Fairbank J C, Pynsent P B
Nuffield Orthopaedic Centre, Oxford, United Kingdom.
Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952. doi: 10.1097/00007632-200011150-00017.
The Oswestry Disability Index (ODI) has become one of the principal condition-specific outcome measures used in the management of spinal disorders. This review is based on publications using the ODI identified from the authors' personal databases, the Science Citation Index, and hand searches of Spine and current textbooks of spinal disorders.
To review the versions of this instrument, document methods by which it has been validated, collate data from scores found in normal and back pain populations, provide curves for power calculations in studies using the ODI, and maintain the ODI as a gold standard outcome measure.
It has now been 20 years since its original publication. More than 200 citations exist in the Science Citation Index. The authors have a large correspondence file relating to the ODI, that is cited in most of the large textbooks related to spinal disorders.
All the published versions of the questionnaire were identified. A systematic review of this literature was made. The various reports of validation were collated and related to a version.
Four versions of the ODI are available in English and nine in other languages. Some published versions contain misprints, and many omit the scoring system. At least 114 studies contain usable data. These data provide both validation and standards for other users and indicate the power of the instrument for detecting change in sample populations.
The ODI remains a valid and vigorous measure and has been a worthwhile outcome measure. The process of using the ODI is reviewed and should be the subject of further research. The receiver operating characteristics should be explored in a population with higher self-report disabilities. The behavior of the instrument is incompletely understood, particularly in sensitivity to real change.
奥斯威斯利残疾指数（ODI）已成为脊柱疾病管理中主要使用的特定病情结果测量指标之一。本综述基于从作者个人数据库、科学引文索引以及对《脊柱》杂志和当前脊柱疾病教科书的手工检索中识别出的使用ODI的出版物。
回顾该工具的各个版本，记录其验证方法，整理正常人群和背痛人群的评分数据，为使用ODI的研究提供功效计算曲线，并将ODI维持为金标准结果测量指标。
自其首次发表至今已有20年。科学引文索引中有200多篇引用文献。作者有一个与ODI相关的大量通信文件，在大多数与脊柱疾病相关的大型教科书中都有引用。
识别问卷的所有已发表版本。对该文献进行系统综述。整理各种验证报告并与一个版本相关联。
ODI有四个英文版本和九个其他语言版本。一些已发表版本存在印刷错误，许多版本省略了评分系统。至少114项研究包含可用数据。这些数据为其他使用者提供了验证和标准，并表明了该工具检测样本群体变化的能力。
ODI仍然是一个有效且有力的测量指标，并且一直是一个有价值的结果测量指标。回顾了使用ODI的过程，其应成为进一步研究的主题。应在自我报告残疾程度较高的人群中探索该工具的接受者操作特征。该工具的行为尚未完全被理解，尤其是在对实际变化的敏感性方面。
