYMENT/HOMEMAKING | ||
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|<html><input class="start-item" name="ten" type="radio" id="q10-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="ten" type="radio" id="q10-5" value="50" onclick="window.startScore(this);" /></html> | ||
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! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">No disability</span></div><div><span class="score">Score: 0</span></div></div> | |} | ||
</div> | |||
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! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around; width=100%"><div>Result</div><div><span class="interpretation" style="color: green;">No disability</span></div><div><span class="score">Score: 0</span></div></div> | |||
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.oswestry-container { | |||
display: grid; | |||
grid-template-columns: 1fr 1fr; | |||
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</style></html></div> | |||
<noinclude>[[Category:Calculators]]</noinclude> | <noinclude>[[Category:Calculators]]</noinclude> | ||
Revision as of 08:33, 10 April 2022
Oswestry Low Back Disability Questionnaire
| 1. PAIN INTENSITY | ||
|---|---|---|
| I can tolerate the pain I have without having to use pain killers | ||
| The pain is bad but I manage without taking pain killers | ||
| Pain killers give complete relief from pain | ||
| Pain killers give moderate relief from pain | ||
| Pain killers give very little relief from pain | ||
| Pain killers have no effect on the pain and I do not use them | ||
| 2. PERSONAL CARE (e.g. Washing, Dressing) | ||
|---|---|---|
| I can look after myself normally without causing extra pain | ||
| I can look after myself normally but it causes extra pain | ||
| It is painful to look after myself and I am slow and careful | ||
| I need some help but manage most of my personal care | ||
| I need help every day in most aspects of self care | ||
| I don’t get dressed, I was with difficulty and stay in bed | ||
| 3. LIFTING | ||
|---|---|---|
| I can lift heavy weights without extra pain | ||
| I can lift heavy weights but it gives extra pain | ||
| Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned, i.e. on a table | ||
| Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned | ||
| I can lift very light weights | ||
| I cannot lift or carry anything at all | ||
| 4. WALKING | ||
|---|---|---|
| Pain does not prevent me walking any distance | ||
| Pain prevents me walking more than one mile | ||
| Pain prevents me walking more than ½ mile | ||
| Pain prevents me walking more than ¼ mile | ||
| I can only walk using a stick or crutches | ||
| I am in bed most of the time and have to crawl to the toilet | ||
| 5. SITTING | ||
|---|---|---|
| I can sit in any chair as long as I like | ||
| I can only sit in my favourite chair as long as I like | ||
| Pain prevents me from sitting more than one hour | ||
| Pain prevents me from sitting more than ½ hour | ||
| Pain prevents me from sitting more than 10 minutes | ||
| Pain prevents me from sitting at all | ||
| 6. STANDING | ||
|---|---|---|
| I can stand as long as I want without extra pain | ||
| I can stand as long as I want but it gives me extra pain | ||
| Pain prevents me from standing for more than one hour | ||
| Pain prevents me from standing for more than 30 minutes | ||
| Pain prevents me from standing for more than 10 minutes | ||
| Pain prevents me from standing at all | ||
| 7. SLEEPING | ||
|---|---|---|
| Pain does not prevent me from sleeping well | ||
| I can sleep well only by using medication | ||
| Even when I take medication, I have less than 6 hrs sleep | ||
| Even when I take medication, I have less than 4 hrs sleep | ||
| Even when I take medication, I have less than 2 hrs sleep | ||
| Pain prevents me from sleeping at all | ||
| 8. SOCIAL LIFE | ||
|---|---|---|
| My social life is normal and gives me no extra pain | ||
| My social life is normal but increases the degree of pain | ||
| Pain has no significant effect on my social life apart from limiting my more energetic interests, i.e. dancing, etc. | ||
| Pain has restricted my social life and I do not go out as often | ||
| Pain has restricted my social life to my home | ||
| I have no social life because of pain | ||
| 9. TRAVELLING | ||
|---|---|---|
| I can travel anywhere without extra pain | ||
| I can travel anywhere but it gives me extra pain | ||
| Pain is bad, but I manage journeys over 2 hours | ||
| Pain restricts me to journeys of less than 1 hour | ||
| Pain restricts me to short necessary journeys under 30 minutes | ||
| Pain prevents me from traveling except to the doctor or hospital | ||
| 10. EMPLOYMENT/HOMEMAKING | ||
|---|---|---|
| My normal homemaking/ job activities do not cause pain | ||
| My normal homemaking/ job activities increase my pain, but I can still perform all that is required of me | ||
| I can perform most of my homemaking/ job duties, but pain prevents me from performing more physically stressful activities (e.g. lifting, vacuuming) | ||
| Pain prevents me from doing anything but light duties. | ||
| Pain prevents me from doing even light duties. | ||
| Pain prevents me from performing any job or homemaking chores | ||
Result No disability Score: 0 |
|---|
