Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index

Tüzün, Emine Handan; Eker, Levent; Aytar, Aydan; Daşkapan, Arzu; Bayramoğlu, Meral

doi:10.1016/j.joca.2004.10.010

Cited by 276 publications

(162 citation statements)

References 31 publications

(26 reference statements)

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“…We might have used another selfadministered instrument in the current study to gain additional insight for assessment of validity, which could be considered a limitation of our study. The WOMAC index, which has been adapted to Turkish, could have been used for this purpose [22]. The adapted version of this test is reportedly reliable and valid for patients with OA, but it takes longer to complete than the KOS-ADLS, and mostly is preferred for patients with OA and not for patients with other disorders, such as PFP.…”

Section: Discussionmentioning

confidence: 99%

Adaptation and Validation of Turkish Version of the Knee Outcome Survey-Activities for Daily Living Scale

Evcik¹,

Ay²,

Ege³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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The Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS), originally developed in English, is a valid and reliable self-reported instrument used for patients with various painful knee conditions. We adapted the KOS-ADLS to Turkish and tested its reliability and validity. We enrolled 142 patients with knee pain in the study. The patients were randomized into two groups: Group 1 (n = 75) completed the questionnaire twice a week for assessing test-retest reliability and Group 2 (n = 67) answered the questionnaire and performed additional tests for assessing validity. The intraclass correlation coefficient ranged from 0.98 to 0.99 with high internal consistency (Cronbach's alpha, 0.89). Validity-related tests included pain measurement with a visual analog scale and functional tests, including time measurements for the getup-and-go and ascending/descending stairs tests. The visual analog scale score correlated with total score (r = 0.56), function total score (r = 0.53), and symptom total score (r = 0.45). The ascending/descending stairs test correlated with total score (r = 0.47), function total score (r = 0.49), and symptom total score (r = 0.31). The getup-and-go test weakly correlated with all three scores. The Turkish version of the KOS-ADLS is reliable and valid in evaluating the functional limitations of patients with knee pain.

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Section: Discussionmentioning

confidence: 99%

Adaptation and Validation of Turkish Version of the Knee Outcome Survey-Activities for Daily Living Scale

Evcik¹,

Ay²,

Ege³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…Timed performance tests have been found to decrease significantly with mobility impairments (23)(24)(25)(26)(29)(30)(31). Residential status and physical mobility status have been determined to be significant predictors of timed performance (27)(28)(29).…”

Section: Discussionmentioning

confidence: 99%

“…This result is not surprising, because the knee joint is more stable comparing to hip joint. Generally, THR patients were not allowed to per- Timed tests such as TUG and SST, indicate that patients after TKR and THR take longer to complete these tasks compared with controls of similar age (23,26,29). There is evidence that, although patients do experience recovery and improvement in strength and functional performance after THR surgery, mobility difficulties and functional deficits remain (31).…”

Section: Discussionmentioning

confidence: 99%

Functional mobility on discharge day after total knee and hip replacement surgery

Kınıklı

Guney

Karaman

et al. 2014

Turk J Physiother Rehabil

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Purpose: To examine functional mobility status on discharge day after total knee and hip replacement surgery in post-acute care hospital setting.Methods: Eighty patients following total knee and hip replacement surgery were assessed with the de Morton Mobility Index (DEMMI), the Timed-Up-and-Go (TUG) and Five Times Sit to Stand Test, the Western Ontario and McMaster Universities Osteoarthritis Index (WOM-AC) measurements of mobility-related activity on discharge day. Demographic information comprised age, body mass index, gender, type of surgery,length of hospital stay. Since the normality of distribution of the data was not confirmed, nonparametric Mann-Whitney-U test was used for analysis.Results: Forty patients (mean age: 66.83±7.39 years) underwent total knee replacement (TKR) and 40 patients (mean age: 62.63±11.95 years) underwent total hip replacement (THR). No statistical difference was found in age, body mass index and length of hospital stay between patients (p>0.05). TKR patients had better results in mean WOMAC total score, WOMAC Physical Functioning Score and mean DEMMI total score compared to THR patients (p<0.05). TUG and Five Times Sit to Stand Test time results showed a trend of deterioration in THR patients than TKR patients. The WOMAC pain, stiffness and total scores were similar between TKR and THR patients. Discussion:Results of this study indicated that functional mobility status at discharge would be better in patients with TKR than THR. Functional mobility evaluation following lower-extremity replacement surgery before discharge should be included in acute clinical physiotherapy practice to guide to physiotherapists to design effective intervention strategies to improve mobility. Sonuçlar:Kırk hasta (yaş ort: 66.83±7.39 yıl) total diz replasmanı (TDR); 40 hasta (yaş ort: 62.63±11.95 yıl) total kalça replasmanı (TKR) cerrahisi geçirmişti. Yaş, vücut kitle indeksi ve hastanede kalış süresi açısından hastalar arasında istatistiksel farklılık yoktu (p>0.05). TDR hastalarının, ortalama WOMAC toplam ve WOMAC Fiziksel Fonksiyon skoru ile ortalama DEMMI total skoru TKR hastalarına göre daha iyiydi (p<0.05). KYT ve 5 tekrarlı sandalyeden ayağa kalkma testi zamanları TKR hastalarında TDR hastalarına oranla daha uzun olma eğili-mindeydi. WOMAC ağrı, tutukluk ve toplam skorları TKR ve TDR hastalarında benzerdi.Tartışma: Bu çalışmanın sonuçları, taburculuk sırasındaki fonksiyonel mobilitenin TDR hastalarında TKR hastalarından daha iyi olduğunu göstermiştir. Alt ekstremite replasman cerrahisini takiben taburculuk öncesi fonksiyonel mobilitenin klinikte akut fizyoterapi uygulamalarında değerlendirilmesi, fizyoterapistlere mobiliteyi geliştirici etkili uygulama stratejilerini planlaması açısından yardımcı olacaktır.Anahtar Kelimeler: Osteoartrit, artroplasti, kalça replasmanı, diz replasmanı, erken ambülasyon. Kınıklı Gİ, Güney H, Karaman A, Yılmaz K, Çağlar Ö, Yüksel İ. Functional mobility on discharge day after total knee and hip replacement surgery, Turk J Physiother Rehabil. Türk Fizyoterapi ...

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“…We evaluated the presence of knee joint medial and lateral tenderness, and inflammatory findings. We measured pain threshold at medial joint space with pressure algometer (Wagner Pain Test™ Model FPK [7].…”

Section: Patients and Clinical Evaluationmentioning

confidence: 99%

The effect of ultrasonography guided intra-articular corticosteroid injections in advanced knee osteoarthritis

Koçyiğit¹,

Kuyucu²,

Koçyi̇ği̇t³

2015

Pau Med J

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Purpose: The aim of the study is to evaluate the effect of ultrasonography-guided intra-articular corticosteroid injection on pain, functional status and quality of life in patients with advanced knee osteoarthrit. Materials and methods: 50 knees of 26 patients who were diagnosed as grade 4 knee osteoarthritis according to Kellgren -Lawrence classification system were treated with ultrasonography-guided intra-articular injection of 40 mg triamcinolone acetonide. Perceived pain, weekly analgesic consumption, findings of physical examination, knee pain threshold, functional status and quality of life were evaluated before and four weeks after the injection. Western -Ontario and McMaster Universities' (WOMAC) osteoarthritis index was used to assess functional status, and Nottingham Health Profile (NHP) was used to evaluate the quality of life. Results: Mean age of the patients in the study was 65±7.5 years and mean symptom duration was 74.7± 32.5 months. Visual analog scale for pain decreased from 85.3.±14.1 mm to 59, 6±21.1 mm (p=0.003) and mean analgesic consumption decreased from 8±3 to 3±2 (p=0.000). Total WOMAC score (p=0.000) and scores of 4 NHP subdivisions (pain (p=0.000); physical mobility (p=0.003), social isolation (p=0.012); emotional reactions (p=0.016) decreased significantly 4 weeks after the injection. Conclusion: Injection under ultrasonography guidance may improve the beneficial effects of corticosteroids in advanced knee osteoarthritis.Pam Med J 2015;8(3):193-198 Key words: intraarticular injection, corticosteroids, osteoarthritis; interventional ultrasonography. ÖzetAmaç: Bu çalışmanın amacı ileri evre diz osteorartriti olan hastalarda, ultrasonografi eşliğinde yapılan intraartiküler kortikosteroid enjeksiyonlarının, ağrı, fonksiyonel durum ve hayat kalitesi üzerine olan etkilerinin araştırılmasıdır. Gereç ve yöntem: Kellgren -Lawrence sınıflandırma sistemine göre evre 4 diz osteoartriti olan 26 hastanın 50 dizine ultrasonografi eşliğinde intraartiküler 40 mg triamsinolon asetonid uygulandı. Hastanın algıladığı ağrı, haftalık analjezik ilaç ihtiyacı, fizik muayene bulguları, diz ağrı eşiği, fonksiyonel durum ve yaşam kalitesi enjeksiyondan önce ve 4 hafta sonar değerlendirildi. Fonksiyonel durumun değerlendirilmesi için WesternOntario ve McMaster Üniversiteleri (WOMAC) osteoartrit indeksi, yaşam kalitesinin değerlendirilmesi için Nottingham Sağlık Profili (NHP) kullanıldı. Bulgular: Çalışmaya dahil edilen hastaların ortalama yaşı 65±7.5 yıl, belirti süresi 74.7± 32.5 aydı. Ağrı için vizüel analog skala 85,3±14.1 mm den 59,6±21,1 mm'ye (p=0.003); haftalık analjezik tüketimi 8±3 tabletten 3±2 tablete (p=0.000) geriledi. Toplam WOMAC skoru (p=0.000) ve NHP ağrı (p=0.000), fiziksel aktivite (p=0.003), sosyal izolasyon (p=0.012), emosyonel reaksiyonlar (p=0.016) skorları enjeksiyondan 4 hafta sonra istatistiksel olarak anlamlı şekilde azaldı. Sonuç: İleri evre diz osteartritinde enjeksiyonun ultrasonografi eşliğinde yapılması kortikosteroidlerin yararlarını arttırabilir.

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Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index

Abstract: The Turkish WOMAC OA index is acceptable, valid, reliable and responsive for use in Turkish patients with knee OA.

Cited by 276 publications

References 31 publications

Adaptation and Validation of Turkish Version of the Knee Outcome Survey-Activities for Daily Living Scale

Adaptation and Validation of Turkish Version of the Knee Outcome Survey-Activities for Daily Living Scale

Functional mobility on discharge day after total knee and hip replacement surgery

The effect of ultrasonography guided intra-articular corticosteroid injections in advanced knee osteoarthritis

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