Sharma Amit Kumar, Chaudhary Kshitij, Gandhi Hemali, Nag Arpan, Vatkar Arvind, Nimesh Ruby, Kumar Vishal
Saifee Hospital, Mumbai, India.
Hinduja Hospital, Mumbai, India.
N Am Spine Soc J. 2025 Jan 30;22:100593. doi: 10.1016/j.xnsj.2025.100593. eCollection 2025 Jun.
Patient-reported outcome scores are crucial for assessing treatment outcomes. However, a validated Hindi version of the Oswestry Disability Index (ODI) is not currently available for use in the large Hindi-speaking population of India. This study aims to assess the validity and reliability of a translated version of the ODI in Hindi, enabling its use among the Hindi-speaking population.
A total of 103 patients who attended the spine clinic and physiotherapy department at Saifee Hospital completed the Hindi versions of the ODI (ODI-H), Visual Analog Scale (VAS), and Roland-Morris Disability Questionnaire (RMDQ). Twenty-five patients repeated the questionnaire within 2 weeks to evaluate test-retest reliability. The Hindi version of the ODI (ODI-H) was developed using forward-backward translation. Psychometric testing included internal consistency (Cronbach's α), test-retest reliability (intraclass correlation), and validation by comparing the ODI-H with the VAS for back pain and the RMDQ, using Pearson correlation.
The mean age of the patients was 46.5 years, with a male-to-female ratio of 45:58. Cronbach's α was 0.915, indicating high internal consistency. Test-retest reliability showed an excellent intraclass correlation (ICC) of 0.99. Pearson's correlation coefficient was 0.615 (p<.0001) between the ODI-H and the RMDQ, and 0.317 (p<.0001) between the ODI-H and the VAS, demonstrating excellent construct validity. Additionally, Receiver Operating Characteristic (ROC) curve analysis showed excellent correlation for Area Under the Curve (AUC) analysis for severe vs. nonsevere ODI-H and RMDQ scores (0.788, p<.001).
The Hindi version of the Oswestry Disability Index demonstrates acceptable reliability and validity for measuring functional impairment in Indians with low back pain. It performs similarly to the validated RMDQ and VAS scores. Using the Hindi ODI in clinical and research settings can help standardize evaluations and improve the management of low back pain in the Indian population.
患者报告的结局评分对于评估治疗效果至关重要。然而，目前尚无经过验证的印地语版奥斯威斯残疾指数（ODI）可用于印度大量说印地语的人群。本研究旨在评估印地语版ODI的有效性和可靠性，以便在说印地语的人群中使用。
共有103名在赛菲医院脊柱诊所和理疗科就诊的患者完成了印地语版的ODI（ODI-H）、视觉模拟量表（VAS）和罗兰-莫里斯残疾问卷（RMDQ）。25名患者在2周内重复填写问卷以评估重测信度。印地语版的ODI（ODI-H）采用正向-反向翻译法编制。心理测量测试包括内部一致性（克朗巴哈α系数）、重测信度（组内相关系数），并通过将ODI-H与背痛的VAS以及RMDQ进行比较，采用Pearson相关性分析进行效度验证。
患者的平均年龄为46.5岁，男女比例为45:58。克朗巴哈α系数为0.915，表明内部一致性较高。重测信度显示组内相关系数（ICC）极佳，为0.99。ODI-H与RMDQ之间的Pearson相关系数为0.615（p<0.0001），ODI-H与VAS之间的Pearson相关系数为0.317（p<0.0001），表明具有良好的结构效度。此外，受试者工作特征（ROC）曲线分析显示，对于严重与非严重ODI-H和RMDQ评分的曲线下面积（AUC）分析具有良好的相关性（0.788，p<0.001）。
印地语版的奥斯威斯残疾指数在测量印度腰痛患者的功能障碍方面显示出可接受的信度和效度。其表现与经过验证的RMDQ和VAS评分相似。在临床和研究环境中使用印地语ODI有助于标准化评估并改善印度人群腰痛的管理。
