Based on all things you do to cope or deal with your pain, on an average day, how much are you able to decrease it?Can’t decrease it at all > Can decrease it completely9. Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPQ)Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPQ)These questions and statements apply if you have aches or pains, such as back, shoulder or neck pain.Please read and answer questions carefully. w[q��f�����/_�mշ�t5�D+[G�� ��Fv�/~����3�1��kGw�Оx��մ��05|����b{#-]-���������0�����_����W�XL�5��S�d��~�����Z��o��f����SPr��ӱ���U�0�jo��c��u�����*L���~l�;�d���y\����w�D/����8�RW�����O�|��]}mZ�� (��������p道��Gӟ�B����a�eĬ�,5�2Q����Eq��(5��
���oe�8>Я?�t2�`�`� B�{�ӡ.�6ԅqe{����[��μ���n[�x�������7~8�Lֽ�c��}=�xg�pv��2��W�P'�Ҫ�w�c�pl
��y�
v����d,M�ꪦ���������@���5E�t1�P[��^�"{
]�n��q�
��o������qG�A�z��n��{� Z���p��vGv0�8�iMam
���>c�d�Y�Ԑj����B^ݮ�����s*njM;9c0b�@r�p�!5V��P�s�P8�*9I�f�2���|%�U��w����uj�F��l����g��s3e�U0=3�X:W>��L��@��ڀ�R?��@��F��\��%��ex(�?����'�����o?ʅ���~����_�7$9pC+^"Bi#*0����9�]�sh��xגszg���T��m���;����Y:Nr����S�i��b��T�V)@�I�i]�vc0L��ҧ &���Ԯy9��*~�cq��� ��`�08s@�*09Ԣ��3�R#�g��O>���M�X�Y$\Áģ�Z>�K4��J�MDk[0��
�~:ʫ� ���C%�ن(f#�TN�kTr�p��'7.ꪵ$7V;�[�*�q�j��+P-� ��XT�-��Nn 3[�4:6�hm2�U��>������,��7�B��,�'��r�_�q��|�d��8�(}!�C�G�L��Ma�'!g��m��$W�����6g�l�7�a����3��~���bg�#��G���*��=+U>�hH
�j��� {�
�R�� �L�u+����4Tݬ&O��X�E1wFqr�. 2012 Dec;17(6):554-65 ( PubMed Abstract ) In the past three months, on average, how bad was your pain? How tense or anxious have you felt in the past week?Absolutely calm and relaxed > As tense and anxious as I’ve ever felt10. 2012 Dec;17(6):554-65 (PubMed Abstract) Gabel CP, Burkett B, Melloh M. The shortened Örebro Musculoskeletal Screening Questionnaire: evaluation in a work-injured population. endobj
4 0 obj
How many days of work have you missed because of pain during the last 18 months?3. Orebro Musculoskeletal Pain Questionnaire (ÖMPQ) The ÖMPQ is a screening questionnaire used to predict long term disability and failure to return to work due to personal and environmental factors. Örebro Musculoskeletal Pain Screening Questionnaire (Short) Name: Date of Birth: Are you: Male. Description General description: Also known as the Acute Low Back Pain Screening Questionnaire, the Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ) is a 25-item self-administered tool designed to identify people at risk of developing chronic pain associated with psychosocial factors (yellow flags) (Hockings et al 2008, Linton & Boersma 2003, Linton & Hallden 1998). <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/StructParents 0>>
In your view, how large is the risk that your current pain may become persistent?12. endobj
How much have you been bothered by feeling depressed in the past week?11. Circle one.7. An increase in pain is an indication that I should stop what I’m doing until the pain decreases.16. x��]]s7�}w��ɩQ���_��LU�dj�*�d���d�/>(�f�vRCK"����m� M���|��߿��7���+��7��ׯ_���;J��jA^����Z�'�B��f���a����/j�>�������o�뿿|��q��u� �W]/v뷻-Y^���K�x\����w�+�x�ߪ_��c-�_���ս���O?�[6�&����Ò���?�}��JU�n�/����n�>��u����O��KG�E�W���dR�|��+B&��ύ�`\��! In your estimation, what are the chances that you will be able to work in six months?13. Tick (√) one. I should not do my normal work with my present pain.Here is a list of five activities. Scoring the short version of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) The short version of the ÖMPSQ includes 10 items selected from the full version (see Linton, Nicholas & MacDonald, 2011). How long have you had your current pain problem?5. 1 0 obj
Pains and aches happen to all of us, and usually disappear by themselves. Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPQ) These questions and statements apply if you have aches or pains, such as back, shoulder or neck pain. 3 0 obj
Örebro Musculoskeletal Screening Questionnaire (OMSQ) Short Form (SF-12) (Gabel, C. P 2012) Today’s date: Claim number: Name: Problem: 1. 2 0 obj
How would you rate the pain that you have had during the past week?6. 0-1 w eks[1 ]2 [2 3 4[3 5 [4 6 8 [5 9-11 weeks [6] 3-6 months [7] 6-9 months [8] 9-12 months [9] over 1 year [10] 2. Place a tick for all appropriate sites.2. 1. ]Ǫ�77��v��ˊ��|'���}���b?��j��[]9�ʪ�`���9�卼b8��k-�� �� kh�S҉�b������+�X�]�f�_��?����+�j��G��`�,Hْ There is always a response for your particular situation.1. Female . It is a tool to assess the risk that your current pain becomes persistant and generates sick leave.
Örebro questionnaire . %PDF-1.4
Choose the slider to choose what best describes your current ability to participate in each of these activities. Check ( ) one 0-1 weeks [1] 1-2 weeks [2] 3-4 weeks [3] 4-5 weeks [4] 6-8 weeks [5] 9-11 weeks [6] 3-6 months [7] 6-9 months [8] 9-12 months [9] over 1 year [10] 2. These items are scored 0-10, where 0 refers to absence of impairment and 10 to severe impairment. Completely disagree > Agree15. However, if symptoms last for too long or are not properly deal with, the risk is that they become chronic. If you take into consideration your work routines, management, salary, promotion possibilities and work mates, how satisfied are you with your job?Here are some of the things that other people have told us about their pain. <>
When did your current pain or problem start?