Please rate the activities in each category according to the following scale of difficulty. Western ontario and mcmaster universities osteooarthritis. The lefs can be used by clinicians as a measure of patients initial function, ongoing progress and outcome, as well as to set functional goals. Modified fatigue impact scale mfis fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. Validation of a proposed womac short form for patients. It is a selfadministered questionnaire consisting of 24 items divided into 3 subscales. It can be administered in person, via computer, by telephone interview, and can even be delivered to mobile devices m womac 2. Translation, adaptation and validation of the western.
Objective to compare the responsiveness of the conditionspecific western ontario and mcmaster universities osteoarthritis oa index womac and the generic short form36 sf36 in patients with oa of the legs undergoing a comprehensive inpatient rehabilitation intervention. Although testretest reliability of the questionnaire was fair to good 0. Oct 11, 2001 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. The prevalence of total hip and knee arthroplasty has increased substantially in the past decade, and with approximately 400,000 total knee replacements and 200,000 total hip replacements being performed in the united states each year, it is essential to have reliable and valid outcome measures to assess the effectiveness of this intervention 1. The womac captures more than just knee or hip pain and dysfunction, and is clearly influenced by the presence of fatigue, symptom counts, depression and low back. In sections a, b, and c, questions will be asked about your hip or knee pain. Previous work has challenged the validity of its physical function scale however an extensive evaluation of its pain scale has not been reported. Womac osteoarthritis index and visual analog scale. Translation, adaptation and validation of the western ontario and. The lower extremity functional scale lefs is a questionnaire containing 20 questions about a persons ability to perform everyday tasks. Womac 33 total score response rate at month 6, defined as a 20% improvement in total womac oa score from baseline to 6 months. Assessment of the testretest reliability and construct. Pdf validation of the shortform womac function scale for. The shortform womac function scale is a valid, reliable and responsive alternative to the traditional womac in the evaluation of patients with osteoarthritis of the knee managed conservatively.
Most operations manual page 1 selfadministered questionnaires version 1. Efficacy and tolerability of celecoxib versus naproxen in. Reporting of the exact method used in administering the womac pain subscale scoring was poor in many cases. Western ontario and mcmaster universities osteoarthritis index. Factor analysis of the modified form of the womac extracted four factors, which differed from the a priori triple stratification.
Correlates of neuropathic pain in knee osteoarthritis. The measure was developed to evaluate clinically important, patient. To translate into arabic and validate the western ontario and mcmaster universities womac index. Swedish womac to be used after total hip arthroplasty in future studies. The womac performed well in ra and fm, and correlated strongly with the health assessment questionnaire haq disability scale and a visual analogue scale vas pain scale. The womac has been found to be both consistent and reproducible, and face and criterion validity were ensured during its development. Knee injury and osteoarthritis outcome score koosdevelopment of a. Reporting of symptoms in original womac can be made using either of 5pointlikert type scale or of visual analog scale vas 10 cm100 mm. Intercorrelation matrix among different scales of the persian womac index yielded a highly significant correlation.
At each visit, visual analog scale vas and modified womac score were evaluated by a nurse who was unaware of. The reduced womac function scale provides an alternative which will. Reliability and validity of modified western ontario and. Validation of a modified thai version of the western. Use of the womac questionnaire in mumbai and the challenges. A testretest reliability was evaluated in 89 patients who answered the modified thai womac index twice at 3week intervals. Validity and reliability of swedish womac osteoarthritis index.
The western ontario and mcmaster universities osteoarthritis index womac. For these reasons we believe it is of interest to present the measurement properties of the womac lk is the same units as the original measurement. The questionnaire also includes sections which ask respondents to rate their satisfaction and the impact of arthritis on each of these 12 areas. Cumulative evidence suggests central sensitization contributes to a neuropathiclike phenotype in a subset of patients with knee osteoarthritis oa. Methods a prospective follow up study of consecutively referred inpatients of a rehabilitation clinic was made. Pdf validation of a modified thai version of the western. Although testretest reliability of the questionnaire was good 0. The items on the womac were generated from interviews with 100 patients with osteoarthritis. Mcmaster osteoarthritis index womac please circle the.
Arabic translation was obtained with use of the forward and backward translation method. Hip dysfunction and osteoarthritis outcome score hoos, english version lk 2. Tardieu scalemodified tardieu scale rehabmeasures database. Summary of clinical outcome measures for sportsrelated knee. This paper examines the key concepts of internal validity and responsiveness of the womac v3. The western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. The following questions concern the amount of pain you are currently experiencing in your knees. In 21 of 60 trials, deciding whether a likert scale or vas was used had to be deduced from other information given in the paperusually the score range or the actual baseline or followup data. Womac pain scale points can be applied to assist clinical decisionmaking. 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. Assessment of the testretest reliability and construct validity of a modified womac. The western ontario and mcmaster universities osteoarthritis index womac is applied extensively to patients with osteoarthritis of the hip or knee. Translation, adaptation and validation of the western ontario and mcmaster universities osteoarthritis index womac for an arab population.
Patients with symptomatic knee oa fulfilling the revised criteria of the american college of rheumatology were included. In addition, sixteen non oa cartilage defect patients completed the koos preoperatively and 3 months after a tissue engineering treatment in trial setting. What is the minimum clinically important difference for. The knee injury and osteoarthritis outcome score koos is selfadministered and assesses five outcomes. Guermazi et al found that when the womac was translated into arabic from english, eight questions of the physical function subscale had insufficient psychometric properties and had to be excluded. Womac is used in assessing pain, stiffness, and function in patients with. Pdf reliability and validity of modified western ontario. The expected range of scores for womac pain subscale and the womac index form of womac used womac pain score range womac index range vas 010 0 to 50 0 to 240 vas 0100 0 to 500 0 to 2400 nrs 010 0 to 50 0 to 240 likert scale 04.
The tardieu scale differentiates contracture from spasticity whereas the ashworth scale is confounded by it. Jan 23, 2012 the most stable pretreatment predictors on the improvement of health after treatment by nsaids were the absence of previous knee injury and a high level of education. Modified japanese orthopaedic association scale mjoa modified japanese orthopaedic association scale mjoa this 18point investigatoradministered scale separately addresses motor dysfunction of the upper extremity mdue and motor dysfunction of the lower extremity mdle, sensory loss of the upper extremity, and sphincter dysfunction sd. If you are unsure about how to answer a question, please give the best answer you can. Modified harris hip score please mark one choice for each topic. Translation, adaptation and validation of the western ontario. The reduced womac function scale provides an alternative which will limit the number of missing values, and hence the number of invalid womac scores. Western ontario and mcmaster universities osteooarthritis index. Reliability of the modified tardieu scale and the modified ashworth scale in adult patients with severe brain injury. We aimed to explore the internal validity and responsiveness of this vas version of the womac. It was tested with a group of patients with an average age of 71 years who were undergoing total hip arthroplasty. It is simple to use in daily practice and is therefore less of a burden for patients in clinical trials. For each situation, please enter the amount of pain you have experienced in the past 48 hours. It was calculated as the mean of scores from 5 individual questions scored on a numerical rating scale nrs.
Assessment of the testretest reliability and construct validity of a modified womac index in knee. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. Determinants of womac function, pain and stiffness scores. There are multiple versions of the aims2, such as the aims2sf. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. The karnofsky scale is designed for recipients aged 16 years and older, and the lansky scale is designed for recipients less than 16 years old. Jan 21, 2018 the team compared the 2minute walk test 2mwt to the modified western ontario and mcmaster universities osteoarthritis index womac, oxford knee score oks, modified knee score modified ks, numerical pain rating scale nprs and timed up and go test tug. Our purpose was to estimate internal consistency, factorial validity, testretest reliability, and.
Pdf validation of the shortform womac function scale for the. The use and reporting of womac for the assessment of. From these data the traditional womac, womac function scale and the womac sf function scale can be deduced. The western ontario and mcmaster universities osteoarthritis index. The western ontario and mcmaster universities arthritis index womac is widely. What is the minimum clinically important difference for the. The womac has also been used to assess back pain, rheumatoid arthritis, juvenile. Lequesne index of severity for osteoarthritis of the hip lisoh description purpose. Individual radiographic features assessed in radiographs of the hip and lumbar. The womac scale was designed to measure dysfunction and pain associated with oa of the lower extremities by assessing 17 functional activities, five painrelated activities, and two stiffness categories 21. Modified womac index kgmc index 18 radiological indices 1. The womac scale includes three su bc al eth rom i nd g total score. Intercorrelation matrix among different scales of the persian womac index yielded a highly significant.
Validation of a modified thai version of the western ontario and mcmaster womac osteoarthritis index for knee osteoarthritis article pdf available in clinical rheumatology 2610. The western ontario and mcmaster universities osteoarthritis. This is a measurement for validation purposes analogous to, for example, the global rating of pain from 0 no pain to 10 maximal pain for a pain scale e. It is proposed that where 1 or 2 items are missing, the average value for the sub scale is substituted in lieu of these missing values. Mrmi modified rivermead mobility index stream mobility subscale of the. A total of 287 subjects with oa of the knee were randomized to receive either meloxicam 15 mg or placebo. Kallman grading scale for individual features of the hand. Western ontario and mcmaster universities osteoarthritis. Using a variety of validated neuropathic pain np questionnaires in musculoskeletal patient cohorts, factors including gender, body mass index, depression, insomnia and pain catastrophizing have been associated with. Scoresevaluationsquestionnaires reduced womac score knee general and arthroplasty modules 28. A convergent validity was evaluated in 114 patients with knee oa by comparing the scores of a modified thai womac index to those of the algofunctional lequesne index. Reliability and validity of modified western ontario and mcmaster. The womac pain subscale is a 5item questionnaire used to assess the amount of pain experienced due to oa of index joint knee or hip during past 48 hours.
Responsiveness of the womac osteoarthritis index as. The primary outcome was the pain subscale of modified thai version of womac osteoarthritis index for knee oa measured on a 0to 50point scale, with higher. It consists of 24 questions each answered using a fivepoint likert scale none, mild, moderate, severe, and extreme. Additionally, a reduced sevenpoint womac scale has also been validated. Factor analysis of the modified form of the womac extracted four factors, which differed from the a priori stratification. 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. The score can be reported as a total or for three separate subscales assessing. Validation of the chinese western ontario and mcmaster. The aims of this study were to propose a spanish western ontario and mcmaster universities 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. S televiznimi porady a zdravotnimi casopisy, ktere je propaguji, nelze poprit, jejich popularitu mezi lidmi, kteri chteji zhubnout. Scale scores are calculated which range from 0 best score to 10 worst score. Summary of clinical outcome measures for sportsrelated knee injuries. Mc master universities index womac, invented by bellamy n1619 is a validated, selfadministered instrument specifically designed to evaluate knee and hip osteoarthritis.
Womac also has the additional advantage of being validated for use in multiple formats. Clinically important improvement in the womac and predictor. This selfassessment multidimensional instrument has been well studied, and many of its psychometric properties are known 19. We propose the use of a modified version of pf subscale of the womac, although the psychometric properties of this instrument must be examined in a larger.
The lisoh was developed to evaluate the severity of hip osteoarthritis oa in drug trials in an adult french population, the long. Kellgren and lawrence global grading scheme for the severity lumbar disc degeneration and apophyseal joints of the cervical spine. Following is a list of statements that describe the effects of. They suggested the use of sfax womac, where the physical function subscale was modified for use in tunisia.
Validation of a modified thai version of the western ontario. But people who have medical conditions like ms experience stronger feelings of fatigue more often and with greater impact than others. Reliability encompasses the internal consistency of a scale, usually given. Use this scale see table 1 to determine the score 10100 that best represents the recipients activity status at the requested time point. The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. Study of the analgesic efficacy and safety of subcutaneous. The visual analog scale vas for pain and handheld dynamometer hhd for.