The DOI matches its Crossref record.
Intel-correlation and Test-Retest Reliability of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) and Their Correlation with Pain Intensity in Low Back Pain Patients
Abstract
OBJECTIVE: To determine the intercorrelation between subjective disability, as assessed with the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) and their correlation with visual analogue scale (VAS) pain intensity ratings. DESIGN AND SUBJECTS: Questionnaires were administered to 94 patients with chronic low back pain with or without radiation into the legs of at least 3 months' duration. SETTING: Tertiary care center. RESULTS: High correlations were noted between the ODQ and PDI (r = 0.83) and PDI factor 1 (r = 0.84), a subscale of the PDI. Lower correlations were noted between pain intensity (VAS) scores and the ODQ (r = 0.62) and the PDI (r = 0.69). A weaker correlation (r = 0.41) was noted between the ODQ and PDI factor 2. Intraclass correlation coefficients (ICC) for test-retest reliability in 20 patients (time interval 1 week) were for the ODQ ICC = 0.83, PDI ICC = 0.91, PDI percentage score ICC = 0.91, PDI factor 1 ICC = 0.87, and PDI factor 2 ICC = 0.73, respectively. CONCLUSIONS: The present results suggest that either the PDI or the percentage score PDI and also the even shorter-to-administer PDI factor 1 may be useful and reliable tests for the assessment of subjective disability in low back pain patients. As noted by the moderate intercorrelations with pain intensity scores, both the PDI and the ODQ address a broader concept of disability than that directly related to pain intensity.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Higher sum scores reflect greater interference of pain with daily activities and good validity and reliability have been demonstrated [34].”
From EFFects of Exposure and Cognitive behavioral Therapy for chronic BACK pain (“EFFECT-BACK”): study protocol for a randomized controlled trial (2024) · cites this paper as [34]
Citations
Cited by
Sorted by citations
Items 301–390 of 390
Goh, J. K. M., Liow, M. H. L., Xu, S., et al. (2019) · Journal of orthopaedic surgery · doi:10.1177/2309499019829336 · Cited by 5
Xu, S., Liow, M. H. L., Goh, J. K. M., et al. (2019) · The International Journal of Spine Surgery · doi:10.14444/6056 · Cited by 5
“The ODI addresses a broader concept of disability that is not directly related to pain intensity.(31) Furthermore, its sensitivity as a measure of change following treatment has been validated.”
Guerriero, R. C., Rajwani, M., Gray, E., Platnick, H., Re, R., & Dodsworth, P. (1999) · PubMed Central · Cited by 5
Reneman, M. F., Waterschoot, F. P. C., Burgerhof, J. G. M., Geertzen, J. H. B., Preuper, H. R. S., & Dijkstra, P. U. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2018.1510549 · Cited by 5
Koho, P. (2015) · Työväentutkimus Vuosikirja · Cited by 5
Response Shift Following Surgery of the Lumbar Spine
Finkelstein, J. A. (2010) · TSpace (University of Toronto) · Cited by 5
Buhrman, M., Tillfors, M., Holländare, F., Lekström, E., Håkansson, A., & Boersma, K. (2023) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000001157 · Cited by 5
Kovacs, F. M. (2005) · Medicina de Familia SEMERGEN · doi:10.1016/s1138-3593(05)72944-0 · Cited by 4
The Utility of Measuring Sexual Disability for Predicting 1-Year Return to Work
Gross, D. P., Knupp, H., & Esmail, S. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2011.06.020 · Cited by 4
Krautwurst, B. K., Paletta, J. R. J., Mendoza, S., et al. (2018) · Advances in Orthopedics · doi:10.1155/2018/6567139 · Cited by 4
“9 with the Oswestry Disability Questionnaire in patients with low back pain [27].”
Lee, S.-J., & Ahn, C.-B. (2019) · Journal of pharmacopuncture · doi:10.3831/kpi.2019.22.025 · Cited by 4
Vogt, R., Haas, J., Baumann, L., Sander, A., Klose, C., Riecke, J., Rief, W., Bingel, U., Maser, D., Witthöft, M., et al. (2024) · Trials · doi:10.1186/s13063-024-08017-9 · Cited by 3
Chronic pain program management outcomes: Long-term follow-up for Veterans and civilians
Hapidou, E. G., Pham, E., Bartley, K., Anthonypillai, J., Altena, S., Patterson, L. L., & Zacharias, R. (2021) · Journal of Military Veteran and Family Health · doi:10.3138/jmvfh-2021-0054 · Cited by 3
Singh, S., Singh, K., Gupta, R. S., Kaur, N., Bansal, P., & Singh, S. (2016) · Anesthesia Essays and Researches · doi:10.4103/0259-1162.183563 · Cited by 3
Eranki, V., Koul, K., & Fagan, A. (2013) · ANZ Journal of Surgery · doi:10.1111/ans.12043 · Cited by 3
Cezarino, R. S., Cardoso, J. R., Rodrigues, K. N., Magalhães, Y. S., de Souza, T. Y., da Mota, L. M. H., Bonini‐Rocha, A. C., McVeigh, J. G., & Martins, W. R. (2017) · Revista Brasileira de Reumatologia · doi:10.1016/j.rbr.2017.03.001 · Cited by 3
What reliability can and cannot tell us about pain report and pain neuroimaging
Letzen, J. E., Boissoneault, J., Sevel, L. S., & Robinson, M. E. (2016) · Pain · doi:10.1097/j.pain.0000000000000546 · Cited by 2
“of pain that go well beyond simple measures of pain intensity.(2,4,5,7,8,13,15,17) It should be noted that the impetus for neuroimaging-based biomarker studies generated from the notion”
BackgroundCascarilla, E. A. (2009) · Europe PMC (PubMed Central) · Cited by 3
How Does Self-Declared Chronic Pain Compare to Other Definitions? A Prospective Multicenter Study
Daoust, R., Paquet, J., Perry, J. J., Yan, J. W., Williamson, D., Castonguay, V., Lavigne, G., Rouleau, D., Lessard, J., & Cournoyer, A. (2025) · Pain Research and Management · doi:10.1155/prm/5556400 · Cited by 2
“Since the PDI is highly correlated with the Oswestry Disability Questionnaire (ODQ) ( r � 0.83) [41], we used the same ODQ disability threshold: 0%–20% (minimal disability), 21%–40% (moderate disability), 41%–60% (severe disability), 61%–80% (infrm), and 81%–100% (bedridden).”
InfluentialPowers, J. H., Ballinger, R., Palma, A. D., de la Cruz, M., & Howard, K. A. (2026) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-025-09324-1 · Cited by 2
What Motivates Engagement in Work and Other Valued Social Roles Despite Persistent Back Pain?
McKillop, A. B., Carroll, L., Dick, B. D., & Battié, M. C. (2020) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-020-09875-1 · Cited by 2
Yotnuengnit, P., Boonyapaisancharoen, P., Jamin, N., et al. (2021) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-210029 · Cited by 2
“The test had a test-retest reliability of 0.91 and Gronblad et al. stated that this test was a reliable assessment tool for disability in LBP patients [12].”
InfluentialFritz, J., Almqvist, L., Söderlund, A., Wallin, L., & Sandborgh, M. (2021) · Archives of Physiotherapy · doi:10.1186/s40945-021-00116-z · Cited by 3
Drakoulidou, P., Knox, M. F., Webster, B. M., et al. (2025) · The Spine Journal · doi:10.1016/j.spinee.2025.07.017 · Cited by 2
Khair, B. N., Adnan, R., Ahmad, H., Sulaiman, N., & Ismail, S. I. (2014) · Springer eBooks · doi:10.1007/978-981-287-107-7_39 · Cited by 2
“The ODQ evaluated various aspects of disability that affect daily life functions [19].”
BackgroundEffect of Combined Traditional Acupuncture and Applied Kinesiology on Lumbar Diseases
Ahn, C.-B., Lee, S.-J., Park, Y. B., et al. (2020) · Journal of Acupuncture Research · doi:10.13045/jar.2019.00206 · Cited by 2
“Pain scores are determined using the Japanese Orthopedic Association lumbar score (JOALS) [8], and many other assessment methods [9-11], to quantify the pain associated with spinal conditions/diseases [9-16].”
MethodRussian Version of Oswestry Questionnaire: Test Validity and Reliability
Cherepanov, E. A., & Cherepanov, E. A. (2011) · N N Priorov Journal of Traumatology and Orthopedics · doi:10.17816/vto201118173-79 · Cited by 2
Chronic pain treatment: from psychological predictors to implementation.
Samwel, H. J. A. (2008) · Radboud Repository (Radboud University) · Cited by 2
Pregnancy-related pelvic girdle pain and its relation to muscle function
Sjödahl, J. (2010) · DiVA (Linkoping University) · Cited by 2
Kendall, K. D. (2013) · Libraries and Cultural Resources (University of Calgary) · doi:10.5072/prism/26803 · Cited by 3
Türkmen, C., & KILINÇ, H. E. (2022) · Journal of Basic and Clinical Health Sciences · doi:10.30621/jbachs.995009 · Cited by 1
Adults with chronic low back pain hold negative beliefs towards running: a mixed methods study
Neason, C., Mitchell, U. H., Buntine, P., Miller, C. T., Mundell, N. L., Scott, D. S., & Owen, P. J. (2025) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2025.08.014 · Cited by 1
Mertens, M. G., Köke, A. J. A., Groenewegen, J. S., & Smeets, R. (2025) · Disability and Rehabilitation · doi:10.1080/09638288.2025.2566273 · Cited by 1
“Also, the PdI has been found valid and reliable for self-reported disability [9–11].”
Aguerrevere, L. E. (2010) · ScholarWorks @ The University of New Orleans (The University of New Orleans) · Cited by 1
Clifford, S. N. (2009) · D-Scholarship@Pitt (University of Pittsburgh) · Cited by 1
Sciatica : studies of symptoms, genetic factors, and treatment with periradicular infiltration
Karppinen, J. I. (2001) · Cited by 1
THE ROLE OF ACCEPTANCE AND PAIN INTENSITY IN CHRONIC PAIN DISABILITY AND PHYSICAL FUNCTIONING
Ferguson, L. L. (2008) · EngagedScholarship @ Cleveland State University (Cleveland State University) · Cited by 1
Liang, Z. C., Yim, W. N., Wong, C. T. M., Cheng, H. O., & Cheung, K. K. (2020) · Journal of Orthopaedics Trauma and Rehabilitation · doi:10.1177/2210491719842690 · Cited by 1
Psychological and Behavioral Assessment
Heapy, A. A., & Kerns, R. D. (2008) · Elsevier eBooks · doi:10.1016/b978-032304184-3.50016-9 · Cited by 2
Minder, C. R., Gorbach, C., & Peterson, C. K. (2022) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2023.03.002 · Cited by 2
Jago, C. A., Lachance, C., Varshney, V. P., Nasr‐Esfahani, M., & Robert, M. (2024) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/22840265231220088 · Cited by 1
Kaiser, U., Steinmetz, D., Scharnagel, R., Jensen, M. P., Balck, F. B., & Sabatowski, R. (2014) · BMJ Open · doi:10.1136/bmjopen-2014-005119 · Cited by 1
Shah, J. G., Sannasi, R., & Shah, S. I. (2016) · Indian Journal of Rheumatology · doi:10.1016/j.injr.2016.03.008 · Cited by 1
Tertiary Rehabilitation Program Outcomes
Gatchel, R. J., & Mayer, T. G. (2008) · Elsevier eBooks · doi:10.1016/b978-0-7216-2872-1.50118-7 · Cited by 1
Linhardt, O., Kr�ger, A., & Kr�del, A. (2004) · Der Unfallchirurg · doi:10.1007/s00113-004-0775-1 · Cited by 1
“[8] errechnet eine nur mäßige Korrelation zwischen dem „Oswestry low-back pain disability quesAbb.”
BackgroundNew advances in botulinum toxin therapy for pain
Andrés, J. D. (2002) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.2.6.791 · Cited by 1
Health-Related Quality of Life and Functioning in Patients with Spinal Fusion
Pekkanen, L. T. (2013) · Tampere University Institutional Repository (Tampere University)
Spinaalistenoosipotilaiden psyykkinen hyvinvointi ennen leikkaushoitoa ja sen jälkeen
Sinikallio, S. (2007) · Työväentutkimus Vuosikirja
Outcome Assessment in Spinal Surgery
Haefeli, M., & Boos, N. (2008) · Springer eBooks · doi:10.1007/978-3-540-69091-7_40
Resultados Basados en la Evidencia para la Investigación y Práctica Clínica del Dolor
Gatchel, R. J., & Theodore, B. R. (2009) · Pain Practice · doi:10.1111/j.1533-2500.2009.00325.x
Zogaria, J. R., & Bohannon, R. W. (2003) · Journal of Manual & Manipulative Therapy · doi:10.1179/106698103790826400
Aspects of work and health in women with fibromyalgia
Palstam, A. (2015) · Gothenburg University Publications Electronic Archive (Gothenburg University)
The Relationship Between Bone Formation and Functional Status in Symptomatic Lumbar Spinal Stenosis
Devrimsel, G., Türkyılmaz, A. K., Yildirim, M., et al. (2014) · Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi · doi:10.5152/tftrd.2014.97752
“Toplam skor arttıkça özürlülük düzeyi de artmaktadır (9).”
Associations of clinical and echographic symptoms of symphysiopathy in pregnant women
Логутова, Л. С., Чечнева, М. А., Cherkasova, N. Y., et al. (2016) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush201616253-58
Treatment of Co-Morbid Chronic Pain and Substance Use Disorders
Ellison, L. (2011) · EngagedScholarship @ Cleveland State University (Cleveland State University)
Possibilities of predicting the risk of vaginal delivery in women with symphysiopathy
Логутова, Л. С., Чечнева, М. А., Cherkasova, N. Y., et al. (2016) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush201616331-37
천승철 (2011) · YUHSpace (Yonsei University Medical Library)
Noh, K.-H., & Oh, J. (2017) · Journal of KEMA · doi:10.29273/jkema.2017.1.1.7
“Meaning FMS may assist in designing more effective individualized treatment plans to improve the functional capacity of subjects with CLBP.”
BackgroundInfluentialWebb, M. (2018) · SUNScholar (Stellenbosch University)
Park, A., Bettany‐Saltikov, J., & Ling, J. (2020) · IntechOpen eBooks · doi:10.5772/intechopen.92387
Parkerson, H. A., Sareen, J., & Asmundson, G. J. G. (2020) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2020.1798498
Akodu, A. K., Ajepe, T. O., & Onwuazombe, J. O. (2020) · Research Journal of Health Sciences · doi:10.4314/rejhs.v8i2.7
Physical Examination of the Lumbar Spine
Nadler, S. F. (2008) · Elsevier eBooks · doi:10.1016/b978-0-7216-2872-1.50084-4
López, Q. N. G., Rosas, A. R., Morales, A. S., & Cárdenas, S. J. (2022) · Revista Iberoamericana de Diagnóstico y Evaluación - e Avaliação Psicológica · doi:10.21865/ridep63.2.13 · Cited by 1
Kovacs, F. M. (2005) · Medicina de Familia SEMERGEN · doi:10.1016/s1138-3593(05)72955-5
Association of foot arch types with chronic low back pain among selected adults in Sri Lanka
Marikkar, S. F., Fernando, D. R., & Siriwardana, H. V. Y. D. (2022) · Physiotherapy - The Journal of Indian Association of Physiotherapists · doi:10.4103/pjiap.pjiap_6_22
D'Souza, R. S., Gupta, M., & Abd-Elsayed, A. A. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-88223-1.00017-6
Establishing cut-offs for the Pain Self-Efficacy Questionnaire for people living with chronic pain
Bishay, F., Tippin, G. K., Fransson, A., et al. (2023) · Journal of Military Veteran and Family Health · doi:10.3138/jmvfh-2023-0076
Oswestry Disability Questionnaire
Davidson, M. (2023) · Springer eBooks · doi:10.1007/978-3-031-17299-1_2035
Sargent, S., Gelley, G. M., & Passmore, S. R. (2023) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2024.02.002
Akram, A., imtiaz, K., Maryem, S., Mahmood, W., Mahmood, T., & Babur, M. (2024) · Khyber Medical University Journal · doi:10.35845/kmuj.2024.23415 · Cited by 1
Smeets, R., Stenvert, J. M., Winkens, B., & Huijnen, I. P. J. (2024) · European Journal of Physiotherapy · doi:10.1080/21679169.2024.2415573
Validity and reliability of Hindi version of oswestry disability index in Indian population
Sharma, A. K., Chaudhary, K., Gandhi, H. J., et al. (2025) · North American Spine Society Journal (NASSJ) · doi:10.1016/j.xnsj.2025.100593
“This value was higher than most of the previously reported studies [ 14–16 ].”
InfluentialVirtual and in-person chronic pain management outcomes: A retrospective observational study
Hapidou, E. G., Tutunjian, A., & Anthonypillai, J. (2025) · Journal of Military Veteran and Family Health · doi:10.3138/jmvfh-2024-0012
Abijithgeorge, M., Samuelkamaleshkumar, S., Annpatriciacatherine, S., et al. (2025) · Clinical Rehabilitation · doi:10.1177/02692155251337570
“28 By incorporating these dimensions, the V-PIQ provides clinicians and researchers with a more holistic instrument to assess functional limitations in individuals with low back pain, particularly in resource-limited settings where contextual factors play a signi fi cant role.”
Tenan, M. S., Vaglienti, R. M., Brandmeir, N., Konrad, P. E., Finomore, V. S., Rezai, A. R., & Ranjan, M. (2025) · Pain Practice · doi:10.1111/papr.70058
Hanks, T., Bansal, A., Boudreaux, H., et al. (2025) · European Spine Journal · doi:10.1007/s00586-025-09407-6
Takiya, D. M., & Cavichioli, R. R. (2004) · INFM-OAR (INFN Catania) · doi:10.5281/zenodo.158156
Herman, P. M., Edgington, S. E., Hurwitz, E. L., & Coulter, I. D. (2020) · Figshare · doi:10.6084/m9.figshare.12299354
Fritz, J., Almqvist, L., Söderlund, A., Wallin, L., & Sandborgh, M. (2021) · Figshare · doi:10.6084/m9.figshare.16778364
Fritz, J., Almqvist, L., Söderlund, A., Wallin, L., & Sandborgh, M. (2021) · Figshare · doi:10.6084/m9.figshare.16778367
Beaudin, A., Daoust, R., Paquet, J., Yan, J. W., Williamson, D. R., Perry, J. J., Huard, V., Lang, E., Bossard, C., Cournoyer, A., et al. (2025) · Quality of Life Research · doi:10.1007/s11136-025-04143-2
Cassidy, L., Hermena, E. W., Francois, E., Verma, A., Batra, J., Krishnan, O. S., Marco, D. D., Almenhali, K. M., Alobeidli, W. J., Almuntheri, W. S., et al. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2025.1688744
Bozer, C., & Öztürk, G. Y. (2025) · Anti-Aging Eastern Europe · doi:10.56543/aaeeu.2025.4.4.12
Schuttert, I., Echeita, J. A., Eshuis, T. A. H., Dekker, R., Preuper, H. R. S., Petersen, K. K.-S., Arendt‐Nielsen, L., Reneman, M. F., Wolff, A. P., & Timmerman, H. (2026) · Pain Management · doi:10.1080/17581869.2026.2629228
Ferrero, E. (2018) · doi:10.70675/4f7b9165z197dz4753z8b2dz1971bf7b5c9c
Gillani, S. A., Khan, M., Tanveer, A., et al. (2026) · The Healer Journal of Physiotherapy and Rehabilitation Sciences · doi:10.55735/sa62as03
Holroyd, W. (2011) · Open University of Cape Town (University of Cape Town)
Metadata
- Authors
- Grönblad, M., Hupli, M., Wennerstrand, P., Järvinen, E., Lukinmaa, A., Kouri, J.-P., & Karaharju, E. O.
- Affiliations
- University of Helsinki (FI)
- ORCID
- Hupli, Markku
- Venue
- The Clinical Journal of Pain
- Published
- 1993-09
- Volume
- 9
- Issue
- 3
- Pages
- 189-195
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2040987404
- Cited by
- 390
- References
- 0
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 6 · 2023: 13 · 2022: 13 · 2021: 10 · 2020: 17 · 2019: 13 · 2018: 17 · 2017: 13 · 2016: 14 · 2015: 15 · 2014: 28 · 2013: 16 · 2012: 20
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- Pain Disability Index, low back pain, disability assessment, pain intensity, test-retest reliability, visual analogue scale
- MeSH terms
- Adolescent, Adult, Aged, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain Measurement, Surveys and Questionnaires, Low Back Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review