8) Oswestry Low Back Pain Disability Questionnaire

Name*

First NameLast Name

Pain Intensity*

I have no pain at the momentThe pain is very mild at the momentThe pain is moderate at the momentThe pain is fairly severe at the momentThe pain is very severe at the momentThe pain is the worst imaginable at the moment

Personal Care (washing, dressing, etc)*

I can look after myself normally without causing extra painI can look after myself normally, but it causes extra painIt is painful to look after myself, and I am slow and carefulI need some help but manage most of my personal careI need help every day in most aspects of self careI do not get dressed, I wash with difficulty and stay in bed

Lifting*

I can lift heavy weights without causing extra painI can lift heavy weights, but it gives me extra painPain prevents me from lifting heavy weights off the floor but I can manage if items are conveniently positioned, ie. on a tablePain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positionedI can lift only very light weightsI cannot lift or carry anything at all

Walking*

Pain does not prevent me walking any distancePain prevents me from walking more than 1 milePain prevents me from walking more than 1/2 milePain prevents me from walking more than 100 yardsI can only walk using a stick or crutchesI am in bed most of the time

Sitting*

I can sit in any chair as long as I likeI can only sit in my favourite chair as long as I likePain prevents me sitting more than one hourPain prevents me from sitting more than 30 minutesPain prevents me from sitting more than 10 minutesPain prevents me from sitting at all

Standing*

I can stand as long as I want without extra painI can stand as long as I want but it gives me extra painPain prevents me from standing for more than 1 hourPain prevents me from standing for more than 30 minutesPain prevents me from standing for more than 10 minutesPain prevents me from standing at all

Sleeping*

My sleep is never disturbed by painMy sleep is occasionally disturbed by painBecause of pain I have less than 6 hours sleepBecause of pain I have less than 4 hours sleepBecause of pain I have less than 2 hours sleepPain prevents me from sleeping at all

Social Life*

My social life is normal and gives me no extra painMy social life is normal but increases the degree of painPain has no significant effect on my social life apart from limiting my more energetic interests eg, sportPain has restricted my social life and I do not go out as oftenPain has restricted my social life to my homeI have no social life because of pain

Travelling*

I can travel anywhere without painI can travel anywhere but it gives me extra painPain is bad but I manage journeys over two hoursPain restricts me to journeys of less than one hourPain restricts me to short necessary journeys under 30 minutesPain prevents me from travelling except to receive treatment

Changing Degree of Pain*

My pain is rapidly getting betterMy pain fluctuates, but is definitely getting betterMy pain seems to be getting better, but improvement is slowMy pain is neither getting better nor worseMy pain is gradually worseningMy pain is rapidly worsening

Calculation

Final Score

Date*

Date

Signature*