Measurement properties of Portuguese–Brazil Western Ontario and McMaster Universities osteoarthritis index (WOMAC) for the assessment of knee complaints in Brazilian adults: ELSA-Brasil Musculoskeletal cohort

Lage, Poliane T. S.; Machado, Luciana A. C.; Barreto, Sandhi Maria; Figueiredo, Rachel; Telles, Rosa Weiss

doi:10.1007/s00296-019-04496-1

Cited by 17 publications

(16 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Primary outcome was change in VAS 0-10 cm for overall pain in the index knee at week 24. Secondary outcomes were: 1) VAS 0-10 cm for pain at rest; 2) VAS 0-10 cm for pain at movement; 3) VAS 0-10 cm for physician global assessment (PhGA); 4) participant's global assessment (PGA) for improvement, 0-100%; 5) Western Ontario McMaster Universities Osteoarthritis Index (WOMAC), 5-point Likert 0-4 for each question [31,32]; 6) Knee Injury and Osteoarthritis Outcome Score (KOOS), 5-point Likert 0-4 for each question [33,34]; 7) Likert scale for improvement: no improvement, mild improvement, moderate improvement, good improvement, excellent improvement; 8) OMERACT-OARSI criteria [35] defined as A) improvement in pain or function ≥ 50% and absolute improvement ≥ 20 or B) improvement in at least 2 of the following 3 criteria: i) pain ≥ 20% and absolute improvement ≥ 10, ii) function ≥ 20% and absolute improvement ≥ 10; iii) PGA ≥ 20% and absolute improvement ≥ 10. For these criteria, pain was assessed by VAS for overall pain and function was assessed by WOMAC function subscale; 9) timed up and go test (TUGT) [36]; 10) analgesic consumption, assessed by a self-reported diary.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of platelet-rich plasma and plasma for symptomatic treatment of knee osteoarthritis: a double-blinded placebo-controlled randomized clinical trial

Dório

Pereira

Luz

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Platelet-rich plasma (PRP) has a still conflicting efficacy for knee osteoarthritis (KOA) and might be a minimally invasive and safe treatment alternative. The potential benefit of only plasma (non-enriched) has never been investigated. Our aim was to evaluate the efficacy of intra-articular platelet-rich plasma (PRP) and plasma to improve pain and function in participants with KOA over 24 weeks. Methods Randomized, double-blind, placebo-controlled trial with 3 groups (n = 62): PRP (n = 20), plasma (n = 21) and saline (n = 21). Two ultrasound-guided knee injections were performed with a 2-week interval. The primary outcome was visual analog scale 0-10 cm (VAS) for overall pain at week 24, with intermediate assessments at weeks 6 and 12. Main secondary outcomes were: KOOS, OMERACT-OARSI criteria and TUGT. Results At baseline, 92% of participants were female, with a mean age of 65 years, mean BMI of 28.0 Kg/m2and mean VAS pain of 6.2 cm. Change in pain from baseline at week 24 were -2.9 (SD 2.5), -2.4 (SD 2.5) and -3.5 cm (SD 3.3) for PRP, plasma and saline, respectively (p intergroup = 0.499). There were no differences between the three groups at weeks 6 and 12. Similarly, there were no differences between groups regarding secondary outcomes. The PRP group showed higher frequency of adverse events (65% versus 24% and 33% for plasma and saline, respectively, p = 0.02), mostly mild transitory increase in pain. Conclusions PRP and plasma were not superior to placebo for pain and function improvement in KOA over 24 weeks. The PRP group had a higher frequency of mild transitory increase in pain. Trial registration ClinicalTrials.gov, NCT03138317, 03/05/2017.

show abstract

Section: Discussionmentioning

confidence: 99%

Efficacy of platelet-rich plasma and plasma for symptomatic treatment of knee osteoarthritis: a double-blinded placebo-controlled randomized clinical trial

Dório

Pereira

Luz

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…This scale consisted of 24 items divided into three dimensions: pain severity (5 items), joint stiffness (2 items), and daily physical daily functioning of the joint (17 items). A five-point Likert type scale was used to answer the items of WOMAC scale from 1 “None” to 5 “Extremely.” It is widely recognized that the WOMAC scale has reliable psychometric properties [ 16 ]. Alfatafta [ 17 ] recently found that the Arabic WOMAC scale is an effective tool to evaluate the quality of life among Jordanian patients after a TKR.…”

Section: Methodsmentioning

confidence: 99%

Health-Related Quality of Life and Outcome after Total Knee Replacement: Results from a Cross-Sectional Survey in Jordan

Thaher

Alfuqaha

Dweidari

2021

Advances in Orthopedics

View full text Add to dashboard Cite

Total knee replacement (TKR) is a common procedure that is considered cost-effective with excellent long-term survivorship. This cross-sectional study, which includes 118 selected patients in Jordan from January 2020 to January 2021, aims to assess health-related quality of life (HQOL), functional status, and associated factors before and after 3 to 12 months of TKR. Furthermore, several demographical factors were included in this study to evaluate the potential association with the procedure’s outcome. Western Ontario and McMaster Universities Osteoarthritis Index scale (WOMAC) and Short Form-36 (SF-36) scale were used in this study. It was found that the main change occurred 6–12 months after the procedure. Gender and age were found to be the primary predictor of quality of life among TKR patients. Patients before the TKR procedure experienced severe pain, joint stiffness, physical impairment, and psychological demand issues. After the TKR procedure, all symptoms were improved significantly. The TKR procedure can improve the quality of life for patients, which can be detected for several months after the procedure. Function and pain are the most critical indicators of improvement in quality of life. Assessing the quality of life is a key indicator for identifying patients without improvement, as well as improving the health care process and comparing other alternative interventions.

show abstract

“…25 The reliability of WOMAC was either good or excellent (ICC=0.85-0.97). 24 The smallest detectable change ranged from 3.84 to 16.25 points. 24 ► Functional capacity: The 6 min walk test (6MWT) was performed according to American Thoracic Society recommendations.…”

Section: Outcome Measuresmentioning

confidence: 98%

“…23 The minimum detectable change for this scale is 1.33 points. 23 Secondary outcomes ► Knee-related health status: This was assessed via the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), in its Brazilian version, 24 which consists of 24 items divided into three main domains: pain, stiffness and physical function. Each question is scored from 0 to 4, and the total score, given by the sum of the three domain scores, varies from 0 to 96; the maximum score is 96 and high scores mean poor health status.…”

Section: Outcome Measuresmentioning

confidence: 99%

Does tension applied in kinesio taping affect pain or function in older women with knee osteoarthritis? A randomised controlled trial

et al. 2020

View full text Add to dashboard Cite

ObjectiveTo analyse the short-term effects of kinesio taping (KT) with tension (KTT) or without tension (KTNT) in older women with knee osteoarthritis (KOA), and compare them to controls who did not receive KT.DesignRandomised controlled trial.SettingUniversity physiotherapy school clinic.ParticipantsForty-five older women (fifteen participants per group) with 66.8 (±5.6) years and clinical diagnosis of KOA were assessed pre, post and 3 days after intervention.InterventionsParticipants were randomly allocated to KTT, who received two simultaneous applications of KT with tension on the knee and rectus femoris; KTNT, who received the same application as the KTT group, but without tension and a control group that attended a class on KOA.Primary and secondary outcome measuresPrimary outcome was pain intensity and secondary outcomes were knee-related health status, functional capacity, muscle strength and global rating of change.ResultsNo between-group differences were observed in pain after the first intervention (KTT vs KTNT: mean difference (MD), −1.8 points; 95% CI −4.2 to 0.5; KTT vs control: MD, −1.2 points; 95% CI −3.6 to 1.2; KTNT vs control: MD, 0.66 points; 95% CI −1.7 to 3.0) or 3 days later (KTT vs KTNT: MD, −1.3 points; 95% CI −3.7 to 1.0; KTT vs control: MD, 0.13 points; 95% CI −2.2 to 2.5; KTNT vs control: MD, 1.4 points; 95% CI −0.9 to 3.8). The lack of between-group differences was also found for secondary outcomes.ConclusionThe short-term use of KT with or without tension in older woman with KOA had no beneficial effects on pain and function. These findings call into question the clinical use of KT as a non-pharmacological therapy for this population.Trial registration numberNCT03624075.

show abstract

Measurement properties of Portuguese–Brazil Western Ontario and McMaster Universities osteoarthritis index (WOMAC) for the assessment of knee complaints in Brazilian adults: ELSA-Brasil Musculoskeletal cohort

Cited by 17 publications

References 43 publications

Efficacy of platelet-rich plasma and plasma for symptomatic treatment of knee osteoarthritis: a double-blinded placebo-controlled randomized clinical trial

Efficacy of platelet-rich plasma and plasma for symptomatic treatment of knee osteoarthritis: a double-blinded placebo-controlled randomized clinical trial

Health-Related Quality of Life and Outcome after Total Knee Replacement: Results from a Cross-Sectional Survey in Jordan

Does tension applied in kinesio taping affect pain or function in older women with knee osteoarthritis? A randomised controlled trial

Contact Info

Product

Resources

About