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 .
Cost and Effectiveness Analysis of Chiropractic and Physiotherapy Treatment for Low Back and Neck Pain: Six‐Month Follow‐Up
Study Design . A r and omized , clinical trial was conducted in which patients with back/neck problems , visiting a general practitioner , were allocated to chiropractic or physiotherapy as primary management . Objectives . To compare outcome and costs of chiropractic and physiotherapy in managing patients with low back or neck pain . Summary of Background Data . Earlier studies on the treatment of back pain by spinal manipulation have shown inconsistent results . When a " new " strategy ‐chiropractic‐in the treatment of back pain was introduced in public health care in Sweden , there was a need to compare the effects and costs of chiropractic with the established physiotherapy . Methods . Three hundred twenty‐three patients aged 18 to 60 years who had no contraindications to manipulation and who had not been treated within the previous month were included in the study . Treatment was carried out at the discretion of the therapist . Outcome measures were primarily changes in pain intensity and general health , both assessed with visual analog scale and Oswestry pain disability question naire . Direct and indirect costs were measured . Results . For patients with low back or neck pain visiting the general practitioner in primary care , both chiropractic and physiotherapy as primary treatment reduced the symptoms . No difference in outcome or direct or indirect costs between the two groups could be seen , nor in subgroups defined as duration , history , or severity . Conclusions . The effectiveness and total costs of chiropractic or physiotherapy as primary treatment were similar to reach the same result after treatment and after 6 months
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 .