CLICKHERETO DOWNLOAD
In%oftrialsthereportingoftheWOMACscaleusedwasinadequateandthescorerangewasreportedambiguouslyin%oftrials,whilstinafurther%itwas completelyunclear.WescreenedsubjectswithkneepainusingtheLikertversionoftheWOMACandscoredallsubjectsbasedontheseverityofpainwitheach oftheWOMACactivitiesFigROCcurvesforWOMACtotal(orange),EQ-5D(green),KSSKnee(blue)andKSSFunctionscores(red)atmonths(left) andmonths(right)offollow-upThescoresforeachsubscalearesummedup,withapossiblescorerangeofforPain,forStiffness,andforPhysicalFunctionKnee OA:Williams()MDCatmonths=(onascaleof)MDCatmonths=(onascaleof)MDCatmonths=(onascale)HipandKneeOA:Stratford()MDCofpain=(on ascale)FormofWOMACusedWOMACPainscorerangeWOMACindexrangeVAStotoVAStotoNRStotoLikertscale()toThescoresaresummedfor itemsineachsubscale,withpossiblerangesasfollows:pain=,stiffness=,physicalfunction=AtotalWOMACscoreiscreatedbyofWOMACscores,acut-off scoreofandabove(ona0–scale)hasbeenusedbyCanadianresearcherstodenoteseverearthritispotentiallyrequiringjointWOMACisasumofpainscoreson atopointscale(Stairs+Walking+InBed+Sit/Liedown+Standing),wherehighnumbersmeanhighpain.ReportingoftheWOMACindexwasalsolessthan optimalinalargeproportionofstudiesThenumberofdifferentscorerangesusedinthesampleoftrialswaslargerthanwehadexpected(Table3)Sourcescore reportedTheIndexisself-administeredandwomac™TheWOMAC™Indexisadisease-specific,tri-dimensionalself-administeredquestionnaire,forassessing healthstatusandhealthoutcomesinosteoarthritisoftheMethodsVariationsonthestandardWOMACLikertpainscorerange(0–20)included0–or5–derived whentheLikertscaleiscountedfrom(nopain)to(extremepain)Self-administeredWesternOntarioandMcMasterUniversities(WOMAC)indexisthemost commonusedclinicaltoolsforevaluatingpatientswithkneeOAItincludesfivequestionsaboutpain,twoaboutstiffness,andondegreeofdisabilityofactivitiesof dailylivingTKR:Greco()MDC=atmonths(onascaleof)MDC=atmonths(onascaleof)WOMACOSTEOARTHRITISINDEXWalkingonaflat surfaceGoingupordownstairsAtnightwhileinbedSittingorlyingdownStandinguprightLevelofpaininRIGHTkneeLevelofpaininLEFTkneeHowsevereis yourstiffnessafterfirstawakeninginthemorning?Howsevereisyourstiffnessaftersitting,lying,orThescoresaresummedforitemsineachsubscale,with possiblerangesasfollows:pain=,stiffness=,physicalfunction=AtotalWOMACscoreiscreatedbysummingtheitemsforallthreesubscales()Interpretationof Scores:HigherscoresontheWOMACindicateworsepain,stiffness,andfunctionallimitationsWOMACTheWesternOntarioandMcMasterUniversities OsteoarthritisIndex(WOMAC)Name: Date: Instructions:PleaseratetheactivitiesineachcategoryaccordingtothefollowingThetestquestionsare scoredonascaleof,whichcorrespondto:None(0),Mild(1),Moderate(2),Severe(3),andExtreme(4)Sinceitsdevelopmentin,theWOMAC®Indexhas undergoneseveralrevisionsandmodifications.TheKSSisasumofKneeandHipOsteoarthritisIndex.