Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. The use and reporting of womac for the assessment of. Rate each of the 5 measurement categories 0, 1, or 2. Validation of a proposed womac short form for patients. Western ontario and mcmaster universities osteooarthritis. We adapted the womac for the italian language and tested its metric properties in 304 patients with symptomatic oa of the knee. Disabilities of the arm, shoulder and hand dash instructions this questionnaire asks about your symptoms as well as your ability to perform certain activities. It is a selfadministered questionnaire consisting of 24 items divided into 3 subscales.
The following questions concern the amount of pain you are currently experiencing in your knees. Validity construct validity examines how well a score measure what is expected to measure. There are multiple versions of the aims2, such as the aims2sf. Request further information please complete the following form to request further information. To evaluate the acceptability, reliability, validity and responsiveness of the turkish version of western ontario and mcmaster universities womac osteoarthritis oa index in physiotherapy outpatient practice in turkey. The electronic touch screen version of the womac ewomac has been previously shown to be highly correlated with the original paper format. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. Moderate standardized effect size for womac total scale from baseline to 12 weeks 0. Functional activity score this is an activityrelated score. The western ontario and mcmaster universities womac osteoarthritis oa index is a tested questionnaire to assess symptoms and physical functional disability in patients with oa of the knee and the hip. Womac scale scores indicate that patients are of moderate severity on average at baseline, as expected from a hospital recruited cohort. In sections a, b, and c, questions will be asked about your hip or knee pain. The knee injury and osteoarthritis outcome score koos is an extension of the western ontario and mcmaster universities osteoarthrtis index womac, the most commonly used outcome instrument for assessment of patientrelevant treatment effects in osteoarthritis.
Clinicians and researchers interested in obtaining a copy of the instrument and user guide should visit the womac website for information about licensing and. This case report aims to discuss the clinical and radiological outcomes of prolotherapy at a patient whom to total knee prosthesis had been planned but surgery couldnt be performed due to comorbidities. At the end, we compared the original form with backward translated paper. It can be administered in person, via computer, by telephone interview, and can even be delivered to mobile devices mwomac 2. Summary of basic reporting of womac pain subscale and womac index. Knee injury and osteoarthritis outcome score koos, english version lk1. Validation studies reliability, validity, responsiveness orthopaedic validation study. The questionnaire also includes sections which ask respondents to rate their satisfaction and the impact of arthritis on each of these 12 areas. Development and testing of a reduced womac function scale. The western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. The womac index is a diseasespecific, tridimensional self administered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip.
Download fulltext pdf download fulltext pdf validation of a proposed womac short form for patient with hip osteoarthritis article pdf available. 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. The womac pain and physical functioning subscales satisfied unidimensionality and ordinal scaling tests, and the ability to transform to an interval scale. Responsiveness was greater for the reduced scale full 1. A simple visual analog scale for pain is as responsive as. Standardized response mean for womac total scale at 12 weeks 7. Little is known about the comparative performance of patientreported outcome. Our examination of the factorial structure of the womac pain scale failed to support a single factor and internal consistency analysis yielded a coefficient less than optimal for individual patient use. The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. For each situation, please enter the amount of pain you have experienced in the past 48 hours. Womac also has the additional advantage of being validated for use in multiple formats. Download fulltext pdf download fulltext pdf validation of a proposed womac short form for patient with hip osteoarthritis article pdf available in health and quality of life outcomes 975. We aimed to explore the internal validity and responsiveness of this vas version of the womac.
Cuestionario womac pdf the western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. This reduced version of the womac function scale provides a practical, valid, reliable and responsive alternative to the full function scale for use after total joint replacement. This article is from anesthesiology and pain medicine, volume 4. There was not a significant difference between the original english womac and the translated transcript from persian womac index. Treatment of advanced stage gonarthrosis with prolotherapy. Please answer every question, based on your condition in the last week. Reliability and validity of the western ontario and. The womac has also been used to assess back pain, rheumatoid. Mcmaster osteoarthritis index womac please circle the. Validity, reliability, and comparison of the womac. Responsiveness of the electronic touch screen womac 3.
The womac scale was designed to measure dysfunction and pain associated with oa of the lower extremities by assessing 17 functional activities. Please rate the activities in each category according to the following scale of difficulty. The womac has been translated into 80 languages and the australian version 3. In a small number of cases the score range specified was not interpretable. The womac measures five items for pain score range 020two for stiffness score range 08and 17 for functional limitation score range 0 the questionnaire has been applied previously in order to measure functional recovery of patients who had undergone primary hip or knee arthroplasty 6. The reduced scale was derived using the advice of clinical experts as well as analysis of data. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. An alternate strategy to summing the fiveitem responses when. Western ontario and mcmaster universities osteoarthritis.
The knee injury and osteoarthritis outcome score koos is a questionnaire designed to assess short and. The western ontario and mcmaster universities womac osteoarthritis index is a selfadministered validated questionnaire for patients with osteoarthritis oa of the hip or knee. Some differential item functioning was observed, but this cancelled out at the test level and, by doing so, at the same time removed the disturbance of unidimensionality. Koos was developed for younger andor more active patients with knee injury and knee. These details will be sent to dr bellamy who will respond to your request in due course. The cronbachs alphas of the womac and lequesne subscales were ranged 0. Clinician researchers american college of rheumatology. Construct validity was tested by correlating the womac or lequesne with each other, and also with sf36 and visual analog scale vas. Behavioral rating scale the behavioral pain assessment scale is designed for use with nonverbal patients unable to provide selfreports of pain. The western ontario and mcmaster universities osteoarthritis index womac is a widely used measure of symptoms and physical disability originally developed for people with osteoarthritis oa of the hip andor knee 1, 2.
Womac oa index17,18, which is recommended by the outcome measures in rheumatoid arthritis clinical trials omeract19,20. Additionally, a reduced sevenpoint womac scale has. In 74% of trials the reporting of the scale used was inadequate. The measure was developed to evaluate clinically important, patient. The aim of this study was to validate a translated version of the western ontario and mcmaster universities osteoarthritis index womac questionnaire in spanish patients with hip or knee osteoarthritis oa. The womac questionnaire and the sf36 were administered to a sample of 269 patients on the waiting list for hip or knee replacement. The measure was developed to evaluate clinically important, patientrelevant changes in health status resulting from treatment interventions.
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