MDCalc

Neck Disability Index (NDI)

Assesses disability in patients with neck pain.

Pain intensity

Personal care

Washing, dressing, etc.

Lifting

Reading

Headaches

Concentration

Work

Driving

Sleeping

Recreation

Result:

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Advice
  • Reevaluate the NDI periodically to monitor changes in the patient’s condition.
  • Improvement in scores should correspond with clinical improvement and can guide the step-down of therapy or continuation of successful interventions.
  • If scores do not improve or worsen, reassess the management plan. Consider alternative diagnoses, escalate treatments, or refer to specialists, as needed.
  • Consider adapting the treatment plan based on patient-specific responses to individual variables, personalizing care to optimize outcomes.
  • The tool can be utilized to set realistic goals with patients, such as improving scores by a certain number of points and aligning these goals with functional improvements they can expect.