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. It can be administered in person, via computer, by telephone interview, and can even be delivered to. Development of the italian version of the knee injury and osteoarthritis outcome score for patients with knee injuries. The diseasespecific questionnaire, western ontario and mcmaster universities osteoarthritis index womac, is the most widely used instrument to evaluate. Validation of a proposed womac short form for patients with. Pdf the use and reporting of womac in the assessment of. Fit to printable area scales small pages up and large pages down to fit the paper. The english language united kingdom version of the womac is being used, as also the linguistically translated and validated versions in hindi and marathi the two most commonly spoken local languages in mumbai. The womac has been translated into spanish and validated in spain 810. The total womac score at the 6week followup minus the score at baseline examination prior to the treatment defined the effect measured by womac. University womac scale, and the quality of walking and representative daily activities were determined objectively by the dynaport knee test. Use of the womac questionnaire in mumbai and the challenges.
Validation studies reliability, validity, responsiveness. Correlation between womac score and hyalrunoic acid levels in. May 25, 2003 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. Total womac pain scale scores can vary from 0 to 500 when va3 scaling is applied and from 0 to 20 when lk3 scaling is implemented. An extension of the western ontario and mcmaster universities.
The scale for the measurement tool can be embedded when creating the pdf from autocad using the pdfmaker macro but unfortunately if it isnt set then you cannot. Construct validity was tested by correlating the womac or lequesne with each other, and also with sf36 and visual analog scale vas. In 74% of trials the reporting of the scale used was inadequate. Please rate the activities in each category according to the following scale of difficulty. The pdf file you selected should load here if your web browser has a pdf reader plugin installed for example, a recent version of adobe acrobat reader. The instrument is available in 5point likert, 100mm visual analogue scale vas and 11box numerical rating scale formats by submitting a request to it is one of the. Apr 30, 2010 the western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. Western ontario and mcmaster universities osteooarthritis. However, there is relatively little evidence to support the use of the visual analogue scale vas version of the scale. In a small number of cases the score range specified was not interpretable. Open the pdf file you need to edit in adobe acrobat pro version on your pc or mac. Reporting of the exact method used in administering the womac pain subscale scoring was poor in many cases.
Mar 12, 2014 womac scale scores indicate that patients are of moderate severity on average at baseline, as expected from a hospital recruited cohort. The full version of the womac was chosen, because it is widely used and because it would allow item reduction, if necessary in the case of model mis. Summary of basic reporting of womac pain sub scale and womac index. Jul 26, 2016 moderate standardized effect size for womac total scale from baseline to 12 weeks 0.
The womac takes approximately 12 minutes to complete, and can be taken on paper, over the telephone or. Measuring tool learn adobe acrobat pdf help acrobat. 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. Pdf the use and reporting of womac in the assessment of the. Validation of a proposed womac short form for patients. Modelling the relationship between the womac osteoarthritis. Womac, eq5d and knee society score thresholds for treatment.
The western ontario and mcmaster universities osteoarthritis index womac has been a widely used patient reported outcome in oa. The use and reporting of womac for the assessment of. In this communication, we present our experiences in using the translated versions of womac in mumbai. An extension of the western ontario and mcmaster universities osteoarthritis index. The english language united kingdom version of the womac is being used, as also the linguistically translated and validated versions in hindi and marathi the two most commonly. Please rate the activities in each category according to the following.
The eq5d3l is a generic fiveitem questionnaire for the assessment of. Information about the openaccess article the visual analogue womac 3. Womac index was developed for hip and knee osteoarthritis, however it has been used with other rheumatic conditions such as. 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. A correlation study of objective functionality and womac in. Jul 25, 20 measuring in adobe acrobat i was setting up an indesign template yesterday, and i had to match certain aspects of a clientprovided pdf, such as margins, distance between various lines, etc. We aimed to explore the internal validity and responsiveness of this vas version of the womac.
Validity, reliability, and comparison of the womac. Western ontario and mcmaster universities osteooarthritis index. The womac pain scale consists of five items conceived to assess a single health concept and a total score is obtained by summing the item responses. With regard to womac, in brazil, it can be seen that there is a need for this tool to be used more widely in studies evaluating healthrelated quality of life among patients who undergo total hip.
The instrument is available in 5point likert, 100mm visual analogue scale vas and 11box numerical rating scale formats by submitting a request to. 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. Acrobat scale pages this script will not only allow you to scale the pages to the size of your choice, it will also maintain any form fields. Scale or resize pdf pages in acrobat or reader for printing. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered. Western ontario and mcmaster universities osteoarthritis. How do i set the scale to match the drawings scale. The test questions are scored on a scale of 04, which correspond to. The following is the table of contents from the womac 3. Validation studies reliability, validity, responsiveness orthopaedic validation study. Responsiveness of the womac osteoarthritis index as compared. Translation, adaptation and validation of the western ontario. The preflight tool provides us another way to scale pages in pdf file and create consistency within a pdf document that is composed of pages of varying sizes.
It is one of the most widely used instruments in patients with knee or hip osteoarthritis and has proven psychometric properties. For each situation, please enter the amount of pain you have experienced in the past 48 hours. From the page scaling popup menu, select one of the following options. Reporting of the womac index was also less than optimal in a large proportion of studies. Mcmaster osteoarthritis index womac please circle the. Jan 23, 2012 the aims of the present study were first to detect mcid for womac in a moroccan population, and second, to identify the best pretreatment predictors on the change of health after treatment by nonspecific, nonsteroidal antiinflammatory drugs nsaids, and to evaluate whether the predictors were dependent on the choice of the response criterion. By the way, acrobat has had measuring tools since acrobat 8 pro, but the location and function of the measuring feature may be different in versions prior to acrobat x. Pdf validation of the shortform womac function scale for.
Prospective observational study of two independent cohorts 788 and 445 patients, respectively. Scale or resize pdf pages in acrobat or reader for printing automatically scale to fit paper choose file print. Reliability and validity of the western ontario and. Apr 30, 2010 the womac pain and physical functioning subscales satisfied unidimensionality and ordinal scaling tests, and the ability to transform to an interval scale. It is a 24 item questionnaire focusing on pain, stiffness, and functional limitation. The womac index was translated by the forward and backward translation. None 0, mild 1, moderate 2, severe 3, and extreme 4. Research open access validation of a proposed womac short. Western ontario and mcmaster universities osteoarthritis index core. Acrobat scale pages this script will not only allow you to scale the pages to the size of your choice, it will also maintain any form fields, links or annotations located on the page, and at a fraction of the cost of other imposition software. Jan 20, 2009 the scale for the measurement tool can be embedded when creating the pdf from autocad using the pdfmaker macro but unfortunately if it isnt set then you cannot permanently set it in acrobat it resets when you exit the program. Construct validity of a 12item womac for assessment of.
Determinants of womac function, pain and stiffness scores. Womac also has the additional advantage of being validated for use in multiple formats. I need to verify square footage from architectural drawings. Additionally, a reduced sevenpoint womac scale has also been validated. Function studies after total knee arthroplasty tka generally use either selfreported instruments or objective quantitative measurements of walking activities, but it is unclear how objective factors influence selfreports. Western ontario and mcmaster universities osteoarthritis index est. The womac index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. The western ontario and mcmaster universities osteoarthritis index womac name. Pdf validation of the shortform womac function scale.
Objective assessment was found to be a poor predictor of womac abnormality, with correlations of 0. Likert scale 0 to 4 or a 100 mm visual analogue scale vas9 ranging from 0 no pain to 100 extreme pain. This retrospective multicenter study assessed the impact of objective variables on subjective selfreported functional outcome after tka in 128 patients at a mean of 41. The concept of stable emotional behavior at any level is that which reflects form popularity emotional stability scale pdf form. Koos was developed for younger andor more active patients with knee injury and knee osteoarthritis and has in previous studies on.
The womac pain and physical functioning subscales satisfied unidimensionality and ordinal scaling tests, and the ability to transform to an interval scale. All 24 womac items are rated on a numerical rating scale in cm ranging from. It is available in 5point likert, 11point numerical rating and 100mm visual analogue scale vas formats. Hip disability and osteoarthritis outcome score womac. The number of different score ranges was high and only 39% of trials used the standard 096, or 02400 or 0240 ranges. The following questions concern the amount of pain you are currently experiencing in your knees. Reliability and validity of the western ontario and mcmaster. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. Sure, i could print the pdf and measure the items with an oldfashioned ruler. 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. Translation, adaptation and validation of the western. Download pdf, 48kb the auscan index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in.
The womac index is a diseasespecific, tridimensional self administered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. All items were graded on a 7point likertscale because it was believed that a higher resolution than the original 5point scale may be necessary to assess. 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. The womac index is a diseasespecific, tridimensional self administered questionnaire, for assessing health status and health outcomes in. The womac performed well in ra and fm, and correlated strongly with the health assessment questionnaire haq disability scale and a. A correlation study of objective functionality and womac. The womac index was translated by the forward and backward translation procedure following recommended guidelines1618. Clinically important improvement in the womac and predictor. Well use acrobat pro dc on a windows 10 computer in this demo. This approach would be reasonable provided the results from a factor analysis produced a single factor and the set of items displayed a high degree of internal consistency. New option now available for easily scaling pdf pages. Moderate standardized effect size for womac total scale from baseline to 12 weeks 0. 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 scores for each subscale are summed up, with a possible score range of 020 for pain, 08 for stiffness, and 068 for physical function. Function studies after total knee arthroplasty tka generally use either selfreported instruments or objective quantitative measurements of walking activities, but it is. Standardized response mean for womac total scale at 12 weeks 7. Research open access validation of a proposed womac. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. Womac oa index17,18, which is recommended by the outcome measures in rheumatoid arthritis clinical trials omeract19,20.
It can be administered in person, via computer, by telephone interview, and can even be delivered to mobile devices m womac 2. The womac scale was designed to measure dysfunction and pain associated with oa of the lower extremities by assessing 17 functional activities. Forward translation was carried out by six professional bilingual translators native arabspeaking people. If you are unsure about how to answer a question, please give the best answer you can. The knee injury and osteoarthritis outcome score koos is an extension of the western ontario and mcmaster universities osteoarthrtis index womac, the most commonly. The womac index has been used as the main outcome in evaluation of.
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