7 Colo. Code Regs. § 1101-3-17-01-10
Introduction. These guidelines discuss an interdisciplinary approach to low back pain treatment in the acute and subacute timeframes. Interdisciplinary rehabilitation programs are the gold standard of treatment for individuals with chronic low back pain who have not responded to less intensive modes of treatment or individuals who require concurrent treatment for chemical dependency. See the Chronic Pain Disorder Medical Treatment Guidelines (MTGs) for additional information, including indications, recommendations, and time frames.
Appendix Functional Tests
Name of Test | Body Part | Description |
Oswestry Low Back Pain Disability Questionnaire (ODI) | Lumbar Spine | Functional questions with sleeping, lifting, walking, sitting, and standing |
Quebec Back Pain Disability Scale | Spine | Functional and emotional questions |
Neck Disability Index | Cervical Spine | 10 questions addressing pain, personal care, headaches, and functional deficits |
36-Item Short Form Survey (SF-36) and 12-Item Short Form Survey (SF-12) | Physical Health | Assesses activities of daily living (ADLs) |
Dallas Pain Questionnaire | Spine | Chronic pain |
Brief Pain Inventory | General | Sleep, walking, ADLs |
Psychological Screens
Name of Test | Description |
Brief Battery for Health Improvement, 2nd Edition (BBHI 2) | Measures pain, functioning, somatization, depression, anxiety, and defensiveness; brief measure of risk factors for delayed recovery |
Distress and Risk Assessment Method (DRAM) | Measures depression and somatic symptoms of anxiety, risk factors commonly associated with chronic pain |
Center for Epidemiological Studies Depression Scale (CES-D) | Measures depression, 20 items |
Beck Depression Inventory-II (BDI-II) | Measures depression, 21 items |
Primary Care Evaluation for Mental Disorders (PRIME-MD) Must be filled out by a provider | 2 components: paper and pencil screen for patient and follow-up interview by physician. Assesses mood, anxiety, somatoform tendencies, and alcohol and eating disorders |
Zung Depression Inventory | Measures depression, brief measure |
Patient Health Questionnaire (PHQ) and PHQ-9 | Self-administered version of the PRIME-MD. Assesses mood, anxiety, somatoform tendencies, and alcohol and eating disorders |
Generalized Anxiety Disorder Scale (GAD-7) | Assesses generalized anxiety, 7 questions |
Behavioral Health Index-Multimedia Version (BHI-MV) | Screens for addiction |
7 CCR 1101-3-17-01-10