Modified Oswestry Low Back Pain Disability Questionnaire (MOLBPDQ) Calculator

Assesses severity of disability from low back pain and impairment to daily activities.

Refer to the text below the questionnaire for more information about the MOLBPDQ.


Modified Oswestry Low Back Pain Disability Questionnaire (MOLBPDQ) is utilized in managing pain related to spinal disorders, aiming to evaluate the impact of a patient's condition on their ability to perform daily life activities.


The MOLBPDQ, was first described in 2001 in Physical Therapy. It is an adjustment of the Oswestry Disability Index (ODI). It replaces the “Sex Life” question with “Employment/Homemaking”.

Final scores are calculated as percentage of possible maximum score and range from 0% (no disability) to 100% (most severe disability).


1

Pain Intensity

2

Personal Care (e.g., Washing, Dressing)

3

Lifting

4

Walking

5

Sitting

6

Standing

7

Sleeping

8

Social Life

9

Traveling

10

Employment / Homemaking

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Modified Oswestry Low Back Pain Disability Questionnaire Explained

Modified Oswestry Low Back Pain Disability Questionnaire (MOLBPDQ) is employed in the pain management of spinal disorders to assess how a patient's condition affects their capacity to carry out daily lifestyle activities.

The MOLBPDQ, was first described in 2001 in Physical Therapy. It is an adjustment of the Oswestry Disability Index (ODI). It replaces the “Sex Life” question with “Employment/Homemaking”.

This questionnaire has been designed to give therapists information as to how the patient’s back pain has affected their ability to manage in everyday life. The patient is asked to choose the answer that best describes their condition on the day of completing the questionnaire.

Similar to the ODI, it consists of 10 patient-completed questions in which the response options are presented as 6-point Likert scales, where first answers reflect no or little impairment and last answers reflect an increased severity in pain related dysfunction.

Each aspect is tailored to gauge the limitations induced by lower back or leg pain:

■ Pain Intensity – the threshold of pain bearable before the individual resorts to pain relief medication;

■ Personal Care – the extent to which the patient can independently manage self-care and, if assistance is needed, to what degree;

■ Lifting – the capability to handle varying weights, with or without experiencing pain;

■ Walking – the distance a patient can cover walking, with or without the aid of supports;

■ Sitting – the feasibility of sitting down, or whether it’s hindered by pain;

■ Standing – assessing the ability to stand without support and if possible, the duration one can maintain this posture;

■ Sleeping – whether the patient faces sleep disturbances like insomnia, and if sleep medication is necessary;

■ Employment/Homemaking – the level of discomfort or hindrance in engaging in job activities/normal homemaking due to pain;

■ Social Life – any disruptions in social interactions attributable to pain;

■ Traveling – the ease with which the patient can undertake short or long trips, with or without pain.

Final scores are calculated as percentage of possible maximum score and range from 0% (no disability) to 100% (most severe disability).

The original ODI has specified cut off points for different impairment severity categories, as described in the table below:

ODI score (percentage) Interpretation
0% to 20% Minimal disability - No treatment may be indicated except for suggestions on lifting, posture, physical fitness and diet. In the case of sedentary patients, more problems may need to be addressed.
21% to 40% Moderate disability - Conservative treatment may be sufficient. The level of impairment increases and patients may experience more problems with sitting, standing, sexual activity or traveling.
41% to 60% Severe disability – Recommendation for detailed evaluation as pain is primary problem.
61% to 80% Patient is crippled – back or leg pain are impacting daily living. Recommendation for active treatment.
81% to 100% Patient bedbound or exaggerating their symptoms.

The Minimum Detectable Change, with a 90% confidence level, is 10%, signifying that a change of at least 10% is necessary for clinical significance during monitoring reassessments. These reassessments are advised to be conducted every 2 weeks.

 

References

Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Physical Therapy. 2001; 81:776-788

Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000; 25(22):2940-52; discussion 2952.


Specialty: Disability

Objective: Evaluation

Type: Questionnaire

No. Of Items: 10

Year Of Study: 2001

Abbreviation: MOLBPDQ

Article By: Denise Nedea

Published On: January 3, 2024

Last Checked: January 3, 2024

Next Review: January 3, 2029