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