Knee: Outcome Measures Flashcards
In addition to the standard Ottawa Ankle Rules, University of Pittsburgh added another. What is it?
Also radiograph if blunt trauma/fall as MOI AND either
- < 12 yo or > 50 yo
- unable to walk 4 WB steps in ER
With the addition of the Pittsburgh rule to Ottawa ankle rules, sensitivity is
100%
With the addition of the Pittsburgh rule to Ottawa ankle rules, specificity is
79%
Ottawa rules with Pittsburgh rule decreases frequency of unnecessary XR by (%)
78%
Knee outcome measures
- WOMAC
- KOOS
- IKDC
- Lysholm knee score
- Cincinnati Knee Rating System
- KOS
- LEFS
WOMAC =
Western Ontario and McMaster Universities OA Index
WOMAC: (low/high) score is BETTER
LOW
WOMAC: how many items?
24
WOMAC: 3 categories
pain
stiffness
physical function
WOMAC: scoring
0-4 for each item
KOOS =
Knee Injury and Osteoarthritis Outcome Score
KOOS: questions cover
pain other symptoms ADLs sport/rec function QoL
KOOS: (higher/lower) score is BETTER
LOWER
KOOS: MDC for subscales
pain
22.39
KOOS: MDC for subscales
stiffness
29.12
KOOS: MDC for subscales
physical function
13.11
KOOS: MDC for subscales
other
14
IKDC =
International Knee Documentation Committee
IKDC: MDC
11.5
IKDC: limitation
may overestimate the disability of an injury
Lysholm Scale: specific for these injury types
ligamentous
meniscal
Lysholm Scale: used when?
s/p surgery
Lysholm Scale: (#) items related to symptoms and function
8
Lysholm Scale: scoring
0-100
Lysholm Scale: scoring
excellent
95-100
Lysholm Scale: scoring
good
84-94
Lysholm Scale: scoring
fair
65-83
Lysholm Scale: scoring
poor
< 65
Lysholm Scale: scoring
MDC
10 points
Cincinnati Knee Rating System: assesses
symptoms physical examination knee stability tests radiographic findings functional testing sports-related activity and participation frequency
Cincinnati Knee Rating System: reliability
0.75
Cincinnati Knee Rating System: MDC for subscales
pain
2.45
Cincinnati Knee Rating System: MDC for subscales
swelling
2.86
Cincinnati Knee Rating System: MDC for subscales
partial giving way
2.82
Cincinnati Knee Rating System: MDC for subscales
full giving way
2.3
KOS =
Knee Outcome Score
KOS: 2 scales
- ADL: symptoms and functional lims
- Sports activity
KOS: scoring for each item (scale)
0-5
KOS: a (higher/lower) score is BETTER
HIGHER
KOS: MDC
8.86 pts
KOS: MCID
7.1% pts
LEFS: (#) items scored 0-4
20
LEFS: test-retest reliability
great
LEFS: MDC
9 points
LEFS: (higher/lower) score is BETTER
HIGHER
GROC scale range
(-7) very much worse
(0) no change
(+7) very much better
PSFS =
patient specific functional scale
PSFS: pt selects (#) functional goals
3
PSFS: Pt rates each from
0-10
0= unable to perform
10 = able to perform at prior level
PSFS: MDC for a single activity
3 points for a single activity
PSFS: MDC for average
2 points