PROM

FAAM 2 subscales

ADL/sports

Tegner examines...

Activity level in ADLs, recreational and competitive sports.

ACL-QOL population

Chronic ACL-deficient patients

Neck disability index (NDI) population

Chronic neck pain, MSK neck pain, whiplash injuries/WAD, Cervical radiculopathy

Tampa Kinesiophobia scale population

Fibromyalgia and Chronic LBP; Also Validated for: - Neck Pain - TMD - Parkinsons - Knee OA note: different forms for different body parts ie back vs knee

FAAM population

Foot/ankle ability measure: MSK disorders of the lower leg, ankle, and foot

PENN shoulder scale population

Impingement/tendonitis, RTC tear, Shoulder instability, Adhesive capsulitis, Proximal humerus fracture, AC joint arthritis, GH joint arthritis

International Knee Documentation Committee population

Men, women, adults, children (updated version), and variety of knee pathologies

WOMET population

Meniscus Pathology

ACL-QOL new research

More recent studies looking at ACL-reconstruction population - could be useful

Foot Function Index (FFI) population

Non-traumatic forefoot pain, commonly used for RA & older population but valid for ages 25-79 w/ general non-traumatic forefoot pain

Tegner population

Primarily ACL injuries and used as a secondary OM with Lysholm. Validated for other knee injuries like OA.

ATRS pros and cons

Pros: - simple, easy Cons: - No established MDC/MDIC - No stated score cutoffs - No existing gold standard for comparison - Inverse scoring (higher number is less limitation, with total score of 100 indicating full function)

QuickDash pros and cons

Pros: Shorter than DASH (11 items vs. 30 items) , Decreases responder burden, Better for summary assessment of UE symptoms and function Cons:Precision of measurement is less than the DASH (especially in Elbow and Shoulder), Underestimates symptoms and overestimates disability

Oxford Shoulder Scale (OSS) 2 pros

Quick 12-item (~2 min) to complete, reliable in determining outcome of shoulder surgery

what is the SANE?

Scored by asking the patient to rate their body part as a percentage of normal on a scale of 0-100%

Western Ontario Shoulder Instability Index (WOSI) population

Shoulder instability, recurrent anterior dislocation, SLAP lesion, surgical stabilization

HOOS population

THA

Unique feature of Tegner scoring

To answer > 6 (scale of 1-10), subject must be in *competitive* sports

Modified Harris Hip Score (mHHS) measures...? (3)

measures pain, gait and functional activities

Cumberland Ankle Instability Tool population

mechanical and functional chronic ankle instability ages 8-101

why use HOOS over WOMAC?

more responsive due to subscales

Does Kujala correlate well with VAS?

no

3 subscales of FFI

pain, activity limitation, disability

VISA-P subscales

pain, activity, and sport

3 subscales of PENN

pain, satisfaction, function

WOMAC 3 categories

pain, stiffness, physical function

Victorian Institute of Sport Assessment-Patella (VISA-P) population

patellar tendinopathy; Typical patients you may see with this condition are young jumping athletes.

Marx population

validated using patients with a mulititude of knee pathology and disorders (ages 18-50)

SPADI (Shoulder pain and disability index) population

wide variety of shoulder MSK

2 sections of FAB-Q

work, physical activity

floor/ceiling effects of HOOS

• Floor effects more common in Sport/Recreation subscale • Ceiling effects common in Pain subscale

Hip Outcome Score other info

*pros:* Short estimated time to administer: 5 - 10 min Appropriate for athletic populations who may be at a higher level of functioning Accounts for missing responses/items that are not applicable in scoring *cons:* - Large MCID - HOS-ADL scale has been reported to have a high ceiling effect (36.02%) (Hung et al. 2014) - Not validated for THR - Validity low for OA populations - cannot be recommended for routine use

What is Promis10?

- "PROMIS" is a huge databank/system of questions, PROMIS 10 is 10 questions from that bank forming a global health assessment - 7 day "snapshot" of pain, function, etc. - questionable utility/ not supported by lit

is VISA-P a diagnostic tool?

- NO - Determines clinical severity but is *not* a diagnostic tool

FFI pros and cons

- Pros: Quick; 23 questions, ~10 min - Cons: possible ceiling effect (activities are low level), No MCID

Uses of FAB-Q

- Reliable and valid in LBP patients - Can be used as prognostic indicator for chronicity in sub-acute LBP patients - Can also be used in C/S, UE, LE, and L/S patients with fear avoidance beliefs

2 cons of FAB-Q

- Weaker evidence for non LBP conditions, but commonly used - Questionable validity for pelvic girdle pain

Hip Outcome Score population

- originally validated in pts w/ labral tears to evaluate intervention outcomes on activity and participation in surgical and non-surgical pts - has also been validated for Hip arthroscopy surgical treatment for FAI, ages: 13-80 y/o, cultural validation: English, Spanish, German, Turkish, Korean, Portuguese

3 subscales of pain catastrophizing scale

- rumination - magnification - helplessness

ODI other info

-Better at detecting change in more seriously disabled pts -Assesses pain, functional mobility, sleep, sex, social life, travel

Roland Morris (RMQ) other info

-Use RMQ over ODI for acute/less disabled LBP pts -Has 5 domains but mostly includes physical activity items -Ranges from 0 (no disabilty) to 24/24 (max disability)

5 categories of HOOS

1. Pain 2. Symptoms 3. Activity limitations in daily living(ADL) 4. Function in Sport/Recreation (SP) 5. Hip-related quality of life (QOL)

What is the Marx?

4-item Activity Scale; designed to assess common physical components found in variety of sports: running, cutting, decelerating, pivoting

subscales of KOOS

5 different subscales = pain, symptoms, ADL, sport/rec, QoL

KOOS population

Conditions that put you at risk for developing OA: Athletes w/ ACL reconstruction Meniscus injury TKA Knee OA Articular cartilage lesion"

WOMAC population

Knee and hip OA, THA, TKA

Keele STARTback Population

LBP

Roland Morris (RMQ)

LBP (basically all types - acute/chronic LBP, post lumbar disc surgery, MSK origin)

ODI population

LBP (can be used for pretty much any LBP--spondylolisthesis, scoliosis, fibromyalgia, etc.)

Pain Catastrophizing Scale population

Originally validated in pts with chronic soft tissue back injuries. Since, validated for: FM, WAD, OA, other LBP

WOSI 4 subcategories

Physical symptoms Sports/ recreation/ work Lifestyle Emotion

Oxford Shoulder Scale (OSS) population

Populations w/ shoulder conditions, excluding shoulder instability. Frequently used for pt pre/post shoulder surgery

UCLA shoulder scale

Used for a variety of shoulder conditions: RC disease, shoulder instability, total shoulder arthroplasty, RC repair, subacromial decompression; *NOT VALIDATED*

Single-assessment numeric evaluation (SANE)

Used primarily for shoulder and knee injury

Copenhagen Hip and Groin score population

Young to Middle Aged, Physically Active (soccer?), Longstanding Hip & Groin Pain

International Hip Outcome Tool population

Young, active pts with GENERAL hip pathology (Ages 18-60, Active = Tegner scale ≥4, hip pathology = hip pain, instability, stiffness, of physical impairment)

LEFS population

age 18+ with various LE injuries, hip or knee OA, TKA, ankle Fx, THA, Stroke, chronic pain (maybe)

ASES population

age ranges from 18-65+; pathologies: shoulder dysfunction, shoulder trauma, shoulder instability, rotator cuff disease, GH arthritis post surgical: rotator cuff repair, SLAP, instability surgeries, GH arthroplasty

Kujala AKP SCALE population

anterior knee pain; generally younger-under 50, and mostly women studied in reliability tests

PSFS population

chronic LBP, lumbar stenosis, UE MSK, neck dysfunction, knee dysfunction, joint replacement, LE amputation, MS

FADI population

foot ankle disability index; Not actually validated; Most studied in young active people with chronic ankle instability (CAI)

SF-12/ SF-36 ("short form" health survey) population

general non-specific patient population (18+ yo) [Also studied in stroke, PD, SCI, cancer, TBI, ortho surgery...basically it's super broad and used everywhere]

what is the SF-12/ SF-36? 1 downside?

generic form that measures health status and health related quality of life; scored 0 - 100 (higher is better health); 2 domains (physical and mental) divided into 8 subscales; Not free to use.

Modified Harris Hip Score (mHHS) population

hip arthroplasty (*Used in other hip pain populations, even though it's not validated for them*)

8 subscales of SF-36/12

physical functioning, role of limitations due to physical problems, general health perceptions, vitality, social functioning, role of limitations due to emotional problems, general mental health, health transition.

3 domains of WOMET

physical symptoms; sports/work/lifestyle; emotions

QuickDash

population: Upper Extremity Disorders, Chronic Shoulder Pain, Chronic Neck Pain, Shoulder Related Disorders Undergoing Surgeries, Rheumatoid Arthritis ; Ages: Adults, Children 8-18; Cultural Adaptation: French

Pain Catastrophizing Scale prognostic ability

predicts chronicity

Keele STARTback other info

predicts risk of poor outcome by identifying biopsychosocial risk factors

ASES unique feature

pt report + physician-rated components

Achilles tendon total rupture score (ATRS)

total rupture of achilles tendon