knee pain questionnaire pdf

The Fear-Avoidance Beliefs Questionnaire (FABQ) (Waddell 1993) is one of several instruments Oswestry Disability Questionnaire This questionnaire has been designed to give us information as to how your back or leg pain is affecting your ability to manage in everyday life. Skip to main content Our Experience ... volleyball players, Athletes with symptomatic patellar tendinopathy who specifically had activity-related anterior knee pain and palpation tenderness, Participants completed the Dutch VISA-P. Tampa Scale for Kinesiophobia (Miller , Kori and Todd 1991) 1 = strongly disagree 2 = disagree 3 = agree 4 = strongly agree 1. Greatly – 1. Do use "RICE.". Rest, ice, compression, and elevation (RICE) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. KNEE PAIN QUESTIONNAIRE KNEE PAIN: (If you have pain on only one side, you can skip questions related to the other side.) Mild arthritis but the hip is the suspected source of referred pain Suggestive of Pigmented Villonodular Synovitis or osteochondromatosis Unknown results We previously reported a Central Pain Mechanisms trait derived from eight discrete characteristics: Neuropathic-like pain, Fatigue, Cognitive-impact, Catastrophising, Anxiety, Sleep disturbance, Depression, and Pain distribution. ... Knee Score Questionnaire.PDF Author: Allen Created Date: The VA will rate knee pain and conditions under many different diagnostic codes, depending on the specific problem, or problems, caused by a knee condition. Moderately – 2. PF1. pain syndromes, cervical spine pain syndromes, cervical spine and shoulder pain syndromes, hip impairments, knee impairments, chronic headache, fibromyalgia, and chronic fatigue syndrome. 1c. Contact Person: Callum S Ansell E: callum.aus@capital.com P: (02) 8252 5319 Totally – 0. None mild moderate severe extreme 4. FEAR AVOIDANCE BELIEFS QUESTIONNAIRE (FABQ) Purpose: The FABQ was developed by Waddell to investigate fear-avoidance beliefs among LBP patients in the clinical setting.3 This survey can help predict those that have a high pain avoidance behavior. ! I get some pain in the knee: Never (Slight with severe exertion (Marked with severe exertion (Slight after walking 2km (Marked after walking 2km (All the time (9. perform any of the above activities due to knee pain” and a score of 4 to the response “Very strenuous activities like jumping or pivoting as in basketball or soccer”. 4. VA FORM . PAIN … ! A Measure of Intermittent and Constant Osteoarthritis Pain, ICOAP: KNEE Version . It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: 1. knee questionnaire belongs to a series of lower extremity questionnaires initiated and developed by the AAOS. Knee anterior cruciate ligament tear Knee meniscal tear. Prevalence. Visentini PJ, Khan KM, Cook JL, Harcourt PR WJ. - 2016 - The Accuracy of VISA -P Questionnaire, Single- Leg Decline Squat and Tendon Pain History to Identify Patellar Te.pdf. Results: Mean baseline of KOOS pain was 56.09 ( SD =21.75) and 52.26 ( SD =22.08) for the intervention and control This can be used to evaluate patients initially to monitor them over time and to judge the effectiveness of interventions. Several other things can also cause knee pain, such as: Bursitis: A bursa is a sac that holds a small amount of fluid that’s under the skin above your joint. It helps prevent friction when the joint moves. Overuse, falls, or repeated bending and kneeling can irritate the bursa on top of your kneecap. Left Right Both ... How much has pain from your knee interfered with your usual work 2900-xxxx respondent burden: 30 minutes. Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint. ! What side is your pain on? I can’t participate in sports. such as the Knee Injury and Osteoarthritis Outcome Score (KOOS) and International Knee Documentation Commit-tee (IKDC) Subjective Knee Evaluation Form have been specifically validated for use in patients with meniscus injuries.10,17,18 These instruments ask patients to self-report pain, symptoms, function, and quality of life, and Available for PC, iOS and Android. 4 Kidney Stone Pain Relief Reddit Chronic Pain Acceptance Questionnaire Pdf. If Bilateral: Equal Left greater than Right Right greater than Left b) Painful c) Weightbearing impossible. None mild moderate severe extreme A. All of the time – 0. The KOOS evaluates both short-term and long-term consequences of knee injury. Development of the questionnaire. The pain is relieved by rest. The Pain Disability Index (PDI) Overview: The Pain Disability Index (PDI) a simple and rapid instrument for measuring the impact that pain has on the ability of a person to participate in essential life activities. N ever Monthly W eekly Daily Always! Most of the time – 1. Where exactly is your knee pain located? After 3 years (n = 28), the mean Lysholm score improved from 56.6 to 87.0 points. Content. Advantages. Atrophy of thigh: 13. Please transfer the total score from the pain questionnaire: Total score Please add up the following numbers, depending on the marked pain behavior pattern and the pain radiation. Clinically, these people may need to be supervised more than those that confront their pain. My walking is not limited by hip or knee pain. Knee pain Knee pain is very common, but can usually be treated at home and normally starts to feel better in a few days. 3.2 Does Mitragyna Hirsuta Help With Chronic Pain Pain Relief Without Anticholinergic. Please mark each response with an X. Home > Patient Info > Pain and Medical Questionnaire Pain and Medical Questionnaire PFPS: the visual analog pain scale (VAS), a knee function questionnaire, the temporal components of gait on level walking and ascending stairs, knee joint angle on downhill walking, and EMG activity of the quadriceps during stair climbing. Arm, shoulder or hand pain. In-tended for use in patients age 18 years. PDF | To translate and validate the Kujala Anterior Knee Pain Scale (AKPS) in patients who have undergone total knee arthroplasty (TKA) or. The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a knee-specific instrument, developed to assess the patients' opinion about their knee and associated problems. People have told us that they experience different kinds of pain (including aching or discomfort) in their knee. How much pain from your knee interfered with your usual work (including housework)? If you are unsure about how to answer a question, please give the best answer you can. Patients and Methods It might be a good idea to contact your GP or pharmacist, who can give you advice on your recovery, especially if you can’t put any weight on your knee. Title: KOOS english version 960115 I can only walk for a short time (such as walking from one room to another room) I am not able to walk at all because of my hip or knee pain. Name: DOB: Date: Height: Weight: Age: Chief Complaint Laterality Left Right Both Please describe your symptoms: (Mark all that apply) Throbbing pain Radiating pain Dull pain Sharp pain Catching/Locking Swelling Stiffness Instability Other: Start a free trial now to save yourself time and money! The painDETECT Questionnaire is a self-report questionnaire developed to discriminate between nociceptive and neuropathic pain. omb approved no. 4. Questionnaire was found to be one of the validated instruments to evaluate LE function especially in anterior knee pain and PFPS patients. The original study group for the score featured patients with subjects with anterior knee pain, patellar subluxation, and patellar dislocation, in addition to a control group. a) None b) Slight or periodic. This degenerative and progressive joint disease affects around 250 million people worldwide 2 and more than 27 million people in the United States. 4.1 Camel Wool Pain Relief Chronic Knee Pain Below Knee Cap. I’m afraid that I might injury myself if I exercise 1 2 3 4 Knee osteoarthritis is considered more common in black African woman . Prolonged sitting with knee flexed: 9. R L I only feel stiffness (note where) R L Entire knee R L Front of knee R L Back of knee R L Medial knee (inside, near other knee) R L Lateral knee (away from other knee) R L Under knee cap This questionnaire asks about your symptoms as well asyour ability to perform certain activities. A cut-off score of 105 has These items are scored 0-10, where 0 refers to absence of Kujala et al in 1993(5) developed the self-administered Kujala Patellofemoral Questionnaire or “Anterior knee pain scale” (AKPS). Central sensitisation creates discordance between pain and joint pathology. A total of 187 respondents to the baseline questionnaire answered the new knee pain … ! The index ! In knee pain or knee osteoarthritis patients, higher MPQ scores were associated with greater anxiety and depression (r = 0.30, P < 0.05 and r = 0.31, P < 0.05, respectively) , and greater symptoms and disability using the Western Ontario and McMaster Universities pain scale (r = 0.34–0.38) . Medical record: 9/11/1991 screening note of acute medical care for complaint of bilateral knee pain and note of bilateral knee injury after fall when playing basketball and diagnosis of strain and additional diagnosis of contused tibia; 10/8/1991 screening note of Pain always present when walking and at rest, worst when climbing stairs. For how long have you been able to walk before pain from your knee becomes severe? W h a t a m o u n t o f kn e e … The most common symptoms of knee injuries are pain and swelling, but there may also be other symptoms such as instability, locking, clicking and giving way. Knee injuries can be diagnosed by both history and physical examination. The Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) is a ‘yellow flag’ screening tool that predicts long-term disability and failure to return to work when completed four to 12 weeks following a soft tissue injury2. Osteoarthritis (OA) is the most common form of arthritis and one of the leading causes of disability. Please answer by checking one box in each section for the statement which best applies to you. tested and validated Knee injury and Osteoarthritis Outcome Score (KOOS) questionnaire was used in this study. 3. I can walk for at least 30 minutes before pain stops me. For how long are you able to walk before the pain in your knee becomes s eve re? The VISA-P is questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. SUPERSEDES VA FORM 21-0960M-9, MAY 2013, Page 1 WHICH WILL NOT BE USED. I can walk for about 10 to 15 minutes before pain stops me. Knee pain is usually caused by traumatic injuries, repetitive motion injuries, long-term wear & tear, or tissue disorders. Swelling: 11. However, few studies have [18] been conducted on the quality of life in these patients with OAKHQOL questionnaire. PFP has been characterised by anterior knee or retropatellar pain, often bilateral, of insidious onset present for at least a month and associated with pain or difficulty with prolonged sitting or activities which load the patellofemoral joint, e.g., ascending or descending stairs, running and squatting [13, 16, 17]. Unilateral (right or left) or bilateral knee pain according to shading on the manikin was compared with the ‘knees affected’ question on the KNEST. The QuIKS is a short, self-administered questionnaire used to promote activity by identifying the experiences associated with early symptoms consistent with knee OA, such as monitoring intermittent symptoms, interpreting the meaning of these symptoms, modifying behaviors, and including the use of medications. In 1988, Bellamy and coworkers 3 first published the WOMAC, a 24-item, condition-specific questionnaire to be used for hip and knee osteoarthritis.Since its conception, the WOMAC has undergone several revisions and modifications, with the latest version (WOMAC 3.1) available in over 90 languages. The KOOS is self-administered and assesses five outcomes: pain, symptoms, activities of daily living, sport and recreation function, and knee-related quality of life. Scores: 1) Constant pain subscale ranges from 0-20 2) Intermittent pain subscale ranges from 0-24 3) Total pain score ranges from 0-44; The 11 items are scored from 0-4 with 0 being no pain and 4 being extreme pain. Existing questionnaires, including the short-form Central Sensitization Inventory and the Generalized Pain Questionnaire … This information will help us keep track of how you feel about your knee and how well you are able to do your usual activities. Prior to completing the Questionnaire please complete the following:- Today’s Date: 2 0 D D M M Y Y Y Y On which side of your body is the affected joint, for which you are receiving treatment. A little bit – 3. (With or without a … Chronic Pain Acceptance Questionnaire – Revised (CPAQ-R) Authors: Lance M. McCracken, Kevin E. Vowles, & Christopher Eccleston The 20-item CPAQ-revised has been designed to measure acceptance of pain. Think about the pain you felt in your hip/knee during the last 48 hours. Scoring the short version of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) The short version of the ÖMPSQ includes 10 items selected from the full version (see Linton, Nicholas & MacDonald, 2011). Please answer every question, based ... 24. Instructions: In Sections A, B, and C, questions will be asked about your hip or knee pain. Abnormal painful kneecap movements: (patellar subluxations) 12. The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a questionnaire designed to assess short and long-term patient-relevant outcomes following knee injury. Methods: We used the forward-backward translation protocol to develop the Indonesian version of the KOOS. The original 1993 study found statistically significant between group differences for all 13 questions. Optional high performance items are available for sport/music and work. _____ 2. Pain The following questions concern your knee pain over the … For example, there are ratings available for instability of the knee, limitation of extension, knee replacements, etc. How long have you had pain? 1,002 adults ages 25-54 who experience pain in their knee 3 or more days a week and have been experiencing knee pain for at least 2 months. Knee tendonitis/tendonosis Knee strain. Left knee B. Ginger is a highly effective home remedy that can quickly cure knee pain due to injury and arthritis. It can also reduce swelling and stiffness in the knee. You can make ginger tea by adding fresh ginger roots to boiling water. Knee Pain Questionnaire 1. Questionnaire: Evaluate Your Knee Pain and Function Medically reviewed by Deborah Weatherspoon, Ph.D., R.N., CRNA — Written by Samuel Greengard — Updated on April 8, 2020 Questionnaire Was you pain sudden or gradual? 8. knee and lower leg conditions disability benefits questionnaire internal veterans affairs use knee and lower leg conditions disability benefits questionnaire important - the department of veterans affairs (va) will not pay or reimburse any expenses or cost incurred in the process of completing and/or submitting this form. and with knee pain severity more strongly thanwas any one of the eight characteristics alone9, and was a better predictor of future knee pain than other clinical predictors8. In the questionnaire of Lysholm quadriceps relaxed 20 -+ 4 ° for patients with patellar et al. Knee Injury and Osteoarthritis Outcome Score (KOOS) INSTRUCTIONS: This survey asks for your view about your knee. 12 3 4 5 26. Abstract Aim: Self-report questionnaires are still considered to be a useful instrument for disease screening and for epidemiological studies. Claimant: Rickia Lee Mozell (Y) Casenbr: 2253896 20200902300178 SUPPLEMENTAL PAIN QUESTIONNAIRE 1. K nee and O steoarthritis O utcom e S core (K O O S ), E nglish version L K 1.0 2 P a in P 1. None Mild Moderate Severe Extreme ! H ow often do you experience knee pain? Is your pain associated with an injury? 12. Arm, shoulder or hand pain when you performed any specific activity. Pain: 10. Construct validity was determined through correlations with the Lysholm Knee Scale (r = .78 to .86) and a global rating of knee function (r = .66 to .75) in a sample of 397 patients with a variety of knee pathologies (ligament and meniscal injuries, patellofemoral pain, osteoarthritis). However, a recent study demonstrated that the pediatric population had a limited understanding of some of its questions. Not at all – 4: Sometimes or just at first – 3. The acceptance of chronic pain is thought to … How severe is your knee stiffness after exercise? There needs to be a change in score of 10 to 19 points for the change to represent clinically important change (MCID). B. Adult Reconstruction & Joint Replacement. We hypothesized that the Munich Knee Questionnaire (MKQ) would allow for a qualitative self-assessment of the Knee Injury and Osteoarthritis Outcome Score (KOOS), 6 International Knee Documentation Committee (IKDC) score, 13 Lysholm knee score, 14 Western Ontario Meniscal Evaluation Tool (WOMET) score, 11 and Tegner score. How severe is your stiffness after first awakening in the morning? Patellar or quadriceps tendon rupture Knee posterior cruciate ligament tear. provide only diagnoses that pertain to knee and/or lower leg conditions. ! Background: The Knee injury and Osteoarthritis Outcome Score (KOOS) is a useful diagnostic tool to assess knee ligament injury and osteoarthritis, but no validated Indonesian version of the KOOS was available. 73 Ocean Street, New South Wales 2000, SYDNEY. The original version was published in 2004 (53). For item 2, which is related to the frequency of pain over the past 4 weeks, the responses are reverse-scored such that … 3.1 Dr Newton Total Pain Relief. Table 1 Vignette used in the questionnaire to assess GPs’ reported behaviours Patient Mrs Jones, 58-year-old prison officer History First presentation of gradually worsening bilateral knee pain (right worse than left) over 2 years. Few questionnaires have been developed for the purpose of screening for knee osteoarthritis (KOA). No history of trauma. Rarely/never – 4. New Patient Questionnaire – KNEE. An appointment with one of our pain specialists could be the first step on your journey to better manage your pain. ! Measures pain and function in the upper limb and the effect of treatment on pain and shoulder function. Methods: We included 998 patients who contacted the physician referral service at the author's institution complaining of knee pain and divided them into 2 groups. There was a clear association between these items (r S =0.73, P<0.01). Below are injuries that are common causes for knee pain, but it is best to enter your symptoms into our Knee Pain Diagnosis Symptom Checker to gain a better understanding of your injury. 21-0960M-9 JUN 2017 . - PDF Download Free. [17]. The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a questionnaire designed to assess short and long-term patient-relevant outcomes following knee injury. In the case of a prospective epidemiologic study, when spread over thousands of athletes, this could mean a tremendous savings to the athletes, the clinicians, and medical and educational systems more broadly. Flexion deficiency: KUJALA SCORING QUESTIONNAIRE. Knee joint ankylosis Knee joint osteoarthritis. 2. The KOOS is self-administered and assesses five outcomes: pain, symptoms, activities of daily living, sport and recreation function, and knee-related quality of life. The purpose of this study was to assess the quality of life of patients with knee osteoarthritis in a black African population. SWELLING ( ) I experience no swelling in my knees. As your knee starts to feel … Answer every question by ticking the appropriate box. The present study reports on a simple 5-step questionnaire to identify patients with OA (Kellgren/Lawrence [KL] grade ≥2) of the knee to improve efficiency of referrals. The second questionnaire we tested in a popula-tion of patients with anterior knee pain was the Lower Extremity Functional Scale (LEFS), which was introduced in 1999 by Binkley et al4 (Appendix 2). The present study defined the prevalence of PFP and knee pain in the general population of Chinese young adults and evaluated whether gender, age, or body mass index (BMI) were associated with PFP. ( ) The pain I have in my knee is a significant problem with activities as simple as walking. Knee Pain Advice for Patients BSUH Physiotherapy Departmentimprove please seek further medical Brighton General Hospital, Elm Grove, Brighton, BN2 3EW www.bsuh.nhs.uk If your pain gets worse, initially reduce your exercises. ! Pain is the prevailing symptom of knee osteoarthritis. ! 13 questions on the Kujala questionnaire total to 100 points. ! Survey respondents were recruited from a panel of people who have agreed to participate in survey research. 4. A. Location/ radiation of pain, and intensity/ severity of the pain, etc. ( ) I have occasional swelling in my knee with strenuous sports or heavy work. Fill out, securely sign, print or email your hip pain questionnaire instantly with signNow. Our team produced a French adaptation … The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. OBJECTIVES: To evaluate the influences of radiographic severity, quadriceps strength, knee pain, age, and gender on functional ability in patients with osteoarthritis of the knee. _____ 3. Right knee A. H ow severe is your knee stiffness after sitting, lying or resting later in th e d ay? Introduction. c) Constant a) Full support without pain. from patients with anterior knee pain, we hypoth-esized that it would be reliable and responsive in patients with anterior knee pain. 11-item tool with 2 versions: one to assess pain at knee joint and one to assess pain at hip joint. Thank you very much for completing all the questions in this questionnaire. No night pain. Then total up the final score: 0 Persistent pain with slight fluctuations - 1 Persistent pain with pain attacks if marked, or + 1 Pain attacks without pain between them Often, not just at first – 2. Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR.), English version 1.0 ©2016 Hospital for Special Surgery KOOS, JR. KNEE SURVEY INSTRUCTIONS: This survey asks for your view about your knee. SCORES/EVALUATIONS/QUESTIONNAIRES Reduced WOMAC Score – Knee General and Arthroplasty Modules..... 28 Responsiveness was determined by examining R L No pain is present R L I only feel stiffness (note where) R L Groin R L Side of hip R L Lateral thigh (away from other thigh) R L Medial thigh (near other thigh) R L Front of thigh R L Buttock R L Lower back R L Front of knee R L Down the entire leg None Mild M oderate S evere Extreme! The pain NRS is a valid and reliable scale to MCGILL PAIN QUESTIONNAIRE … Please describe your pain symptoms. yavapai regional medical center physical rehabilitation services womac osteoarthritis index questionnaire rehabilitation services pt tha/tka womac questionnaire Development of the Knee OA Pre-Screening Questionnaire. Excellent 2-year results (n = 57) showed improvement of knee function as assessed by the Lysholm score from an average of 50 to 85 points and pain reduction from 6.7 to 2.0 (VAS). Critical Appraisal of Overall Value to the Rheumatology Community Strengths/caveats and cautions/clinical and research usability. Right leg pain and weakness when walking/ standing. pain after physical therapy, using a 15-point Global Rating of Change scale (19). Please describe the level of pain you have experienced in the past 48 hours for each one of your knees. Ability to detect change. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation of Hip and Knee Osteoarthritis. during the last week in your knee. (with or without a stick) No pain/ Not at all More than 30 16 to 30 5 to 15 Around the - pain severe minutes minutes minutes house only when walking Pain … Knee pain affects approximately 25% of adults, and its prevalence has increased almost 65% over the past 20 years, account-ing for nearly 4 million primary care visits annually. knee and lower leg conditions disability benefits questionnaire . Western Ontario and McMaster Universities Osteoarthritis Index. Knee pain is a frequent complaint that affects people of all ages. It is essential to identify knee and hip osteoarthritis patients with a neuropathic pain profile in order to offer such patients education and additional treatment options besides conventional pain treatment. Most knee pain is not serious and does not require a scan or x-ray to diagnose the problem. Mendonça et al. 5 Pain Scales 5.1 Numerical Pain Rating Scale (NPRS) 7 5.2 Visual Analogue Scale 9 5.3 Verbal Rating Scale (VRS) 11 6 Pain Interference 6.1 Roland & Morris Disability Index 13 6.2 Oswestry Low Back Pain Disability Questionnaire 15 7 Physical Functioning 7.1Brief Pain Inventory 17 The Knee Injury Osteoarthritis Outcome Score (KOOS) questionnaire is one of the frequently used outcome scores in pediatric studies. Clinical Practice Guidelines DAVID S. LOGERSTEDT, PT, PhD • DAVID SCALZITTI, PT, PhD • MAY ARNA RISBERG, PT, PhD LARS ENGEBRETSEN, MD • KATE E. WEBSTER, PhD • JULIAN FELLER, MD LYNN SNYDER-MACKLER, PT, ScD • MICHAEL J. AXE, MD • CHRISTINE M. MCDONOUGH, PT, PhD Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

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