Shoulder pain and disability index please place a mark on the line that best represents your experience during the last week attributable to your shoulder problem. It is intended to help individuals understand their rights and responsibilities in the inhome supportive services ihss program. New clinical fibromyalgia diagnostic criteria part 1. Please answer every section and mark in each section only the one box that applies to you. Use only rev 3272003 patient name date this questionnaire will give your provider information about how your back 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. The purpose of the study is to validate in mexico a spanish translation of the 2. Baker d, pynsent pb, fairbank jct 1989 the oswestry disability index revisited. Spanish pain description glossary this glossary was collectively created, edited and added to over several years by medical interpreters please refer to professional, published medical dictionaries and reference material to verify these terms. Disagree agree 0 1 1 my back pain has spread down my legs at some time in the last 2 weeks 2 i have had pain in the. Place your baby on his or her back for all sleep timesnaps and at night. Validation of a spanish version of the spine functional index.
Low back stretch on your hands and knees, push your chest toward the floor, reaching forward as far as you can. The index at the back of the book lists important names and events. Internal consistency, reproducibility and reliability will be addressed scoring the results of the translated version at two time frames. You may even have a more serious goal of completely mastering the spanish language. This questionnaire has been designed to give your therapist information as to how your back pain has affected your ability to manage in everyday life. Pdf validation of a spanish version of the spine functional index. In other words, we would like to know how much pain is preventing you from doing what you would normally do. Greek pdf hindi pdf hungarian word and pdf icelandic word iranian word and pdf italian pdf japanese word and pdf kannada pdf korean pdf marathi pdf nigerian igbo pdf and igbo translation details nigerian yoruba word norwegian word polish word portuguese word portuguese brazilian word romanian word and pdf russian word and pdf spanish word.
Pain medication provides me moderate relief from pain. Measures index comi, whose items were originally suggested by deyo et al. If two or more statements in one section apply, please mark the one statement that most closely describes your problem. Although you may consider that two of the statements in any one section relate to you. The rolandmorris questionnaire rmq is a selfadministered disability measure in which greater levels of disability are reflected by higher numbers on a. There are 7 important components in the shortcut to spanish method shortcut to spanish. Even if a baby spits up during sleep, babies anatomy external icon and gag reflex help prevent them from choking while sleeping on their backs. Validation of the spanish version of the rolandmorris questionnaire. Many translated example sentences containing neck disability index spanish english dictionary and search engine for spanish translations. Please answer every question by placing a mark in the one box that best describes your condition today. Nevertheless there is no spanish version of the lefs, so the aim of this study was the. The patient is instructed to put a mark next to each appropriate statement. The spine functional index sfi is a recently published, robust and clinimetrically valid patient reported outcome measure.
The rating scales below are designed to measure the degree to which aspects of your life are disrupted by chronic pain. Translate oswestry in spanish with contextual examples. The fabq was developed by waddell to investigate fearavoidance beliefs among lbp patients in the clinical setting. This questionnaire is designed to help us better understand how your back pain affects your ability. Index in spanish english to spanish translation spanishdict. Please answer every section by marking the one statement that applies to you.
Completion recognized and advocated english criterion pros both of the back translation resulted in draft formats with within the original development studies. Validation of a spanish version of the spine functional index article pdf available in health and quality of life outcomes 121. Functional rating index for use with neck andor back problems only. The test is considered the gold standard of low back functional outcome tools 1.
Lower extremity functional index we are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb. Shoulder pain and disability index spadi template from. The oswestry disability index odi calculator for the management of low back pain patients comprises of 10 items, each with 6 answer choices on a 0 to 5 points scale, statements referring to the patients life in different scenarios. Boxes are provided beside statements in some of the translations, but not in others. Defensive driving english spanish defensive driving take 5 for safety english spanish dengue fever fact sheet english spanish driving and avoiding roadway crashes fact sheet english spanish driving and being prepared checklist english spanish driving and being roadwise fact sheet english spanish driving at work english spanish. Unlike the authors of the oswestry disability questionnaire, roland and. The pain is bad but i manage without having to take pain medication. Clinically, these people may need to be supervised more than those that confront their pain. The following resources are provided for program recipientsconsumers. English spanish back injury prevention safety training program english spanish. Please answer every section, and mark in each section.
Copies of retired form versions in english are available below. This questionnaire is designed to help us better understand how your neck pain affects your ability. The oswestry disability index also known as the oswestry low back pain disability questionnaire is an extremely important tool that researchers and disability evaluators use to measure a patients permanent functional disability. Please tell us where you read or heard it including the quote, if possible. Disagree agree 0 1 1 my back pain has spread down my legs at some time in the last 2 weeks 2 i have had pain in the shoulder or neck at some time in the last 2 weeks. Russian word and pdf spanish word spanish argentinian word spanish columbian word. Tuck your chin in toward your chest and tighten your stomach muscles while arching your back. Osha publications fact sheets, infosheets and hazard alerts. Indice del cuello stony brook southampton hospital. Jul 25, 2012 the purpose of the study is to validate in mexico a spanish translation of the 2.
Upper back lower back none of these areas determining your widespread pain index wpi the wpi index score from part 1 is between 0 and 19. I stay at home most of the time because of my back. The following scales have been designed to find out about your back pain and how it is affecti ng you. Validation of a translation into spanish of the oswestry. The following scales have been designed to find out about your back pain. People with back problems may find it difficult to perform some of their daily activities. Oswestry disability index odi calculator for low back pain. Modified oswestry low back pain disability questionnairea. The aims of eurospine are to stimulate the exchange of knowledge and ideas in the field of research, prevention and treatment of spine diseases and related problems and to coordinate efforts undertaken in european countries for further development in this field. If two or more statements in one section apply, please mark the one. Oswestry neck disability index front range center for. Roland morris low back pain and disability questionnaire rmq.
We would like to know if you find it difficult to perform any of the activities listed below, because of your back. In order to properly assess your condition, we must understand how much your neck andor back problems has affected your ability to manage everyday activities. For each item below, please circle the number which most closely describes your condition right now. Spanish silver award national health information awards help expectant mothers understand the cause of their back pain and what they can do to relieve it, with this contemporary resource. See 12 authoritative translations of index in spanish with example sentences, phrases and audio pronunciations. This questionnaire will give your provider information about how your back condition affects your everyday life. The purpose of this study was the adaptation and validation of a spanish version sfisp with cultural and linguistic equivalence. Index in spanish translate english to spanish spanish. The roland morris low back pain and disability questionnaire patient name. Puedo ocuparme normalmente sin causar dolor adicional. Puedo ocuparme normalmente pero me resulta muy doloroso. Use only rev 3272003 patient name date this questionnaire will give your provider information about how your neck condition affects your everyday life. Roland morris disability questionnaire download questionnaires.
George orwell looking back on the spanish war, 1943 l. Neck disability index this questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. The following scales have been designed to find out about your back pain and how it is affecting you. It also can be used to monitor the patient over time and to evaluate the effectiveness of an intervention. The rolandmorris low back pain and disability questionnaire patient name. Pain medication provides me complete relief from pain. The shoulder pain and disability index demonstrates factor, construct and longitudinal validity. Osha publications fact sheets, infosheets and hazard. When your back hurts, you may find it difficult to do some of the things you normally do. This questionnaire has been designed to give your doctortherapist information as to how your back pain has affected your ability to manage everyday life. The lower extremity functional scale lefs is a widely used questionnaire to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. Development of a shoulder pain and disability index. The total number of marked statements are added by the clinician.
Free safety and health publications texas department of. The spanish version of the functional rating index in patients with low back pain. The department of labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. Disagree agree 0 1 1 my back pain has spread down my legs at some time in the last 2 weeks. Pdf the spanish version of the functional rating index in. The roland morris low back pain and disability questionnaire. Where there are unusual symbols, pdf files are provided. Surgery, followup, and patient selfassessment forms can be downloaded here as a pdf and can be used for omr scanning. The test has been around since 1980 and is considered the gold standard of low back pain functional outcome tools. Nonspecific or common low back pain lbp is defined as pain.
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