For the womac total, the betweengroup mean difference with the corresponding 95% confidence interval was reported in less than of trials. Development of multinational definitions of minimal. Alternatively a visual analogue scale vas may be used. The incredible ibex defies gravity and climbs a dam forces of nature with brian cox bbc duration. The womac index and aqol4d instruments were also included in the study questionnaire. The womac has also been used to assess back pain, rheumatoid arthritis, juvenile. Translation, adaptation and validation of the western. Research open access validation of a proposed womac. However, whether the e womac would be suitable for monitoring the effects. A preliminary evaluation of the dimensionality and clinical importance of pain and disability in osteoarthritis of the hip and knee. The western ontario and mcmaster universities arthritis index womac is. The western ontario and mcmaster universities osteoarthritis index womac is a widely used, proprietary set of standardized questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints. Use of the womac questionnaire in mumbai and the challenges. Universities osteoarthritis index womac is a valid, reliable, and responsive measure of functional impairment in hip and knee oa.
A 40 item questionnaire hip disability and osteoarthritis. The electronic touch screen version of the womac ewomac has been previously shown to be highly correlated with the original paper format. Bellamy n, buchanan ww, goldsmith ch, campbell j, stitt lw. The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a. The aim of the study was to evaluate if physical functions usually associated with a younger population were of importance for an older population, and to construct an outcome measure for hip osteoarthritis with improved responsiveness compared to the western ontario mcmaster osteoarthritis score womac lk 3. The primary clinical outcome of the study was a selfreported womac pain score a subset of 5 items from the full womac inventory. Guideline for the management of knee and hip osteoarthritis iii second edition about this guideline the royal australian college of general practitioners racgp first developed guidelines for the nonsurgical management of hip and knee osteoarthritis in 2009. The womac questionnaire used in this study was administered in the numerical rating scale nrs format. Individualising the western ontario and mcmaster universities. Patients are asked a range of questions about their ability to carry out daily activities such. Mcmaster osteoarthritis index womac please circle the. For each situation, please enter the amount of pain you have experienced in the past 48 hours. However, whether the ewomac would be suitable for monitoring the effects.
Validation and patient acceptance of a computer touch. The womac westren ontario and mcmaster universities index is used to assess patients with. This varies, however, for different subscales and types of interventions. Two studies utilized the womac to measure improvement in function and showed benefits when using manual therapy. Reliability and validity of the western ontario and. At outcome measures in rheumatoid arthritis clinical trials iii, pain, physical function. Index womac was developed as an osteoarthritis specific measure of disability. The following questions concern the amount of pain you are currently experiencing in your knees. What womac pain score should make a patient eligible for a. Pdf to assess validity and reliability of the western ontario and mcmaster. Table 3 internal consistency and reliability of womac and lequesne indices of hip and knee. Pdf validity, reliability, and comparison of the womac. March 201458different validation studies of womac make this clini. In 1994 a consensus meeting recommended the use of womac as a primary measure of efficacy in osteoarthritis trials.
Oa of the knee, the most commonly affected joint, is. Walking pain score is measured by question a1 on the womac 3. Osteoarthritis index womac short form based on previously shortened versions and to study its validity, reliability, and responsiveness for patients with hip osteoarthritis undergoing total hip replacement thr. The womac is self administered and multidimensional. We screened subjects with knee pain using the likert version of the womac and scored all subjects based on the severity of pain with each of the 5. Western ontario and mcmaster universities osteooarthritis index. The effects of manual therapy on functional outcomes and. Womac osteoarthritis index rozina and smith physical therapy.
Clinically important improvement in the womac and predictor. The western ontario and mcmaster universities osteoarthritis index womac. Knee injury and osteoarthritis outcome score koosdevelopment of a selfadministered outcome measure. Pdf comparative validation of the womac osteoarthritis and. Using womac index scores and personal characteristics to. Validation studies reliability, validity, responsiveness orthopaedic validation study. Since its development in 1982, the womac index has undergone several revisions and modifications. Validity, reliability, and comparison of the womac.
World of mathematics and computers world scientific and engineering academy and society womac. Validation of chinese western ontario and mcmaster universities osteoarthritis index womac in patients scheduled for total knee replacement. Second edition disclaimer the information set out in this publication is current at the date of first publication and is intended for use as. Jan 23, 2012 the aims of the present study were first to detect mcid for womac in a moroccan population, and second, to identify the best pretreatment predictors on the change of health after treatment by nonspecific, nonsteroidal antiinflammatory drugs nsaids, and to evaluate whether the predictors were dependent on the choice of the response criterion. We screened subjects with knee pain using the likert version of the womac and scored all subjects based on the severity of pain with each of the 5 womac. Download pdf, 48kb the auscan index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in. In sections a, b, and c questions will be asked in the following format and you should give your answers by putting an x in one of the boxes. The womac questionnaire was designed to measure these. The electronic touch screen version of the womac e womac has been previously shown to be highly correlated with the original paper format. Western ontario and mcmaster universities osteoarthritis. The western ontario and mcmaster universities arthritis index is a widely used, proprietary set of standardized questionnaires used by health professionals to evaluate the condition of. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd.
The western ontario and mcmaster universities osteoarthritis index. The western ontario and mcmaster universities osteoarthritis index womac, a diseasespecific questionnaire, is a widely used prom in patients with hip or knee osteoarthritis oa 3, 4. Womac osteoarthritis index yavapai regional medical. The testretest reliability subsamples mean age and body mass index were 63. Problems persist in reporting of methods and results for the womac. Validation studies reliability, validity, responsiveness. Western ontario and mcmaster universities osteooarthritis.
Since its presentation by bellamy et al in 1988, it has. Four hundred and seventyfour patients with osteoarthritis of the hip or knee awaiting arthroplasty were administered the womac. It includes five questions about pain, two about stiffness, and 17 on degree of disability of activities of daily living. Standing upright none mild moderate severe extreme b. It is a selfadministered questionnaire consisting of 24 items divided into 3 subscales.
The current womac survey is comprised of 24 items divided into three subscales. Please rate the activities in each category according to the following scale of difficulty. The pain scale consists of five items and all items are scored on a fivepoint scale 04 with higher scores representing greater levels of pain 32. Validation studies reliability, validity, responsiveness orthopaedic validation study pharmacologic validation study. The womac index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. The womac measures five items for pain score range 020, two for stiffness score range 08, and 17 for functional limitation score range 068. Feb 04, 2011 the incredible ibex defies gravity and climbs a dam forces of nature with brian cox bbc duration. Outcome reporting in industrysponsored trials of gabapentin for offlabel use contd page 3 of 17 table 1 trials conducted, documents available and publication status by. Theiler r, bischoffferrari ha, good m and bellamy n. The monovisc hip osteoarthritis study full text view.
The womac western ontario and mcmaster universities index of. Following orientation to the mwomac index, and initial completion in the office, patients took the phones home and independently completed the index on four subsequent occasions over 12 days, sending their data each time to a server in usa. Pdf the aim of this study was to evaluate the psychometric properties validity and. The following is the table of contents from the womac 3. Clinicians and researchers interested in obtaining a copy of the instrument and user guide should visit the womac website for information about licensing and. Developed over 20 years ago, womac has been revised multiple times to its most current version, 3. Validation and patient acceptance of a computer touch screen. Think about the stiffness not pain you have in your hipknee during the last 48 hours. This study reports results for patients with hip and knee oa and for patients with hand oa, evaluated using the 11.
Please rate the activities in each category according to the following. Mar 04, 2016 the western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. To assess validity and reliability of the western ontario and mcmaster universities womac osteoarthritis oa index and lequesne algofunctional index in turkish patients with hip or knee oa and to compare the results of the instruments for these two particular sites of involvement. A third study that utilized the womac did show improvements in function, but the results were not significant. Therefore, change scores can be compared only among studies using the same scale format. Consenting patients were evaluated at baseline and 4 weeks later. Responsiveness of the electronic touch screen womac 3. Pain 5 items, stiffness 2 items, and physical function 17 items. The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 24 questions. Index womac and assessment of quality of life aqol instruments, respectively. Womac osteoarthritis index for knee osteoarthritis researchgate. Diseasespecific measures of wellbeing such as the womac index are valuable for healthrelated research as they incorporate domains considered relevant to the condition of interest for example, pain and function. Apr 27, 2010 a preliminary evaluation of mobile phone technology for repeated independent remote data capture using the mobile phonebased mwomac nrs 3. Information and translations of womac in the most comprehensive dictionary definitions resource on the web.
Reliability and validity of the western ontario and mcmaster. The effec of tthe addition of lornoxicam xefocam ticuliarny on tlrarthe womac scal17e evaluate the joint a womac score western ontario and mcmaster universities osteoarthritis index was used. To evaluate different western ontario and mcmaster universities osteoarthritis index womac pain thresholds as eligibility criteria for a knee osteoarthritis oa trial and their effect on number of subjects recruited. Western ontario and mcmaster universities osteoarthritis index est. The womac index has been used extensively in clinical trials, and has generally been shown to exhibit greater or comparable responsiveness to change than other tests. The western ontario and mcmaster universities osteoarthritis index womac name. Guideline for the management of knee and hip osteoarthritis.
The western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. At three visits over 3 weeks, responsiveness of the womac 3. Sep 01, 2009 the womac has been translated into 80 languages and the australian version 3. Validation of chinese western ontario and mcmaster universities osteoarthritis index womac in. Western ontario and mcmaster universities osteoarthritis index. Physical functioning questions cover everyday activities such as stair use, standing up from a sitting or lying position, standing, bending, walking, getting in and out of a car, shopping, putting on or taking off socks, lying in bed. The western ontario and mcmaster universities womac osteoarthritis index is a selfadministered validated questionnaire for patients with osteoarthritis oa of the hip or knee. The use and reporting of womac for the assessment of. Prospective observational study of two independent cohorts 788. Hip disability and osteoarthritis outcome score hoos.
Apr 30, 2010 measurement properties of the womac lk 3. The modified 22item thai womac index had convergent validity to the algofunctional. Womac is a selfadministered health status measure that assesses the dimensions of pain, stiffness and function either separately or as an overall index in patients with oa of the hip or knee. Western ontario mcmaster university osteoarthritis index rheumatology an arthritic pain scoring system ranging from 0no paindisability to 100most severe paindisability.
995 1199 1090 147 1006 480 1158 1090 104 71 578 1072 1276 993 92 1166 1351 242 594 624 566 716 1286 924 605 613 1269 1027 1347 882 781