Section 1 pain intensity i have no pain at the moment. I can read as much as i want with slight pai n in my neck. Developed in the late 1980s and first published in 1991, the ndi was the first instrument for measuring patientreported disability in neck pain patients. Reliability in a study of 48 patients the neck disability index is found to have a strong level of testretest reliability. The total index was found to have a high degree of internal consistency. The neck disability index was created by chiropractor howard vernon, dc, from canadian memorial chiropractic college, toronto, ontario, can. Oswestry neck disability index front range center for. Neck disability index ndi patientreported outcome measure. To each item, the following scores can be assigned. A high score indicates that there is an extreme amount of functional disability caused by neck pain.
The minimum clinically important difference mcid is a threshold of improvement that is clinically relevant to the patient. In other words, we would like to know how much pain is preventing you from doing what you would normally do. Name date how long have you had neck pain years months weeks. Scores greater than 10 points should be referred to balance specialists for further evaluation. Correlation between neck disability index score and physical therapists prognostic rating was r 0. The ndi has become a standard instrument for measuring selfrated disability due to neck pain and is used by clinicians and researchers alike.
This questionnaire is designed to help us better understand how your neck pain affects your ability. Correlation between neck disability index score and mcgill pain questionnaire total score was r 0. An ndi score of 40100 at initial assessment first consultation following an injury is associated with ongoing pain and disability after whiplash. I am able to engage in all my recreation activities with some c. The obtained score can be multiplied by two to produce a percentage score. The ndi has become a standard instrument for measuring selfrated disability due to neck pain and is used by both clinicians and researchers. Correlation between neck disability index score and 010 pain rating scale was r 0. The answers can be monitored over time to evaluate the course of neck disability and response. Journal of manipulative and physiological therapeutics 1991.
The association between neck pain, the neck disability index. Apr 28, 2010 neck pain and disability scale and the neck disability index. The neck disability index ndi 1 is designed to measure neckspecific disability. The questionnaire has 10 items concerning pain and activities of daily living including personal care, lifting, reading, headaches, concentration, work status, driving, sleeping and recreation. The obtained score can be multiplied by 2 to produce a percentage score. Oswestry disability index an overview sciencedirect topics. Although you may consider that two of the statements in any one section relate to you. This is a neck functional disability questionnaire based on the copenhagen functional disability scale and can be used to evaluate the disability experienced by those with neck pain. This neck disability index ndi calculator assesses the degree of perceived pain neck and the disability status based on daily activities and underlying cervical spine pain. The neck disability index is a useful tool for monitoring the effect of neck pain on patients activities of daily living adl. The neck disability index ndi modification of the oswestry low back pain. This questionnaire will give your provider information about how your neck condition affects your everyday life. In other words, we would like to know how much pain is preventing you from doing what you would normally do or from doing it as well as you normally would. There is in depth information about the score, validity and reliability and also a result interpretation below the form.
Please answer each section, marking only one box which best describes your status today. I can read as much as i want with moderate pain in my neck. Methods patients undergoing evaluation and treatment for pain completed a selfreported survey, which included the odi, ndi, and hospital anxiety. This category refers to activities related to the home or family. Back index score pain intensity the pain comes and goes and is very mild. Neck pain disability copenhagen neck functional disability scale.
A score of 0 means no disability at all, and a score of 10 signifies that all of the activities in which you would normally be involved have been totally disrupted or prevented by your pain. The rating scales below are designed to measure the degree to which aspects of your life are disrupted by chronic pain. The spine tango patient selfassessment form containing the core outcome measures index comi, whose items were originally suggested by deyo et al. Please answer every section by marking the one statement that applies to you. Since 1991, a number of other questionnaires for neck pain patients have been developed, but ndi remains the. The neck disability index ndi modification of the oswestry low back pain disability index patientcompleted, conditionspecific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Howard vernon developed the neck disability index ndi in 1989. The association between neck pain, the neck disability. The whiplash disability questionnaire wdq pinfold et al 2004 is a item questionnaire designed to measure disability caused by whiplash associated disorders w ad. Score disability level 0 4 no disability 5 14 mild disability 15 24 moderate disability 25 34 severe disability 35 50 completely disabled the oswestry disability index aka the oswestry low back pain disability questionnaire is an extremely important tool that researchers and disability evaluators use to measure a patients permanent. Neck disability index page 1 of 1 this questionnaire has been designed to give your therapist information as to how your neck pain has affected you in your everyday activities. On the diagram below, please indicate where you are experiencing pain or other symptoms, right now. The neck disability index ndi, the short form36 sf36 physical component summary pcs, and pain scales for arm and neck pain are increasingly used to evaluate treatment effectiveness after cervical spine surgery.
Disability, limitations in activities and restrictions in participation in daily living and work, may be the result 30, 32. Enter the total number of points from all 10 sections the raw score, not a percentage into the neck disability index score section of the treatment tx form. Patientcompleted, conditionspecific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Originally developed in 1991, the ndi is now the most widely used instrument for assessing selfrated disability in patients with neck pain. Neck pain is a common musculoskeletal complaint in western societies. A large proportion of those tools concern back pain e. Neck disability index questionnaire patient name date. Occasionally, a respondent will not complete one question or.
The neck disability index ndi modification of the oswestry low back pain disability index. Neck pain and disability scale and the neck disability index. Neck index score pain intensity i have no pain at the moment. It was initially published in the journal of manipulative ad physiological therapeutics in 1991 8. This questionnaire can enhance patient care by serving as a doctorpatient communication. Use onlyrev 3272003 patient name date this questionnaire will give your provider information about how your neck condition affects your everyday life. Purpose the purpose of the study is to determine if the oswestry disability index odi and the neck disability index ndi have enough overlap that they can both predict the same functional status in patients with either lumbar or cervical pain.
In the large majority of cases, the pathological basis for the neck pain is unclear and the complaints are labeled as nonspecific or mechanical. Completion of the npad usually requires less than 5 minutes. Since 1991, a number of other questionnaires for neck pain patients have been developed, but ndi remains the oldest and most widelyused of these instruments. Scoring the neck disability index an informal blurb from the author, howard vernon, d. The initial purpose of the neck disability index was to determine the disability. I can read as much as i want with no pain in my neck. Neck pain and disability scale and the neck disability. These tools are widely used and a large amount of data exists from patient and non. The patients demographic data, numerical pain scale nps score, neck disability index ndi, and fearavoidance beliefs questionnaire score were collected. We know that the minimum detectable score and the minimal. It was the first of its kind when it was published in 1991 in jmpt and was based on the oswestry low back pain disability questionnaire. An informal blurb from the author, howard vernon, d.
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