1、 +v(D)JSichuan Univ(MedSciEdi) 2009;40(3):559-561 x f ? S +%e ? N谭 柯1 ,郑 敏1 ,杨邦祥2 , Ernest Volinn3 ,刘 慧2 ,何 竟4 ,蒋 敏1 ,李晓松11. +v 3 3d9 i(610041);2. +vD J S;3.Pain Research Center, Judas University, USA;4. +vD B【K1】 “ )Oswestry x f ? (Oswestry disability index,ODI)S%e V。ZE %e86 ( 335 , o51 ), ( M -(39
2、.510.1) 。ODI 2Q,W48h。sODIr。T ODICronbach Alpha“ 0.891,(F =M1“ ICC)=0.854(95%CI=0.775 0.905);y0s 32y0M 9Z D61.91%,SF-366M1M1“ (d9il。 ODI %e zr, VT%e1 ? S N m 。【1oM】 %e r ?p 【ms |】 R195.4, R681.5Validating theOswestryDisabilityIndexinPatientswithLowBackPain inSichuan TAN K e, ZHENGMin, YANGBang-xiang,
3、 ERNEST Volinn, LIU Hui, HE Jing, JIANG Min, LI Xiao-song. Department of HealthStatistics,West China School of Public Health, Sichuan University, Chengdu610041, China【Abstract】 Objective To test the reliability and validity of the Oswestry Disability Index(ODI)in patientswithlow back painin China.Me
4、thods Eighty six patients(female 51, male 35, average age 39.510.1)withchronic low back pain were assessed with the ODI.The assessment was repeated 48 hours after the first test.Results The Cronbach Alpha coefficient for the ODI was0.891.The intraclass correlation coefficient(ICC)forthe repeated tes
5、tswas0.854(95%CI=0.775-0.905).The exploratory factor analysisextractedtwo factors, whichaccountedfor 61.91%of the total variance.Significant correlations were found betweenthe ODI andthe 6domainsof the SF-36.Conclusion TheChineseversionof Oswestry Disability Index has satisfactory reliability and va
6、lidity.It canbe used asan instrument for assessing chroniclow back pain-related disability.【Keywords】 Low back pain Validity Reliability Oswestry disability index%e%、%、#/e9,C Es R,9 M p1yB。 d9,?rSE70%80% ;V%e,h q? q (。 “ -,S %e x8 ? V。 , xf ? (Oswestry disability index, ODI) yr V L 7 R1 , “ -S = 。OD
7、I aS%e ? # r V L B)5,#| ri N。1 ZE1.1 ODI Ve V 10H “, .e、 Corresponding author, E-mail:、4/z、 、 E)。1.3 sZEODI 48h H Q 。JrV H, N W 3FS。5 S =|VJr,/ E , S =KJrV。 H, SF-36V 。 l q#r q (100%。S ,#9 ODI H1“ H “8,9 9 L=s9H “ s(45s)s1。ODI V Ls 2Z = ,B =Bs,Cronbach Alpha“ N,= s,F =M1“ (ICC) N;ODI rs9 2Z =,B rs,
8、y0s N,= rSrs,SF-36 VrSTM1s。2 T2.1 ODIs f ODIs(23.1615.40), 2.0070.00。H “ (sK.e(1.990.95),K (0.490.63),8nV1。V1 ODI VH “s#ODI Table1 ItemscoresandODIItems Mean SDQ1 Pain intensity 1.99 0.95Q2 Personal care 0.49 0.63Q3 Lifting 1.15 1.23Q4 Walking 0.67 0.79Q5 Sitting 1.35 1.25Q6 Standing 1.52 1.12Q7 Sle
9、eping 1.21 0.93Q8 Sex life 0.97 1.35Q9 Social life 0.90 1.19Q10 Traveling 1.29 1.39ODI 23.16 15.402.2 ODI V LsODI V9Cronbach Alpha“ 0.891。H “9sM1“ (0.5 ;“MH “Cronbach Alpha“ (lV,Q10( j)MKv( “H “ V9Cronbach Alpha=0.865), 8nV2。T4U,ODI V z,H “ =B 。V2 ODI V =BsTTable2 InternalconsistencyoftheODIsItemsCo
10、rrecteditem-totalcorrelation RAlpha if itemdeletedQ1 Pain intensity 0.529 0.887Q2 Personal care 0.536 0.889Q3 Lifting 0.640 0.880Q4 Walking 0.507 0.889Q5 Sitting 0.667 0.878Q6 Standing 0.703 0.876Q7 Sleeping 0.627 0.881Q8 Sex life 0.625 0.882Q9 Social life 0.699 0.876Q10 Traveling 0.832 0.865ICC NOD
11、I V,ICC=0.854(95%CI=0.7750.905)。T4 U2QT z, T V。2.3 ODI rsn5KMO_Battlet o_, y0s V。KMO(“ a)0.829(0.50),Battlet_d9,T4 U Vy0s。ss |+1, |2y0, 9Z D61.91%, V d V 9Ms61.91%。ZKv,T4 Uy01c.e、 、4/z、3、 jH “, V d9Ms51.48%,4 Uy011Q x8 ?;y02cS N m B,Q“ l,BF L。 ID1 McGergor AH, Hughes SPF.The evaluation of the surgic
12、almanagement of nerve root compressioninpatients with low backpain.Spine,2002;25(13):1465-1470.2 Ware JE Jr, Sherbourne CD.The MOS 36-item short-formhealth survey (SF-36).Conceptual framework and itemselection.MedCare,1992;30(6):473-483.3 Resnik L, Dobrykowski E.Outcomes measurement for patientswith
13、 low back pain.Orthop Nurs,2005;24(1):14-24.4 Vigatto R, Alexandre NM, Correa Filho HR.Development of aBrazilian Portuguese version of the Oswestry Disability Index.Spine,2007;32(4):481-486.5 Davidson M, Keating JL.A comparison of five low backdisability questionnaires:reliability andresponsiveness.PhysicalTherapy,2002;82(1):8-24.6 World Health Organization. ICIDH-2: InternationalClassification of Functioning, Disability, and Health-PrefinalDraft Full Version.Geneva, Switzerland, 2000.(2008 -08 -22 l,2008 -12 -23)I 561
