For these indexes, the proportion of answer frequencies with the lowest possible score in. The items on the womac were generated from interviews with 100 patients with osteoarthritis. Information and translations of womac in the most comprehensive dictionary definitions resource on. Thus, a hoos survey may also be used to determine a womac score. Evaluation of a german version of womac arthrosis index. 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. Womac produces one aggregate total score and scores for each of the subscales, with a higher score for each subscale indicating a worse condition. Translation, adaptation and validation of the western ontario and mcmaster universities osteoarthritis index womac for an arab population. Faam pdf online foot and ankle activity measure faam score calculator.
A popular patientreported outcome measure prom used for evaluation with hip and knee osteoarthritis is the western ontario and mcmaster universities osteoarthritis index womac. Western ontario and mcmaster universities osteoarthritis. Validity, reliability, and comparison of the womac. Western ontario and mcmaster universities osteoarthritis index. 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. I have been asked to analyse a clinical trial which has the womac score as a secondary outcome. For each situation, please enter the amount of pain you have experienced in the past 48 hours. Womac law firm television commercial sample duration. Womac has been used extensively in research studies, undergone rigorous psychometric validation, and is frequently utilized in many clinical. The womac measures five items for pain score range 020, two for stiffness score. Western ontario and mcmaster university osteoarthritis index. 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. Hip disability and osteoarthritis outcome score physiopedia objective the hip.
The subscale scores can vary, with pain ranging from 0 to 20 points. The western ontario and mcmaster universities osteoarthritis index womac is a widely used. Western ontario and mcmaster universities arthroseindex womac 11. I have been told by the researcher that this is a well used score for use in arthritis studies. Mcmaster osteoarthritis index womac please circle the. 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. In sections a, b, and c, questions will be asked about your hip or knee pain. Translation, adaptation and validation of the western.
Search 25 then share your genealogy and compare dna to grow an accurate global family tree thats free forever. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary. An extension of the western ontario and mcmaster universities osteoarthritis index. 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. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd.
The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. 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 measure was developed to evaluate clinically important, patient. The womac score is a validated outcome measure for use in patients undergoing tka. As a high cost, high volume procedure with a worldwide demand that continues to grow it has become increasingly popular to measure response to surgery. Reliability and validity of the western ontario and. Pdf this study validates the shortform womac function scale for assessment of. The ceiling effect was increasing until 2 years while the floor was constant across time. Hip disability and osteoarthritis outcome score womac. How to fix forward head posture 3 easy exercises from a chiropractor. Western ontario and mcmaster universities osteoarthritis index womac. Western ontario and mcmaster universities arthritis index.
Pdf validation of the shortform womac function scale for the. In the most recent version, all items now have a minimum score of 0. Univariate analysis for the association between total womac score at baseline and the response definitions 16% improvement in the womac and both criteria, respectively, are not represented because these response definitions adjust for the expected high correlation of womac baseline score and the change of the womac. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. Western ontario mcmaster university osteoarthritis index rheumatology an arthritic pain scoring system ranging from 0no paindisability to 100most severe paindisability. What is the minimum clinically important difference for.
Twenty one per cent have scores less than 25 see fig 1. Summary of clinical outcome measures for sportsrelated knee injuries. I have applied for a licence to use the womac, osteoarthritis questionnaire, and have had no reply from 2 weeks, can anyone helpadvise. Higher scores represent worse pain, stiffness, and functional limitations. Looking for online definition of womac or what womac stands for. As their names say, ceiling effect is highest possible score and floor effect is the opposite side. The womac score can be reliably used to classify patient. Using womac index scores and personal characteristics to.
The primary aim of this study was to define a classification in the womac score after total knee arthroplasty tka according to patient satisfaction. Less than two per cent of patients have scores greater than 150. Scoresrange from 0 least pain to 20 highest pain for pain, 0 least stiffness to 8 greatest stiffness for stiffness, 0 best function to 68 worst function for function, and 0 best health to 96 worst health for the total score. The use and reporting of womac for the assessment of.
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. The womac westren ontario and mcmaster universities index is used to assess. The following questions concern the amount of pain you are currently experiencing in your knees. Womac score definition of womac score by medical dictionary. The womac index is a diseasespecific, tridimensional self administered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. Pdf this study validates the shortform womac function scale for.
Health, general arthritic persons health aspects medical examination arthritics care and treatment patient outcomes outcome and process assessment health care methods outcome and process assessment. Pain scored 0 to 20, stiffness scored 0 to8, and function scored 0 to 68. Defining meaningful changes in the womac score is important for samplesize calculations in clinical research and for interpreting published studies. It was tested with a group of patients with an average age of 71 years who were undergoing total hip arthroplasty. Clinimetrics, report by australian journal of physiotherapy. 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. Pdf validation of the spanish version of the womac. While the majority who undergo tkr report improvements in pain and function following surgery, a significant. The authors are currently part of a multicentric study in india that is using the womac as an index of efficacy in a study on osteoarthritis. The questions on the womac are a subset of the questions of the hip disability and osteoarthritis outcome score hoos. 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. We aimed to explore the internal validity and responsiveness of this vas version of the womac.
The western ontario and mcmaster universities arthritis index womac is widely. It is consisted of 33 items which evaluates the health and function of the patient from various aspects including. Since its development in 1982, the womac index has undergone several revisions and modifications. A womac test takes about 12 minutes, but is also available in a short form, although this has not been as extensively tested as the full version. Validation of the spanish version of the womac questionnaire for patients with hip or knee osteoarthritis. Plot of severity in logits versus womac functional score for oa. The utility of outcome measures in total knee replacement. Examination of discriminant validity showed that the scores on the womac and sf36 followed hypothesized patterns. Adequate, womac had minor floor and ceiling effect less than 15% of patients in the worst or best possible score of each domain before the intervention. Patient relevant, diseasespecific, patient selfcompleted, flexible delivery, multiple language forms. The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a. The womac function score is linear over the range of 25150 equivalent range on 010 scale is 1. The secondary aims were to describe patient demographics for each level of satisfaction.
This selfreport outcome instrument is available in english, german, french. Summary of clinical outcome measures for sportsrelated. Total knee replacement tkr is the mainstay of treatment for people with endstage knee oa among suitably fit candidates. Western ontario and mcmaster universities osteoarthritis index womac this questionnaire is used to assess the health status of osteoarthritis patients introduced in 1988.
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