The womac index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in osteoarthritis of the knee andor hip. Scores for each section are summed to produce pain, stiffness, and physical function subscale scores. Methods a prospective follow up study of consecutively referred inpatients of a rehabilitation clinic was made. The western ontario and mcmaster universities womac osteoarthritis oa index is a tested questionnaire to assess symptoms and physical functional disability in patients with oa of the knee and the hip. Konstantinidis ga1, aletras vh, kanakari ka, natsis k, bellamy n, niakas d. Thus, a hoos survey may also be used to determine a womac score. In 1988, bellamy and coworkers 3 first published the womac, a 24item, conditionspecific questionnaire to be used for hip and knee osteoarthritis. Womac has been used extensively in research studies, undergone rigorous psychometric validation, and is frequently utilized in many clinical trials. Objective to compare the responsiveness of the conditionspecific western ontario and mcmaster universities osteoarthritis oa index womac and the generic short form36 sf36 in patients with oa of the legs undergoing a comprehensive inpatient rehabilitation intervention. Index of severity for osteoarthritis of the hip by lequesne et al. How to fix forward head posture 3 easy exercises from a chiropractor. Clinimetrics, report by australian journal of physiotherapy. Cuestionario womac pdf the western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. Western ontario and mcmaster universities osteooarthritis index.
Indexes of severity for osteoarthritis of the hip and. It is a selfadministered questionnaire consisting of 24 items divided into 3 subscales. Validation studies reliability, validity, responsiveness orthopaedic validation study. A total womac score can also be produced and is commonly.
In the subset of oa patients, radiographic scores added little to the explained variance. Reliability and validity of the western ontario and mcmaster. Konstantinidis ga1, aletras vh, kanakari ka, natsis k. Pdf validation of the spanish version of the hip outcome.
The womac takes approximately 12 minutes to complete, and can be taken on paper, over the telephone or. The following questions concern the amount of pain you are currently experiencing in your knees. Hip disability and osteoarthritis outcome score womac. Health, general arthritic persons health aspects medical examination arthritics care and treatment patient outcomes outcome and process assessment health care methods outcome and process assessment medical care patient.
Clinically important improvement in the womac and predictor. The western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. Summary of clinical outcome measures for sportsrelated. Sep 18, 2018 data were extracted on the version used, score range, analysis and results of the womac, and whether these details were clearly reported. Determinants of womac function, pain and stiffness scores. The index was modified in 1997 with some minor changes to morning stiffnes and termed the algofunctional index. 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. Jan 23, 2012 the mean effects measured by womac of the slightly better group and the no change group was defined as the mcid of improvement on the womac global score 6, 7, 9, 10. The outcomes of postoperative total hip arthroplasty. Many studies have reported the psychometric properties of the womac bellamy 2009, including a comprehensive. For each situation, please enter the amount of pain you have experienced in the past 48 hours.
A popular patientreported outcome measure prom used for evaluation with hip and knee osteoarthritis is the western ontario and mcmaster universities osteoarthritis index womac. The aims of this study were to propose a spanish western ontario and mcmaster universities 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. Womac index was developed for hip and knee osteoarthritis, however it has been used with other rheumatic conditions such as. This information will help to keep track of how you feel about your hip and how well you are able to do your usual activities. Hip disability and osteoarthritis outcome score hoos validity and responsiveness in total hip replacement. Problems persist in reporting of methods and results for the womac measure in hip and knee osteoarthritis trials. Construct validity showing the correlations between hip outcome score hos and womac questionnaires. The western ontario and mcmaster universities osteoarthritis.
Problems persist in reporting of methods and results for the. Jul 26, 2016 the womac may be more sensitive to change than the sf36 when it comes to nonoperative treatment of the hip. Roos em, roos hp, lohmander ls, ekdahl c, beynnon bd. Dung tt, hieu pt, thuy dung nt 2018 the outcomes of postoperative total hip arthroplasty following western ontario mcmaster universities osteoarthritis index womac. Sep 21, 2019 the womac measures five items for pain score range 020two for stiffness score range 08and 17 for functional limitation score range 0 the questionnaire has been applied previously in order to measure functional recovery of patients who had undergone primary hip or knee arthroplasty 6. Pdf problems persist in reporting of methods and results. Looking for online definition of womac or what womac stands for. Womac score can also be produced and is commonly transformed to a 0100 scale for ease of interpretation and comparison with other studies. Moreover, from a resource perspective, this conversion takes time and requires a computational aid, both of which are likely to impede its application in clinical practice. Mar 24, 2019 cuestionario womac pdf the western ontario and mcmaster universities arthritis index womac is widely used in the evaluation of hip and knee osteoarthritis. The questions on the womac are a subset of the questions of the hip disability and osteoarthritis outcome score hoos. The womac is scored on a best to worst scale, so that lower subscale scores represent less pain, less stiffness, or better physical function. The strongest predictor of womac abnormality in bivariate and multivariate analyses was the fatigue score, with correlations of 0.
The expected range of scores for womac pain subscale and the womac index form of womac used womac pain score range womac index range vas 010 0 to 50 0 to 240 vas 0100 0 to 500 0 to 2400 nrs 010 0 to 50 0 to 240 likert scale 04. A 40 item questionnaire hip disability and osteoarthritis outcome score, hoos was constructed to assess patientrelevant outcomes in five separate subscales pain, symptoms, activity of daily. The following is the table of contents from the womac 3. Pdf hip disability and osteoarthritis outcome score hoos. An extension of the western ontario and mcmaster universities osteoarthritis index. All patients were awaiting primary total hip or knee arthroplasty. The western ontario and mcmaster universities osteoarthritis index womac name. Womac is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms the free dictionary. Responsiveness of the womac osteoarthritis index as compared. Download fulltext pdf download fulltext pdf validation of a proposed womac short form for patient with hip osteoarthritis article pdf available in health and quality of life outcomes 975. Summary of clinical outcome measures for sportsrelated knee injuries. Methods patients our sample consisted of 474 patients with osteoarthritis of the hip or knee.
Responsiveness and clinically important differences for the womac and sf036 after total knee replacement. Western ontario and mcmaster universities osteoarthritis index womac. These details will be sent to dr bellamy who will respond to your request in due course. The total womac score at the 6week followup minus the score at baseline examination prior to the treatment defined the effect measured by womac. Hip disability and osteoarthritis outcome score hoos patient. Please rate the activities in each category according to the following.
Heintjes 2008 the womac showed moderate to high responsiveness with adolescents and high responsiveness with young adult populations in general practice with complaints of knee pain. The womac knee and hip and the auscan hand oa indices n. Validation of a proposed womac short form for patients with. Womac 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 patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints.
For these reasons we believe it is of interest to present the measurement properties of the womac lk is the same units as the original measurement. Comparative validation of the womac osteoarthritis and lequesne algofunctional indices in greek patients with hip or knee osteoarthritis. Bellamy views in the literature to the use of womac in validation studies, comparative studies against other health status measures, and in various clinical research and clinical practice settings to evaluate patient outcomes 7. Download pdf, 48kb the auscan index is a diseasespecific, tridimensional selfadministered questionnaire, for assessing health status and health outcomes in. This was graded as for the activities of daily living. Western ontario and mcmaster universities osteooarthritis. Womac law firm television commercial sample duration.
Answer every question by circling the appropriate response. A womac test takes about 12 minutes, but is also available in a short form, although this has not been as extensively tested as the full version. We adapted the womac for the italian language and tested its metric properties in 304 patients with symptomatic oa of the knee. Comparative validation of the womac osteoarthritis and. Western ontario and mcmaster universities osteoarthritis.