Knee: Outcome Measures Flashcards

1
Q

In addition to the standard Ottawa Ankle Rules, University of Pittsburgh added another. What is it?

A

Also radiograph if blunt trauma/fall as MOI AND either

  1. < 12 yo or > 50 yo
  2. unable to walk 4 WB steps in ER
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2
Q

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

A

100%

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3
Q

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

A

79%

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4
Q

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

A

78%

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5
Q

Knee outcome measures

A
  • WOMAC
  • KOOS
  • IKDC
  • Lysholm knee score
  • Cincinnati Knee Rating System
  • KOS
  • LEFS
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6
Q

WOMAC =

A

Western Ontario and McMaster Universities OA Index

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7
Q

WOMAC: (low/high) score is BETTER

A

LOW

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8
Q

WOMAC: how many items?

A

24

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9
Q

WOMAC: 3 categories

A

pain
stiffness
physical function

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10
Q

WOMAC: scoring

A

0-4 for each item

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11
Q

KOOS =

A

Knee Injury and Osteoarthritis Outcome Score

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12
Q

KOOS: questions cover

A
pain
other symptoms
ADLs
sport/rec function
QoL
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13
Q

KOOS: (higher/lower) score is BETTER

A

LOWER

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14
Q

KOOS: MDC for subscales

pain

A

22.39

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15
Q

KOOS: MDC for subscales

stiffness

A

29.12

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16
Q

KOOS: MDC for subscales

physical function

A

13.11

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17
Q

KOOS: MDC for subscales

other

A

14

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18
Q

IKDC =

A

International Knee Documentation Committee

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19
Q

IKDC: MDC

A

11.5

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20
Q

IKDC: limitation

A

may overestimate the disability of an injury

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21
Q

Lysholm Scale: specific for these injury types

A

ligamentous

meniscal

22
Q

Lysholm Scale: used when?

A

s/p surgery

23
Q

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

A

8

24
Q

Lysholm Scale: scoring

A

0-100

25
Q

Lysholm Scale: scoring

excellent

A

95-100

26
Q

Lysholm Scale: scoring

good

A

84-94

27
Q

Lysholm Scale: scoring

fair

A

65-83

28
Q

Lysholm Scale: scoring

poor

A

< 65

29
Q

Lysholm Scale: scoring

MDC

A

10 points

30
Q

Cincinnati Knee Rating System: assesses

A
symptoms
physical examination
knee stability tests
radiographic findings
functional testing
sports-related activity and participation frequency
31
Q

Cincinnati Knee Rating System: reliability

A

0.75

32
Q

Cincinnati Knee Rating System: MDC for subscales

pain

A

2.45

33
Q

Cincinnati Knee Rating System: MDC for subscales

swelling

A

2.86

34
Q

Cincinnati Knee Rating System: MDC for subscales

partial giving way

A

2.82

35
Q

Cincinnati Knee Rating System: MDC for subscales

full giving way

A

2.3

36
Q

KOS =

A

Knee Outcome Score

37
Q

KOS: 2 scales

A
  • ADL: symptoms and functional lims

- Sports activity

38
Q

KOS: scoring for each item (scale)

A

0-5

39
Q

KOS: a (higher/lower) score is BETTER

A

HIGHER

40
Q

KOS: MDC

A

8.86 pts

41
Q

KOS: MCID

A

7.1% pts

42
Q

LEFS: (#) items scored 0-4

A

20

43
Q

LEFS: test-retest reliability

A

great

44
Q

LEFS: MDC

A

9 points

45
Q

LEFS: (higher/lower) score is BETTER

A

HIGHER

46
Q

GROC scale range

A

(-7) very much worse
(0) no change
(+7) very much better

47
Q

PSFS =

A

patient specific functional scale

48
Q

PSFS: pt selects (#) functional goals

A

3

49
Q

PSFS: Pt rates each from

A

0-10
0= unable to perform
10 = able to perform at prior level

50
Q

PSFS: MDC for a single activity

A

3 points for a single activity

51
Q

PSFS: MDC for average

A

2 points