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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2014, Volume : 8, Issue : 2
First page : ( 158) Last page : ( 163)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/j.0973-5674.8.2.079

Validation in the Cross-Cultural Adaptation of the Nepali Version of the Oswestry Disability Index

Acharya Ranjeeta S1, Al-Oraibi Saleh2, Adhikari Shambhu P3, Parajuli Nirajan4, Limbu Hem5, Enezi Farhan Al6

1Assistant Professor, Dept. of Physiotherapy, Kathmandu University School of Medical Sciences (KUSMS), Nepal

2Associate Professor, Rehabilitation Sciences, Dept. of Rehabilitation, KSUA-HS, College of Applied Medical Sciences, Saudi Arabia

3Lecturer, Dept. of Physiotherapy, KUSMS, Nepal

4Assistant Professor, Dept. of Orthopaedics and Traumatology, KUSMS, Nepal

5Associate Professor, Dept. of Orthopaedics and Traumatology, KIST Medical College, Nepal

6Assistant Professor, Medical Consultant, ICU, KSUA-HS, College of Applied Medical Sciences, Saudi Arabia

Online published on 23 May, 2014.



Standardized outcome measures to improve interventions for low back pain (LBP) have been recommended by many authors. The ODI is a valid and reliable evaluation instrument for disability measurement, but no validated Nepali version is evident.


The aim of the study was to conduct cross-cultural adaptation in translating the original (English) version of the Oswestry Disability Index (ODI2.1a) into Nepali, and then to assess the psychometric properties of the Nepali versions of the Oswestry Disability Index (NODI2.1a).

Study Design

Validation of a translated, culturally adapted questionnaire


Translation with cross cultural adaptation of the latest English version of the ODI2.1a was done. A total of 101 outpatients with LBP were assessed using ODI. 27 patients were tested on a second occasion for test-re-test reliability.


Cronbach α is found to be 0.723 which is an acceptable level of internal consistency. An acceptable good intraclass correlation coefficient was observed (ICC = 0.875) in the test-retest group.


The Nepali version of ODI2.1a has good comprehensibility, internal consistency, and validity and is an adequate and useful instrument for the assessment of disability in patients with LBP.



Low Back PainNepaliOswestry Disability Index.


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