Template:Oswestry: Difference between revisions
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|colspan="2"|The pain is bad but I manage without taking pain killers | |colspan="2"|The pain is bad but I manage without taking pain killers | ||
|<html><input class="start-item score1" id="q1-1" name="one" type="radio" value=" | |<html><input class="start-item score1" id="q1-1" name="one" type="radio" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain killers give complete relief from pain | |colspan="2"|Pain killers give complete relief from pain | ||
|<html><input class="start-item score1" name="one" type="radio" id="q1-2" value=" | |<html><input class="start-item score1" name="one" type="radio" id="q1-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain killers give moderate relief from pain | |colspan="2"|Pain killers give moderate relief from pain | ||
|<html><input class="start-item score1" id="q1-3" name="one" type="radio" value=" | |<html><input class="start-item score1" id="q1-3" name="one" type="radio" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain killers give very little relief from pain | |colspan="2"|Pain killers give very little relief from pain | ||
|<html><input class="start-item score1" name="one" type="radio" id="q1-4" value=" | |<html><input class="start-item score1" name="one" type="radio" id="q1-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain killers have no effect on the pain and I do not use them | |colspan="2"|Pain killers have no effect on the pain and I do not use them | ||
|<html><input class="start-item score1" name="one" type="radio" id="q1-5" value=" | |<html><input class="start-item score1" name="one" type="radio" id="q1-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
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|- | |- | ||
|colspan="2"| I can look after myself normally but it causes extra pain | |colspan="2"| I can look after myself normally but it causes extra pain | ||
|<html><input class="start-item score2" id="q2-1" name="two" type="radio" value=" | |<html><input class="start-item score2" id="q2-1" name="two" type="radio" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|It is painful to look after myself and I am slow and careful | |colspan="2"|It is painful to look after myself and I am slow and careful | ||
|<html><input class="start-item score2" name="two" type="radio" id="q2-2" value=" | |<html><input class="start-item score2" name="two" type="radio" id="q2-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I need some help but manage most of my personal care | |colspan="2"|I need some help but manage most of my personal care | ||
|<html><input class="start-item score2" id="q2-3" name="two" type="radio" value=" | |<html><input class="start-item score2" id="q2-3" name="two" type="radio" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I need help every day in most aspects of self care | |colspan="2"|I need help every day in most aspects of self care | ||
|<html><input class="start-item score2" name="two" type="radio" id="q2-4" value=" | |<html><input class="start-item score2" name="two" type="radio" id="q2-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I don’t get dressed, I wash with difficulty and stay in bed | |colspan="2"|I don’t get dressed, I wash with difficulty and stay in bed | ||
|<html><input class="start-item score2" name="two" type="radio" id="q2-5" value=" | |<html><input class="start-item score2" name="two" type="radio" id="q2-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 52: | Line 52: | ||
|- | |- | ||
|colspan="2"|I can lift heavy weights but it gives extra pain | |colspan="2"|I can lift heavy weights but it gives extra pain | ||
|<html><input class="start-item score3" id="q3-1" name="three" type="radio" value=" | |<html><input class="start-item score3" id="q3-1" name="three" type="radio" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned, i.e. on a table | |colspan="2"|Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned, i.e. on a table | ||
|<html><input class="start-item score3" name="three" type="radio" id="q3-2" value=" | |<html><input class="start-item score3" name="three" type="radio" id="q3-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned | |colspan="2"|Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned | ||
|<html><input class="start-item score3" id="q3-3" name="three" type="radio" value=" | |<html><input class="start-item score3" id="q3-3" name="three" type="radio" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I can lift very light weights | |colspan="2"|I can lift very light weights | ||
|<html><input class="start-item score3" name="three" type="radio" id="q3-4" value=" | |<html><input class="start-item score3" name="three" type="radio" id="q3-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I cannot lift or carry anything at all | |colspan="2"|I cannot lift or carry anything at all | ||
|<html><input class="start-item score3" name="three" type="radio" id="q3-5" value=" | |<html><input class="start-item score3" name="three" type="radio" id="q3-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 74: | Line 74: | ||
|- | |- | ||
|colspan="2"|Pain prevents me walking more than one mile | |colspan="2"|Pain prevents me walking more than one mile | ||
|<html><input class="start-item score4" id="q4-1" name="four" type="radio" value=" | |<html><input class="start-item score4" id="q4-1" name="four" type="radio" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me walking more than ½ mile | |colspan="2"|Pain prevents me walking more than ½ mile | ||
|<html><input class="start-item score4" name="four" type="radio" id="q4-2" value=" | |<html><input class="start-item score4" name="four" type="radio" id="q4-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me walking more than ¼ mile | |colspan="2"|Pain prevents me walking more than ¼ mile | ||
|<html><input class="start-item score4" id="q4-3" name="four" type="radio" value=" | |<html><input class="start-item score4" id="q4-3" name="four" type="radio" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I can only walk using a stick or crutches | |colspan="2"|I can only walk using a stick or crutches | ||
|<html><input class="start-item score4" name="four" type="radio" id="q4-4" value=" | |<html><input class="start-item score4" name="four" type="radio" id="q4-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I am in bed most of the time and have to crawl to the toilet | |colspan="2"|I am in bed most of the time and have to crawl to the toilet | ||
|<html><input class="start-item score4" name="four" type="radio" id="q4-5" value=" | |<html><input class="start-item score4" name="four" type="radio" id="q4-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 96: | Line 96: | ||
|- | |- | ||
|colspan="2"|I can only sit in my favourite chair as long as I like | |colspan="2"|I can only sit in my favourite chair as long as I like | ||
|<html><input class="start-item score5" id="q5-1" name="five" type="radio" value=" | |<html><input class="start-item score5" id="q5-1" name="five" type="radio" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from sitting more than one hour | |colspan="2"|Pain prevents me from sitting more than one hour | ||
|<html><input class="start-item score5" name="five" type="radio" id="q5-2" value=" | |<html><input class="start-item score5" name="five" type="radio" id="q5-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from sitting more than ½ hour | |colspan="2"|Pain prevents me from sitting more than ½ hour | ||
|<html><input class="start-item score5" id="q5-3" name="five" type="radio" value=" | |<html><input class="start-item score5" id="q5-3" name="five" type="radio" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from sitting more than 10 minutes | |colspan="2"|Pain prevents me from sitting more than 10 minutes | ||
|<html><input class="start-item score5" name="five" type="radio" id="q5-4" value=" | |<html><input class="start-item score5" name="five" type="radio" id="q5-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from sitting at all | |colspan="2"|Pain prevents me from sitting at all | ||
|<html><input class="start-item score5" name="five" type="radio" id="q5-5" value=" | |<html><input class="start-item score5" name="five" type="radio" id="q5-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 118: | Line 118: | ||
|- | |- | ||
|colspan="2"|I can stand as long as I want but it gives me extra pain | |colspan="2"|I can stand as long as I want but it gives me extra pain | ||
|<html><input class="start-item score6" name="six" type="radio" id="q6-1" value=" | |<html><input class="start-item score6" name="six" type="radio" id="q6-1" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from standing for more than one hour | |colspan="2"|Pain prevents me from standing for more than one hour | ||
|<html><input class="start-item score6" name="six" type="radio" id="q6-2" value=" | |<html><input class="start-item score6" name="six" type="radio" id="q6-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from standing for more than 30 minutes | |colspan="2"|Pain prevents me from standing for more than 30 minutes | ||
|<html><input class="start-item score6" name="six" type="radio" id="q6-3" value=" | |<html><input class="start-item score6" name="six" type="radio" id="q6-3" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from standing for more than 10 minutes | |colspan="2"|Pain prevents me from standing for more than 10 minutes | ||
|<html><input class="start-item score6" name="six" type="radio" id="q6-4" value=" | |<html><input class="start-item score6" name="six" type="radio" id="q6-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from standing at all | |colspan="2"|Pain prevents me from standing at all | ||
|<html><input class="start-item score6" name="six" type="radio" id="q6-5" value=" | |<html><input class="start-item score6" name="six" type="radio" id="q6-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 140: | Line 140: | ||
|- | |- | ||
|colspan="2"|I can sleep well only by using medication | |colspan="2"|I can sleep well only by using medication | ||
|<html><input class="start-item score7" name="seven" type="radio" id="q7-1" value=" | |<html><input class="start-item score7" name="seven" type="radio" id="q7-1" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Even when I take medication, I have less than 6 hrs sleep | |colspan="2"|Even when I take medication, I have less than 6 hrs sleep | ||
|<html><input class="start-item score7" name="seven" type="radio" id="q7-2" value=" | |<html><input class="start-item score7" name="seven" type="radio" id="q7-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Even when I take medication, I have less than 4 hrs sleep | |colspan="2"|Even when I take medication, I have less than 4 hrs sleep | ||
|<html><input class="start-item score7" name="seven" type="radio" id="q7-3" value=" | |<html><input class="start-item score7" name="seven" type="radio" id="q7-3" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Even when I take medication, I have less than 2 hrs sleep | |colspan="2"|Even when I take medication, I have less than 2 hrs sleep | ||
|<html><input class="start-item score7" name="seven" type="radio" id="q7-4" value=" | |<html><input class="start-item score7" name="seven" type="radio" id="q7-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from sleeping at all | |colspan="2"|Pain prevents me from sleeping at all | ||
|<html><input class="start-item score7" name="seven" type="radio" id="q7-5" value=" | |<html><input class="start-item score7" name="seven" type="radio" id="q7-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 162: | Line 162: | ||
|- | |- | ||
|colspan="2"|My social life is normal but increases the degree of pain | |colspan="2"|My social life is normal but increases the degree of pain | ||
|<html><input class="start-item score8" name="eight" type="radio" id="q8-1" value=" | |<html><input class="start-item score8" name="eight" type="radio" id="q8-1" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain has no significant effect on my social life apart from limiting my more energetic interests, i.e. dancing, etc. | |colspan="2"|Pain has no significant effect on my social life apart from limiting my more energetic interests, i.e. dancing, etc. | ||
|<html><input class="start-item score8" name="eight" type="radio" id="q8-2" value=" | |<html><input class="start-item score8" name="eight" type="radio" id="q8-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain has restricted my social life and I do not go out as often | |colspan="2"|Pain has restricted my social life and I do not go out as often | ||
|<html><input class="start-item score8" name="eight" type="radio" id="q8-3" value=" | |<html><input class="start-item score8" name="eight" type="radio" id="q8-3" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain has restricted my social life to my home | |colspan="2"|Pain has restricted my social life to my home | ||
|<html><input class="start-item score8" name="eight" type="radio" id="q8-4" value=" | |<html><input class="start-item score8" name="eight" type="radio" id="q8-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|I have no social life because of pain | |colspan="2"|I have no social life because of pain | ||
|<html><input class="start-item score8" name="eight" type="radio" id="q8-5" value=" | |<html><input class="start-item score8" name="eight" type="radio" id="q8-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 184: | Line 184: | ||
|- | |- | ||
|colspan="2"|I can travel anywhere but it gives me extra pain | |colspan="2"|I can travel anywhere but it gives me extra pain | ||
|<html><input class="start-item score9" name="nine" type="radio" id="q9-1" value=" | |<html><input class="start-item score9" name="nine" type="radio" id="q9-1" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain is bad, but I manage journeys over 2 hours | |colspan="2"|Pain is bad, but I manage journeys over 2 hours | ||
|<html><input class="start-item score9" name="nine" type="radio" id="q9-2" value=" | |<html><input class="start-item score9" name="nine" type="radio" id="q9-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain restricts me to journeys of less than 1 hour | |colspan="2"|Pain restricts me to journeys of less than 1 hour | ||
|<html><input class="start-item score9" name="nine" type="radio" id="q9-3" value=" | |<html><input class="start-item score9" name="nine" type="radio" id="q9-3" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain restricts me to short necessary journeys under 30 minutes | |colspan="2"|Pain restricts me to short necessary journeys under 30 minutes | ||
|<html><input class="start-item score9" name="nine" type="radio" id="q9-4" value=" | |<html><input class="start-item score9" name="nine" type="radio" id="q9-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from traveling except to the doctor or hospital | |colspan="2"|Pain prevents me from traveling except to the doctor or hospital | ||
|<html><input class="start-item score9" name="nine" type="radio" id="q9-5" value=" | |<html><input class="start-item score9" name="nine" type="radio" id="q9-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 206: | Line 206: | ||
|- | |- | ||
|colspan="2"|My normal homemaking/ job activities increase my pain, but I can still perform all that is required of me | |colspan="2"|My normal homemaking/ job activities increase my pain, but I can still perform all that is required of me | ||
|<html><input class="start-item score10" name="ten" type="radio" id="q10-1" value=" | |<html><input class="start-item score10" name="ten" type="radio" id="q10-1" value="1" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"| I can perform most of my homemaking/ job duties, but pain prevents me from performing more physically stressful activities (e.g. lifting, vacuuming) | |colspan="2"| I can perform most of my homemaking/ job duties, but pain prevents me from performing more physically stressful activities (e.g. lifting, vacuuming) | ||
|<html><input class="start-item score10" name="ten" type="radio" id="q10-2" value=" | |<html><input class="start-item score10" name="ten" type="radio" id="q10-2" value="2" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from doing anything but light duties. | |colspan="2"|Pain prevents me from doing anything but light duties. | ||
|<html><input class="start-item score10" name="ten" type="radio" id="q10-3" value=" | |<html><input class="start-item score10" name="ten" type="radio" id="q10-3" value="3" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from doing even light duties. | |colspan="2"|Pain prevents me from doing even light duties. | ||
|<html><input class="start-item score10" name="ten" type="radio" id="q10-4" value=" | |<html><input class="start-item score10" name="ten" type="radio" id="q10-4" value="4" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|colspan="2"|Pain prevents me from performing any job or homemaking chores | |colspan="2"|Pain prevents me from performing any job or homemaking chores | ||
|<html><input class="start-item score10" name="ten" type="radio" id="q10-5" value=" | |<html><input class="start-item score10" name="ten" type="radio" id="q10-5" value="5" onclick="window.startScore(this);" /></html> | ||
|- | |- | ||
|} | |} | ||
| Line 319: | Line 319: | ||
score10 += parseInt($(this).attr("value").replace(",", ".")); | score10 += parseInt($(this).attr("value").replace(",", ".")); | ||
}); | }); | ||
// Original version | // Original version | ||
Revision as of 10:43, 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 wash 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 | ||
| RESULTS | Score |
|---|---|
| Q1. PAIN INTENSITY | 0 |
| Q2. PERSONAL CARE | 0 |
| Q3. LIFTING | 0 |
| Q4. WALKING | 0 |
| Q5. SITTING | 0 |
| Q6. STANDING | 0 |
| Q7. SLEEPING | 0 |
| Q8. SOCIAL LIFE | 0 |
| Q9. TRAVELLING | 0 |
| Q10. EMPLOYMENT/HOMEMAKING | 0 |
| No disability | Total: 0 |
