Developing the Total Disability Index Based on an Analysis of the Interrelationships and Limitations of Oswestry and Neck Disability Index

Spine
Matthew A SpiegelThemistocles S Protopsaltis

Abstract

Retrospective. This study assessed the feasibility of combining Oswestry and Neck Disability Index (ODI and NDI) into 1 shorter "Total Disability Index" (TDI) from which reconstructed scores could be computed. ODI and NDI are not pure assessments of disability related to back and neck, respectively. Because of similarities/redundancies of questions, ODI scores may be elevated in neck-pain patients and the converse is true for NDI in back-pain patients. Spine patients completed ODI and NDI, and complaints were recorded as back pain (BP), neck pain (NP), or both (BNP). Questionnaire scores were compared across cohorts via descriptives and Spearman (ρ) correlations. In exploring the feasibility of merging ODI/NDI, TDI was constructed from 9 ODI and 5 NDI items. Extracting questions from TDI, reconstructed 9-item rODI and 10-item rNDI indices were formed and compared with true ODI/NDI. There were a total of 1207 patients: 741 BP, 134 NP, and 268 BNP. Mean ODI was 37 ± 21 and mean NDI was 32 ± 21. Patients with concurrent BP and NP had significantly more disability. Seventy-eight patients of 134 (58%) patients with NP only had at least "moderate disability" by ODI and 297 of 741 (40%) patients with back pain only, had at least "mode...Continue Reading

References

Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
Oct 13, 2001·American Journal of Industrial Medicine·S M MolanoL A Elders
Jan 11, 2002·Physical Therapy·Megan Davidson, Jennifer L Keating
Jul 7, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·René FejerJan Hartvigsen
Apr 6, 2006·The Journal of Bone and Joint Surgery. American Volume·Jeffrey N Katz
May 12, 2006·International Archives of Occupational and Environmental Health·Eija HaukkaHilkka Riihimäki
Mar 10, 2007·BMJ : British Medical Journal·Allan I Binder
Sep 23, 2008·Journal of Manipulative and Physiological Therapeutics·Howard Vernon
Mar 11, 2009·The Medical Clinics of North America·Michael Devereaux
Jun 13, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Joy C MacDermidCharlie H Goldsmith
Nov 17, 2010·Spine·César Fernández-de-las-PeñasRodrigo Jiménez-García
Aug 10, 2011·Physical Medicine and Rehabilitation Clinics of North America·Nikolai Bogduk
Jan 11, 2012·Arthritis and Rheumatism·Damian HoyRachelle Buchbinder
Feb 11, 2015·Mayo Clinic Proceedings·Steven P Cohen

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Citations

Sep 26, 2019·Global Spine Journal·Nuno Rui Paulino PereiraJoseph H Schwab
Jun 28, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Paul AndrzejowskiPeter V Giannoudis

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