Knee: Outcome Measures Flashcards by Suzanne Maggioni

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

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With the addition of the Pittsburgh rule to Ottawa ankle rules, sensitivity is

100%

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With the addition of the Pittsburgh rule to Ottawa ankle rules, specificity is

79%

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Ottawa rules with Pittsburgh rule decreases frequency of unnecessary XR by (%)

78%

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Knee outcome measures

WOMAC
KOOS
IKDC
Lysholm knee score
Cincinnati Knee Rating System
KOS
LEFS

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WOMAC =

Western Ontario and McMaster Universities OA Index

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WOMAC: (low/high) score is BETTER

LOW

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WOMAC: how many items?

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WOMAC: 3 categories

pain
stiffness
physical function

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WOMAC: scoring

0-4 for each item

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KOOS =

Knee Injury and Osteoarthritis Outcome Score

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KOOS: questions cover

pain
other symptoms
ADLs
sport/rec function
QoL

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KOOS: (higher/lower) score is BETTER

LOWER

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KOOS: MDC for subscales

pain

22.39

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KOOS: MDC for subscales

stiffness

29.12

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KOOS: MDC for subscales

physical function

13.11

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KOOS: MDC for subscales

other

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IKDC =

International Knee Documentation Committee

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IKDC: MDC

11.5

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IKDC: limitation

may overestimate the disability of an injury

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Lysholm Scale: specific for these injury types

ligamentous

meniscal

Lysholm Scale: used when?

s/p surgery

Lysholm Scale: (#) items related to symptoms and function

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

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

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