The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure .
The behavior of the instrument is incompletely understood , particularly in sensitivity to real change .
The Oswestry Disability Index ( ODI ) has become one of the principal condition-specific outcome measures used in the management of spinal disorders .
To review the versions of this instrument , document methods by which it has been vali date d , collate data from scores found in normal and back pain population s , provide curves for power calculations in studies using the ODI , and maintain the ODI as a gold st and ard outcome measure .
It has now been 20 years since its original publication .
Low back pain of mechanical origin: randomized comparison of chiropractic and hospital outpatient treatment.
Reprinted with permission from the British Medical Journal 300:1431 - 1437.1990 . Objective - To compare chiropractic and hospital outpatient treatment for managing low back pain of mechanical origin . Design - R and omized controlled trial . Allocation to chiropractic or hospital management by minimization to establish groups for analysis of results according to initial referral clinic , length of current episode , history , and severity of back pain . Patients were followed up for up to two years . Setting - Chiropractic and hospital outpatient clinics in 11 centers . Patients - 741 patients aged 18 - 65 who had no contraindications to manipulation and who had not been treated within the past month . Interventions - Treatment at the discretion of the chiropractors , who used chiropractic manipulation in most patients , or of the hospital staff , who most commonly used Maitl and mobilization or manipulation , or both . Main outcome measures - Changes in the score on the Oswestry pain disability question naire and in the results of tests of straight leg raising and lumbar flexion . Results - Chiropractic treatment was more effective than hospital outpatient management , mainly for patients with chronic or severe back pain . A benefit of about 7 percent points on the Oswestry scale was seen at two years . The benefit of chiropractic treatment became more evident throughout the follow-up period . Secondary outcome measures also showed that chiropractic was more beneficial . Conclusions - For patients with low back pain in whom manipulation is not contraindicated , chiropractic almost certainly confers worthwhile , long-term benefit in comparison with hospital outpatient management . The benefit is seen mainly in those with chronic or severe pain . Introducing chiropractic into NHS practice should be considered . J Orthop Sports Phys Ther 1991;13(6):278 - 287
The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure .
The behavior of the instrument is incompletely understood , particularly in sensitivity to real change .
The Oswestry Disability Index ( ODI ) has become one of the principal condition-specific outcome measures used in the management of spinal disorders .
To review the versions of this instrument , document methods by which it has been vali date d , collate data from scores found in normal and back pain population s , provide curves for power calculations in studies using the ODI , and maintain the ODI as a gold st and ard outcome measure .
It has now been 20 years since its original publication .