Osteoarthritis of the knee is the most common chronic joint disease that involves middle aged and elderly persons. It has been validated in hundreds of studies across the world with multiple translations and widely used for research purposes, clinical trials, large scale databases, and registries. A score derived from a questionnaire in which the patient answers questions regarding rheumatic symptoms, stiffness, pain and how it affects the ability to function. People have told us that they experience different kinds of pain including aching or discomfort in their knee. This questionnaire is actually an extended version of womac. Pain was measured using a variety of scales, with womac pain scores. The western ontario and mcmaster universities osteoarthritis index womac name. The reduced womac function scale provides an alternative which will limit the number of missing values, and hence the number of invalid womac scores. Very high correlations were also obtained between womac scores and lequesne oa algofunctional index. The translation of the womac in italian format for a description of the formats see. Afrikaans, spain, sweden, switzerland german, switzerland italian, switzerland.
Materials and methods the scale the womac oaindex9 is a selfadministered composite. Please enter your personal details first name, last name, and email address are required. Validation of a proposed womac short form for patients. The use and reporting of womac for the assessment of. Summary of clinical outcome measures for sportsrelated knee injuries. The current womac survey is comprised of 24 items divided into three subscales. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. In sections a, b, and c, questions will be asked about your hip or knee pain. We aimed to explore the internal validity and responsiveness of this vas version of the womac. Womac law firm television commercial sample duration.
Hamilton, phd b, bernhard jost, md c, henrik behrend, mdc, karlmeinrad giesinger, msc, md c a department of psychiatry and psychotherapy, medical university of innsbruck, innsbruck, austria b department of orthopaedic surgery. The proportion of trials, for which assumptions had to be made in order to reach a conclusion regarding the type of scale and the score range used, was calculated. Data were obtained from 72 patients with oa of the knee. This has important implications when considering power studies for smaller studies, and the impact of questionnaire choice on compliance and duplication of data, as well as data completion. Western ontario and mcmaster university osteoarthritis index. Our examination of the factorial structure of the womac pain scale failed to support a. The womac pain scale was primarily a measure of pain during physical activities.
Orthopaedic scores website to help clinicians and patients to gauge progress of the healing of certain treatments. Also, womac pain score was inversely correlated p 0. 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. A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. The scores for each subscale are summed up, with a possible score range of 020 for pain, 08 for stiffness, and 068 for physical function. I have tried to claculate the composite score from the three subscales.
The womac has been translated into spanish and validated in spain 810. Looking for online definition of womac or what womac stands for. There are different clinical instruments to quantify the health status of patients with knee osteoarthritis and one example is the womac score that has been translated and adapted into different languages. The final scores for the long and short womac versions were determined by adding the aggregate scores for pain and function separately, and standardizing them to a range of values from 0 to 100. Although the western ontario and mcmaster university osteoarthritis index womac is considered the leading outcome measure for patients with osteoarthritis of the lower extremity, recent work has challenged its factorial validity and the physical function subscales ability to detect valid change when pain and function display different profiles of change. Development of the italian version of the knee injury and osteoarthritis outcome score for patients with knee injuries. For each situation, please enter the amount of pain you have experienced in the past 48 hours. Oxford shoulder score oss english version for the united kingdom. If you are unsure about how to answer a question, please give the best answer you can. 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. Knee injury and osteoarthritis outcome score koos development of a selfadministered outcome measure.
The womac measures five items for pain score range 020, two for stiffness. The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. Functional activity score this is an activityrelated score. Western ontario and mcmaster universities osteoarthritis. Womac physical function, but not womac stiffness and pain subscales, was weakly associated with radiological oa severity p 0. Economic evaluation typically is conducted using health state utilities to estimate treatment benefits. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. Usually a sum of the scores for all three subscales gives a total womac score, however there are other methods that have been used to combine scores. Womac osteoarthritis index in italian patients with osteoarthritis of the knee. Research open access modelling the relationship between the womac osteoarthritis index and eq5d allan wailoo1, monica hernandez alava1 and antonio escobar martinez2 abstract objective. Please rate the activities in each category according to the following scale of difficulty. The knee injury and osteoarthritis outcome score koos. Does parallel item content on womacs pain and function. The 24 items included in the italianwomac questionnaire.
A measure of intermittent and constant osteoarthritis pain, icoap. Acceptability, reliability, validity and responsiveness of. 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. Womac osteoarthritis index rozina and smith physical therapy. Validity, reliability, and comparison of the womac. These details will be sent to dr bellamy who will respond to your request in due course. Womac the western ontario and mcmaster universities arthritis index 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. Translation, adaptation and validation of the western. We expect that the translated and adapted version should suit other arab populations because of their similar language and culture. Summary of clinical outcome measures for sportsrelated. The koos score is commonly used for patient self reported assessments of knee and associated problems. 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. Patients have to cope with pain, swelling and disability, due to which the quality of life suffers to a large extent. Ac osteoarthritis index in italian patients with osteoarthritis.
It is designed to work with sibelius and the musicxml specification music ocr is not an exact science, and you have to learn to edit the results and correct numerous errors to get useable output. Pain 5 items, stiffness 2 items, and physical function 17 items. The western ontario and mcmaster universities osteoarthritis index womac is a widely used. The following questions concern the amount of pain you are currently experiencing in your knees. 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. As noted by others, the response format and scoring algorithm were not. Request further information please complete the following form to request further information. Measurement properties of the western ontario and mcmaster. Patient relevant, diseasespecific, patient selfcompleted, flexible delivery, multiple language forms.
Therefore, the womacsf that we proposed has 11 items grouped into two dimensions. What links here related changes upload file special pages permanent link page. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. An extension of the western ontario and mcmaster universities osteoarthritis index. Neuratron photoscore is one of several music ocr optical character recognition programs available. Research open access modelling the relationship between. Womac score definition of womac score by medical dictionary. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and. The womac measures five items for pain score range 020, two for stiffness score range 08, and 17 for functional limitation score range 068. Observe your patient during the chosen activity and score a, b, or c. How to fix forward head posture 3 easy exercises from a chiropractor duration. Ask your patient to perform an activity related to their painful area for example, deep breathe and cough for thoracic injury or move affected leg for lower limb pain. Patients are asked a range of questions about their ability to carry out daily activities such. Developed over 20 years ago, womac has been revised multiple times to its most current version, 3.
Please rate the activities in each category according to the following. Womac into arabic and to validate the arabic version of the index for tunisian patients with knee oa. Reliability and validity of the western ontario and. Womac osteoarthritis index in italian patients with osteoarthritis of. Salaffi et al, 2005 85, italy, italian, hipknee oa, 244, 59, 68, vas. Information and translations of womac in the most comprehensive dictionary definitions resource on the web. A total womac score can also be produced and is commonly transformed to a 0100 scale for ease of interpretation and comparison with other studies.
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