What womac pain score should make a patient eligible for a. The qualitouch software for both versions of the womac 3. Please rate the activities in each category according to the following. German bibliographic reference of the singapore english and chinese versions.
Theiler r, bischoffferrari ha, good m and bellamy n. Please rate the activities in each category according to the following scale of difficulty. Stiffness is a sensation of decreased ease in moving your joint. The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. It includes five questions about pain, two about stiffness, and 17 on degree of disability of activities of daily living. Validation studies reliability, validity, responsiveness. The ikdc standard knee evaluation form, which was designed for knee ligament injuries, was subsequently published in 1993 and revised in 1994. Patients are asked a range of questions about their ability to carry out daily activities such. A model to estimate health utilities index mark 3 utility. The use and reporting of womac for the assessment of. Data from a previously published openlabel randomized controlled trial of appropriate care with hylan.
Bellamy n, buchanan ww, goldsmith ch, campbell j, stitt lw. March 201458different validation studies of womac make this clini. Jan 23, 2012 the aims of the present study were first to detect mcid for womac in a moroccan population, and second, to identify the best pretreatment predictors on the change of health after treatment by nonspecific, nonsteroidal antiinflammatory drugs nsaids, and to evaluate whether the predictors were dependent on the choice of the response criterion. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. Womac osteoarthritis index questionnaire rehabilitation services pt thatka womac questionnaire mr1433 1115 page 1 of 1 patient name dob western ontario and mcmaster osteoarthritis index womac please circle the appropriate rating for each item. Pdf comparative validation of the womac osteoarthritis.
Sep 01, 2009 the womac has been translated into 80 languages and the australian version 3. The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 24 questions. Knee injury and osteoarthritis outcome score koos this guide is intended to serve as an introduction for clinicians and researchers wishing to use the koos. Validation of chinese western ontario and mcmaster universities osteoarthritis index womac in. Aug 22, 2019 womac osteoarthritis index composition of the 1. Pain 5 items, stiffness 2 items, and physical function 17 items. Womac index was also less than optimal in a large proportion of studies. Validation studies reliability, validity, responsiveness orthopaedic validation study pharmacologic validation study. The womac is self administered and multidimensional.
Western ontario and mcmaster universities osteoarthritis. The current womac survey is comprised of 24 items divided into three subscales. Since its presentation by bellamy et al in 1988, it has. Reliability and validity of the western ontario and. Western ontario and mcmaster universities osteoarthritis index. This varies, however, for different subscales and types of interventions. Pdf comparative validation of the womac osteoarthritis and.
Validity, reliability, and comparison of the womac. Overlapping both validation studies is the qualitouch method, which presents each question in writing, in speech, and as a cartoon. The womac has been translated into 80 languages and the australian version 3. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd.
The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a. Physical functioning questions cover everyday activities such as stair use, standing up from a sitting or lying position, standing, bending, walking, getting in and out of a car, shopping, putting on or taking off socks, lying in bed. Acceptability, reliability, validity and responsiveness of. We screened subjects with knee pain using the likert version of the womac and scored all subjects based on the severity of pain with each of the 5.
Think about the stiffness not pain you have in your hipknee during the last 48 hours. Very high correlations were also obtained between womac scores and lequesne oa algofunctional index. The aim of the study was to evaluate if physical functions usually associated with a younger population were of importance for an older population, and to construct an outcome measure for hip osteoarthritis with improved responsiveness compared to the western ontario mcmaster osteoarthritis score womac lk 3. This was a 1 year, singleblind, randomized study in which 24 patients were treated with ia ha once weekly for 3 weeks and then again at 6 months total of 6 injections. May 30, 2003 the aim of the study was to evaluate if physical functions usually associated with a younger population were of importance for an older population, and to construct an outcome measure for hip osteoarthritis with improved responsiveness compared to the western ontario mcmaster osteoarthritis score womac lk 3. Responsiveness of the electronic touch screen womac 3. The therapeutic effect of intraarticular normal saline.
It is a selfadministered questionnaire consisting of 24 items divided into 3 subscales. Since its development in 1982, the womac index has undergone several revisions and modifications. For more detailed information, please refer to the faq. Osteoarthritis index womac short form based on previously shortened versions and to study its validity, reliability, and responsiveness for patients with hip osteoarthritis undergoing total hip replacement thr. Validation and patient acceptance of a computer touch. A 40 item questionnaire hip disability and osteoarthritis outcome score, hoos. Use of the womac questionnaire in mumbai and the challenges. For each situation, please enter the amount of pain you have experienced in the past 48 hours. Index womac pain subscale score at screening on a 0100 mm vas scale. Validation of chinese western ontario and mcmaster universities osteoarthritis index womac in patients scheduled for total knee replacement.
Apr 30, 2010 measurement properties of the womac lk 3. The following questions concern the amount of pain you are currently experiencing in your knees. A 40 item questionnaire hip disability and osteoarthritis. After the diagnosis, each participant completed an initial womac questionnaire to document the specific joint that was affected. Evaluating clinical response and activity of cyplexinol. The womac index has been used extensively in clinical trials, and has generally been shown to exhibit greater or comparable responsiveness to change than other tests. The western ontario and mcmaster universities osteoarthritis index womac name. Based on the inclusion criteria, 87 participants with affected knee or hip joints were enrolled in this study. Validation studies reliability, validity, responsiveness validity and reliability study responsiveness study. The western ontario and mcmaster universities osteoarthritis index womac, a diseasespecific questionnaire, is a widely used prom in patients with hip or knee osteoarthritis oa 3, 4. Reliability and validity of the western ontario and mcmaster. The western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis.
How to fix forward head posture 3 easy exercises from a chiropractor. Standing upright none mild moderate severe extreme b. To evaluate different western ontario and mcmaster universities osteoarthritis index womac pain thresholds as eligibility criteria for a knee osteoarthritis oa trial and their effect on number of subjects recruited. Clinicians and researchers interested in obtaining a copy of the instrument and user guide should visit the womac website for information about licensing and. Feb 04, 2011 womac law firm television commercial sample duration. Jul 26, 2016 the womac measures three separate dimensions. Roos3 introduction patientreported measures of knee function are important. Apr 30, 2010 the western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. The knee injury and osteoarthritis outcome scorea multifunctional questionnaire to measure outcome in knee arthroplasty z orthop ihre grenzgeb. Developed over 20 years ago, womac has been revised multiple times to its most current version, 3. To assess validity and reliability of the western ontario and mcmaster universities womac osteoarthritis oa index and lequesne algofunctional index in turkish patients with hip or knee oa and to compare the results of the instruments for these two particular sites of involvement. The womac index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. Validation and patient acceptance of a computer touch screen. Following orientation to the mwomac index, and initial completion in the office, patients took the phones home and independently completed the index on four subsequent occasions over 12 days, sending their data each time to a server in usa.
How to fix forward head posture 3 easy exercises from a chiropractor duration. Womac law firm television commercial sample duration. Clinically important improvement in the womac and predictor. Research open access validation of a proposed womac. The western ontario and mcmaster universities osteoarthritis index womac is a widely used, proprietary set of standardized questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints. Efficacy of plateletrich plasma in the treatment of knee. Department of health and human services food and drug administration. Mcmaster osteoarthritis index womac please circle the. Internal consistency reliability was assessed by cronbachs alpha and itemscale correlations.
The number of different score ranges was high and only 39% of trials used the standard 096, or 02400 or 0240 ranges. In 74% of trials the reporting of the scale used was inadequate. Western ontario and mcmaster universities osteooarthritis index. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. Womac is a selfadministered health status measure that assesses the dimensions of pain, stiffness and function either separately or as an overall index in patients with oa of the hip or knee. P documentation committee score, lequesne score, standardized mean difference 1. We observed, in all cases, an improvement after the surgical procedure, reinforcing once more, the correct validation of the questionnaires to find changes in quality of life of patients following a knee womxc. The ikdc subjective knee evaluation form was developed as a revision of the standard knee evaluation form in 1997. The womac has also been used to assess back pain, rheumatoid arthritis, juvenile. Cole,z md, mba investigation performed at the rush university medical. Apr 27, 2010 a preliminary evaluation of mobile phone technology for repeated independent remote data capture using the mobile phonebased mwomac nrs 3.
The therapeutic effect of intraarticular normal saline injections for knee osteoarthritis a metaanalysis of evidence level 1 studies bryan m. The womac measures five items for pain score range 020, two for stiffness score range 08, and 17 for functional limitation score range 068. Womac physical function, but not womac stiffness and pain subscales, was weakly associated with radiological oa severity p 0. Prospective observational study of two independent cohorts 788. Also, womac pain score was inversely correlated p 0. The following is the table of contents from the womac 3. Four hundred and seventyfour patients with osteoarthritis of the hip or knee awaiting arthroplasty were administered the womac. The following is the table of contents from the auscan 3. Download pdf, 48kb the auscan index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in. We screened subjects with knee pain using the likert version of the womac and scored all subjects based on the severity of pain with each of the 5 womac. Western ontario and mcmaster universities osteooarthritis. Translation, adaptation and validation of the western. Hip disability and osteoarthritis outcome score hoos.
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