Low back oswestry form 2026

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  1. Click ‘Get Form’ to open the low back Oswestry form in the editor.
  2. Begin with Section 1, 'Pain Intensity.' Select the box that best describes your current pain level. This helps assess how your pain affects daily activities.
  3. Move to Section 2, 'Personal Care.' Indicate your ability to manage personal care tasks. Choose the statement that most accurately reflects your situation.
  4. Proceed to Section 3, 'Lifting.' Mark the option that corresponds to your lifting capabilities, which is crucial for understanding physical limitations.
  5. In Section 4, 'Sitting,' select how long you can sit comfortably. This section provides insight into your comfort levels during prolonged sitting.
  6. Continue with Sections 5 through 9, addressing 'Standing,' 'Traveling,' 'Sleeping,' and 'Social Life' respectively. For each section, choose the statement that best describes your experience.
  7. Finally, fill in your name and date at the bottom of the form before saving or submitting it for review.

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Each section is scored on a 05 scale, 5 representing the greatest disability. The index is calculated by dividing the summed score by the total possible score, which is then multiplied by 100 and expressed as a percentage. Thus, for every question not answered, the denominator is reduced by 5.
The DR scale rates patients on four categories: arousability, awareness, and response to command; cognitive ability for self-care; dependence on others; and psychosocial adaptability. The DR scores range between 0 and 30 with higher scores reflecting greater disability.
TABLE 30 ScoreCategory 020% Minimal disability 2140% Moderate disability 4160% Severe disability 6180% Crippled1 more row
The final score/index ranges from 0-100. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. Minimal clinical difference has been evaluated across numerous types of spinal surgery, and has been shown to vary docHubly.
Each item consist of 6 statements which are scored from 0 to 5. With 0 indicating the least disability and 5 the greatest then the total score is calculated as a percentage, with 0% indicating no disability and 100% indicating the highest level of disability.

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Classification CodeName 1 Disabled under the Equality Act: Day-to-day activities limited a lot 2 Disabled under the Equality Act: Day-to-day activities limited a little 3 Not disabled under the Equality Act: Has long-term physical or mental health condition but day-to-day activities are not limited2 more rows Jan 26, 2024

low back index form