PAIN DISABILITY INDEX:
MEASURING DISABILITY ARISING FROM PAIN
In contrast
to Massage Monitor which is yet to be fully tested for validity and reliability, the Pain Disability Index (as shown below)
has had extensive and satisfactory testing, and could be helpful as a before / after measure for the effects of massage. The
editor has successfully used this and masseurs may find it a helpful instrument in assessing the practical value of their
efforts, to accompany the patients satisfaction as evidenced in Massage Monitor.
PATIENT ASSESSMENT OF IMPACT OF PAIN ON ACTIVITIES OF DAILY LIVING
The rating scales below tell
us how much your pain is preventing you from doing what you would normally do, or from doing it as well as you normally would.
Please indicate the overall
impact of pain in your life (not just when the pain is at its worst) by circling the number on the scale which describes best
the level of disability you feel.
A score of zero means no
disability at all and a score of 10 means that the activity is impossible because of the pain.
YOUR NAME.
PHONE NUMBER.
VISIT NO. 1 2
3 4
3 MONTH FOLLOW UP
(circle
correct response)
DATE.