The neck pain and disability scale npad is a composite index including 20 items which measure the intensity of neck pain and related disability. Measurement properties of the neck disability index. Evaluating claims based on pain poses major problems for the social security administration ssa and other disability insurers. Objective to examine the psychometric properties including testretest reliability, construct validity, and minimum levels of detectable and clinically important change for the neck disability index ndi and the numeric. On the diagram below, please indicate where you are experiencing pain or other symptoms, right now. In this study, 100 patients with neck pain, 52 patients with lower back and leg pain, and 27 pain free volunteers were rated by the neck pain and disability scale. Please answer every section by marking the one statement that applies to you. The neck disability index ndi is a 10item questionnaire that measures a patients selfreported neck pain related disability. Please answer each section, marking only one box which best describes your status today. Painit is the most common complaint presented to physicians.
General pain index questionnaire we would like to know how much your pain presently prevents you from doing what you would normally do. Spine volume 34, number 16, pp 17321735 2009, lippincott. 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. Detecting relevant changes and responsiveness of neck pain. The objective of this study was to investigate the relationship between neck pain np intensity, np duration, and disability based on the populationbased funen neck and chest pain study. In 1991, vernon and mior published the results of a study of reliability and validity in the journal. I can read as much as i want with moderate neck pain.
Although you may consider that two of the statements in any one section relate to you. Neck pain disability index questionnaire bluegrass chiro. The pain disability index pdi a simple and rapid instrument for measuring the impact that pain has on the ability of a person to participate in essential life activities. 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. Regarding each category, please indicate the overall impact your present pain has on your life, not just when the pain is at its worst. Some forms include additional fields you can complete. Disability caused by pain involves the interaction between physical, psychological and social factors. I can look after myself normally but it causes extra pain. Oct 23, 2007 pain and disability are interrelated, but the relationship between pain and disability is not straightforward. It is recommended that the ndi be used at baseline i. The ndi was developed as a modification of the oswestry low back pain. Shoulder pain and disability index rehabmeasures database.
Pdf relationship of neck disability index, shoulder pain. It is useful in both clinical practice and in a research setting. The index was developed as a modification of the oswestry low back pain disability index with the permission of the original author j. Pdf the first aim of this study was to translate the neck pain and disability scale npad from english into dutch producing the npaddutch language. Neck disability index howard vernon developed the neck disability index ndi in 1989. It is painful to look after myself and i am slow and careful.
Neck disorders are a significant source of pain and activity limitation in workers and those involved in motor vehicle collisions. No pain medication needed taking pain medication throughout the day 10. Developed in the late 1980s and first published in 1991, the ndi was the first instrument for measuring patientreported disability in. Name date how long have you had neck pain years months weeks. The neck pain disability index enloe medical center. Chronic disability index of waddell and main for patients. A minimum of 23 of items in each subscale must be answered in order to. Does your pain force you to see doctors much more often than before your pain began. I can look after myself normally without causing extra pain. In other words, we would like to know how much your pain is preventing you from doing what you would normally do, or from doing it as well as you normally would.
These questions ask your views about how your pain now affects how you function in everyday activities. Please answer every section and mark in each section only one box which applies to you. The neck disability index ndi was developed in 1989 by howard vernon. This questionnaire has been designed to enable us to understand how your neck pain has affected your ability to manage everyday life. This questionnaire is designed to enable us to understand how much your neck pain has. The authors are from the western infirmary in glasgow scotland. This valid and reliable selfreport instrument evaluates the impact of chronic. In other words, we would like to know how much pain is preventing you from doing what you would normally do.
Does your pain interfere with personal relationships family, friends, sex, etc. Neck pain and disability scale mountain physiotherapy. Pdf neck pain and disability scale and the neck disability index. The patient was administered the pain disability reportshort form pdrsf to evaluate hisher level of painrelated disability. Potential cost of postage if mailed to patient at home and cost of printed form. This paper reports two studies of chronic pain patients n 444 relevant to the psychometric properties of the pain disability index pdi, a selfreport instrument that has been used to assess the degree to which chronic pain interferes with various daily activities. The ndi was developed as a modification of the oswestry low back pain disability index with the permission of the original author j. Back index score pain intensity the pain comes and goes and is very mild. Concentration i can concentrate fully when i want to with no difficulty. The neck pain and disability scale was designed using the million visual analogue scale as a template and consists of 20 items that assess neck pain. This is an instruction video i made around 2006 describing a system i have been using for several years. This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life.
Apr 11, 2012 dr rob sheely chiropractic physician middletown ohio. All patients 15 years of age and older with a primary complaint of neck pain i. The ndi has sufficient support and usefulness to retain its. Pain disability index the pain disability index is a tool designed to help patients measure the degree their daily lives are disrupted by chronic pain. Howard vernon developed the neck disability index ndi in 1989.
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. This questionnaire is designed to help us better understand how your neck pain affects your ability. The association between neck pain, the neck disability index. Pain disability reportshort form healthnetsolutions. Original article neck pain and disability scale and neck disability index. Psychometric properties of the neck disability index and. This can be used to evaluate patients initially to monitor them over time and to judge the effectiveness of interventions. Patient general pain disability index questionnaire weeks. Neck disability index this questionnaire has been designed to give the doctor information as to how your neck pain has affected your ability to manage in everyday life.
The rating scales below are designed to measure the degree to which aspects of your life are disrupted by chronic pain. In 1991, vernon and mior published the results of a study of. It is a patientcompleted, conditionspecific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Please answer every question and mark the one number on each scale that best describes how you feel.
You can customize the form on the next page and add your practice name and address information in the area at the top of the page. In 1991, vernon and mior published the results of a. Chronic disability index of waddell and main for patients with low back pain overview. The neck disability index ndi is a modified version of the oswestry low back disability index odi used by clinicians and researchers to quantify disability related to you guessed it neck pain. This questionnaire has been designed to enable us to understand how your neck pain has affected your ability to manage. This questionnaire has been designed to give the doctor information as to how your neck pain has affected your ability to manage everyday life. The spadi was developed to assess pain and disability related to shoulder problems. Keywords clinically important change neck disability questionnaires nonspeci. I can look after myself normally, without causing extra pain. The neck disability index ndi is a selfreport questionnaire used to determine how neck pain affects a patients daily life and to assess the selfrated disability of patients with neck pain. Pain disability questionnaire integrative pain solutions. Use only rev 3272003 patient name date this questionnaire will give your provider information about how your neck condition affects your everyday life. Psychometric properties of the neck disability index and numeric pain rating scale in patients with mechanical neck pain.
Please answer every section and mark in each section only the one box that applies to you. Section 1 pain intensity i have no pain at the moment. I can look after myself with out causing extra pain. Administration the neck disability index is a paper and pencil exam. It is estimated that a third of all adults will experience neck pain during the course of 1 year, 12 and 70% is the approximate lifetime prevalence. I can read as much as i want with slight neck pain.
C i can drive my car as long as i want with moderate pain in my neck. I can look after myself normally, but it causes extra pain. At five years, trial results were consistent with the continued superiority of 2level aida for clinical outcomes and lower cumulative reoperation rates. The spadi is a selfadministered index consisting of items.
The most used neck disability questionnaires are the neck pain and disability scale npad and the neck disability index ndi 1234. The neck disability index ndi 1 is designed to measure neck specific disability. The pain disability index pdi is a widelyused instrument to measure painrelated disability. The ndi is a modification of the oswestry low back pain disability index.
Do you have to take pain medication to control your pain. Pain prevents me from lifting heavy weights off the floor but i can if they are conveniently positioned, for example on a table. Disability refers to changes in a patients ability to engage in activities and experience a wide range of behaviors, mood states, and thoughts as the result of some physically impairing condition such as persistent. A shoulder pain and disability index spadi was developed to measure the pain and disability associated with shoulder pathology. The association between neck pain, the neck disability. Originally developed in 1991, the ndi is now the most widely used instrument for assessing selfrated disability in patients with neck pain. Waddell and main used a simple disability index to evaluate patients with low back pain. It was designed to measure the impact of shoulder pathology on pain and disability in an outpatient setting. In summary the ndi is a reliable, comprehensively validated pietrobon et al 2002, and clinically useful tool to measure disability due to neck pain. General pain disability index questionnaire the rating scales below are designed to measure the degree to which several aspects of your life are presently disrupted by chronic pain. Neck pain and disability scale and the neck disability index. The interpretation of change score of the pain disability. This questionnaire is designed to enable us to understand how much your neck pain has affected your ability to manage your everyday activities. Neck disability index palm beach orthopaedic institute.
Neck disability index this questionnaire is designed to help us better understand how your neck pain affects your ability to manage everydaylife activities. It is almost as common as back problems and annually about 30% of the population experiences neck pain. Pdf neck pain and disability scale and the neck disability. The literature has shown that to study the relationship between intensity of pain and disability, a number of variables should be considered, e. Please answer each section by circling the one choice that most applies to you. Neck disability index questionnaire patient name date. 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. Neck pain and disability scale and neck disability index. Monitoring outcomes is a key component of monitoring the effects of evidencebased care, in justifying services, and. Yet pain is subjectiveit cannot be measured directly and is difficult to validate. In the first study, patients with high pdi scores reported more psychological distress p less than 0.
I can drive as long as i want with slight pain in my neck. Pain intensity a i have no pain at the moment 0 b the pain is very mild at the moment 1 c the pain is moderate at the moment 2 d the pain is fairly severe at the moment 3 e the pain is very severe at the moment 4 f the pain is the worst imaginable at the moment 5. Composite index including 20 items which measure the intensity of pain. The persian versions of the pdi, pdq were created through systematic translation and crosscultural adaptation of the original questionnaires. I can look after myself normally but it causes me extra pain.
Oswestry neck disability index ndi the neck disability index is a revised form of the oswestry low back pain questionnaire and is designed to measure the activities of daily living in adults with neck pain. Neck disability index, neck pain and disability scale. This questionnaire has been designed to give your health professional information as to how your neck pain has affected your ability to manage in everyday life2. I can look after myself without causing extra pain. Neck disability index ndi patientreported outcome measure. Please mark in each section the one box that applies to you. The german version of the pain disability index pdi was used to measure painrelated disability 24 25 26. The aim of this study was to assess the responsiveness and interpretation of change score of the pdi in patients with chronic musculoskeletal pain cmp.
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