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The Oswestry Disability Index.

J C Fairbank1, P B Pynsent

  • 1Nuffield Orthopaedic Centre, Oxford, United Kingdom. jeremy.fairbank@ndos.ox.ac.uk

Spine
|November 14, 2000
PubMed
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The Oswestry Disability Index (ODI) is a validated tool for spinal disorders. This review confirms its ongoing utility and identifies areas for future research to enhance its application in clinical practice.

Area of Science:

  • Spinal Disorders Research
  • Outcome Measurement in Healthcare
  • Rehabilitation Science

Background:

  • The Oswestry Disability Index (ODI) has been a key outcome measure for spinal disorders for two decades.
  • Over 200 citations and inclusion in major textbooks highlight its significance.
  • Extensive author correspondence indicates widespread use and interest in the ODI.

Purpose of the Study:

  • To review all published versions of the Oswestry Disability Index (ODI).
  • To document validation methods and collate population score data.
  • To provide power calculation curves and reinforce the ODI's status as a gold standard.

Main Methods:

  • Systematic review of publications featuring the ODI.
  • Identification of all available versions of the questionnaire.

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  • Collation of validation reports and scoring systems.

    • Main Results:

    • Four English and nine non-English versions of the ODI exist.
    • Some versions contain errors or lack scoring instructions.
    • Data from 114 studies confirm the ODI's validity and power for detecting change.

    Conclusions:

    • The Oswestry Disability Index (ODI) remains a valid and effective outcome measure for spinal disorders.
    • Further research is recommended to refine ODI usage and explore its receiver operating characteristics.
    • The instrument's sensitivity to real change requires further investigation.