1 - I stay at home most of the time because of my back. | |||||||
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2 - I change position frequently to try to get my back comfortable. | |||||||
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3 - I walk more slowly than usual because of my back. | |||||||
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4 - Because of my back, I am not doing any jobs that I usually do around the house. | |||||||
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5 - Because of my back, I use a handrail to get upstairs. | |||||||
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6 - Because of my back, I lie down to rest more often. | |||||||
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7 - Because of my back, I have to hold on to something to get out of an easy chair. | |||||||
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8 - Because of my back, I try to get other people to do things for me. | |||||||
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9 - I get dressed more slowly than usual because of my back. | |||||||
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10 - I only stand up for short periods of time because of my back. | |||||||
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11 - Because of my back, I try not to bend or kneel down. | |||||||
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12 - I find it difficult to get out of a chair because of my back. | |||||||
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13 - My back is painful almost all of the time. | |||||||
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14 - I find it difficult to turn over in bed because of my back. | |||||||
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15 - My appetite is not very good because of my back. | |||||||
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16 - I have trouble putting on my sock (or stockings) because of the pain in my back. | |||||||
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17 - I can only walk short distances because of my back pain. | |||||||
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18 - I sleep less well because of my back. | |||||||
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19 - Because of my back pain, I get dressed with the help of someone else. | |||||||
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20 - I sit down for most of the day because of my back. | |||||||
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21 - I avoid heavy jobs around the house because of my back. | |||||||
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22 - Because of back pain, I am more irritable and bad tempered with people than usual. | |||||||
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23 - Because of my back, I go upstairs more slowly than usual. | |||||||
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24 - I stay in bed most of the time because of my back. | |||||||
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Source :
Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983; 8: 141-144.