The benefits in terms of pain and function of doxycycline in patients with oa of the knee is minimal to nonexistent. Womac has been used extensively in research studies, undergone rigorous psychometric validation, and is frequently utilized in many clinical. The index was modified in 1997 with some minor changes to morning stiffnes and termed the algofunctional index. Why a composite index that includes outcome variables selected for. The western ontario and mcmaster universities osteoarthritis index womac is a widely used measure of symptoms and physical disability originally developed for people with osteoarthritis oa of the hip andor knee 1, 2. Hyalone in the treatment of symptomatic hip oa data from. Devised by rheumatologists during the 1980s, the lequesne index of severity for osteoarthritis of the hip lisoh is an 11item questionnaire designed to obtain information of a subjective nature, from patients, about their diseased hip.
Read validity, reliability, and comparison of the womac osteoarthritis index and lequesne algofunctional index in turkish patients with hip or knee osteoarthritis, clinical rheumatology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. The view from the side detects any recurvatum or lack of complete extension. This metaanalysis was an attempt to collapse the data for hyaluronic acid treatment, using a reduction in score on the western ontario mcmaster universities index womac or the lequesne index as its outcome measurement. Index of severity for osteoarthritis of the hip by lequesne et al. Summaryobjectiveto crossculturally adapt and validate singapore english and chinese versions of the lequesne algofunctional index of knee in patients with knee osteoarthritis oa in singapore. An external file that holds a picture, illustration, etc. Patients responses are then used to generate a single composite scale8e10.
The lequesne algofunctlonal index includes the measure. The lequesne algofunctional index of severity for oa of the knee 17 was used for sample size calculation and was designated as the primary efficacy outcome in the guide trial. To comparatively evaluate the reliability and validity of the western ontario and mcmaster womac and the lequesne algofunctional indices in greek patients with hip or knee osteoarthritis oa. The following questions concern the amount of pain you are currently experiencing in your knees. Methods in this randomized, doubleblinded, placebo controlled clinical trial, 98 patients with symptomatic knee osteoarthritis oa were randomized into two groups receiving intraarticular 20. Womac physical function score and lequesne index were. It has five questions pertaining to pain or discomfort, 1 question dealing with maximum distance walked, and four questions.
The values were recorded according to lequesne et al scale and the data was analyzed and interpreted. The womac osteoarthritis index and lequesne algofunctional index have not been translated and validated for iranian patients with osteoarthritis oa of the knee or hip. Indexes of severity for osteoarthritis of the hip and knee. If you wish to have only an estimate beforehand, you do not need to create an account. A double blind, randomized, placebo controlled study of the. There are slight differences in the subgroups of overweighted, obese and over 70 years patients. Think about the pain you felt in your hip knee during the last 48 hours. Glucosamine sulfate in the treatment of knee osteoarthritis.
After 68 days, patients treated with cfa exhibited significant p lequesne functional severity index 7 are widely used in clinical trials. Algofunctional assessment of knee osteoarthritis core. Stiffness the following questions concern the amount of joint stiffness you have experienced during the last week in your knee. Jul 30, 2008 eligibility required patients to meet specific flare criteria upon medication washout. Probably the two most widely used instruments for the assessment of oaspeci. Evaluation of hip, knee and hand osteoarthritis oa involves clinical and radiological outcome measures. Clinical and radiological evaluation of hip, knee and hand. The womac western ontario and mcmaster universities index of osteoarthritis overview. To assess the measurement properties of the lequesne index of. It is used to assess the severity of osteoarthritis affecting knee joint through evaluation of daily activity and function.
Algofunctional index for definition of knee and hip osteoarthritis. Llfdi e limitations subscale was not supported as the correlations were of very small magnitude i. Over 10 million scientific documents at your fingertips. For each situation, please enter the amount of pain you have experienced in the past 48 hours. Waresf36 health survey manual and interpretation guide. Comparison of the womac western ontario and mcmaster. Development and preliminary psychometric testing of a new. All the groups show a statistically significant reduction at all time points compared to baseline values of lequesne index, pain vas, nsaids intake, global medical and patients assessments. Treatment of osteoarthritis of the knee, 2nd edition summary. Pdf index of severity of knee osteoarthritis of elderly females in. How physical function is assessed for osteoarthritis. Comparison between intraarticular ozone and placebo in the. Lesquesne index definition of lesquesne index by medical.
Pdf comparative validation of the womac osteoarthritis. Review article effect of ultrasound therapy for knee. The algofunctional indices for hip and knee osteoarthritis. Lequesne et al developed an index of severity for ost eoarthritis for the knee isk. They were validated, then published between 1982 and 1987. The aim of this study was to validate the persian form of womac oa index and lequesne algofunctional index and to assess their testretest reliability and convergent validity. Mcmaster universities osteoarthritis index womac pain subscale, brief pain inventory bpi, pressure pain threshold ppt, and pain visual analog scale vas. The total questionnaire is scored on a 0 to 24 scale. Total score ranges from 024, and higher scores indicate more severe handicap. However, there was evidence that ultrasound was effective in patients with knee osteoarthritis. From the analysis of lequesne index scores, it was found that prp combined with ha reduced the. The diagnosis of knee osteoarthritis was done before a mechanical knee pain and radiological signs according to kellgren and lawrence criterias. Index of severity for osteoarthritis of the knee by lequesne et al. Fihoa information and index scoring about functional index.
It can be used to monitor the course of the disease or to determine the effectiveness of antirheumatic. Responsiveness of the international knee documentation committee subjective knee form in comparison to the western ontario and mcmaster universities osteoarthritis index, modified cincinnati knee rating system, and short form 36 in patients with focal articular cartilage defects. The index is selfadministered and assesses the three dimensions of pain, disability and joint stiffness in knee and hip osteoarthritis using a. Objective to assess and compare the testretest reliability and the construct validity of the lequesne and the. Knee and hip oa can cause pain of the lower limb and. G stucki, o sangha, s stucki, ba michel, a tyndall, w dick, r theilercomparison of the womac western ontario and mcmaster universities osteoarthritis index and a selfreport format of the selfadministered lequesne algofunctional index in patients with knee and hip osteoarthritis. It is common for people with knee osteoarthritis to initially complain of pain that occurs with walking, plus limitations with walking e. Visual analogue scale vas 25, lequesne index 26, timed up and go test tug test 27, shortform intraarticular ozone versus placebo in the treatment of knee osteoarthritis. Methods prospective, randomised, double blind, parallel group, placebo controlled 3 year trial. Lequesne index of severity for osteoarthritis of the hip lisoh is an 11item questionnaire designed to obtain information of a subjective nature, from patients, about their diseased hip. If you are unsure about how to answer a question, please give the best answer you can.
Use of the lower extremity functional scale lefsbrazil. Western ontario and mcmaster universities osteoarthritis index. This index has an interview format including 10 questions about. Crosscultural adaptation and validation of singapore. Effects and safety of the combination of plateletrich plasma. Psychometric properties of selfadministered lequesne algofunctional indexes in patients with hip and knee osteoarthritis. Devised by rheumatologists during the s, the lequesne index of of the selfadministered lequesne algofunctional index in patients with knee and hip. It is a diseasespecific, aggregated multidimensional index consisting of 5 questions addressing knee pain, 4 questions on knee function in activities of. Pdf validity, reliability, and comparison of the womac. Neither group reported improvement in knee extension.
This can be used to assess the effectiveness of therapeutic interventions. The womac westren ontario and mcmaster universities index is used to assess patients with osteoarthritis of the hip or knee using 24 parameters. Sep 15, 2016 among all the anthropometric measures evaluated in a multivariate model, wc was the most strongly associated with clinical severity, accounting for an estimated increase of 0. Abstracts of publications whose full texts were not. After 68 days, patients treated with cfa exhibited significant p knee flexion 10. The lequesne index is a 10question survey given to patients with osteoarthritis of the knee. Effects of physical activity in knee and hip osteoarthritis. Assessment of the lequesne index of severity for osteoarthritis of the. Knee osteoarthritis develops gradually over a period of years and goes unnoticed until it becomes symptomatic. At screening, patients had to demonstrate a visual analog scale vas score between 40 and 70 mm during the most painful knee movement, and lequesne s functional index lfi score greater than 7 points after 7day withdrawal of usual medication. Psychometric properties of selfadministered lequesne. Treatment of osteoarthritis of the knee, 2nd edition.
Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint. Faucher m1, poiraudeau s, lefevrecolau mm, rannou f, fermanian j, revel m. Therefore, the evaluation of patients health status is important in supporting individual treatment decisions and assessing quality of care and treatment 4, 5. The maximum total score of severity for the womac is 96. In sections a, b, and c, questions will be asked about your hip or knee pain. Indexes of severity for osteoarthritis of the hip and knee validation value in comparison with other assessment tests m. Pdf comparative validation of the womac osteoarthritis and.
Lequesne et al developed an index of severity for osteoarthritis for the hip ish. The severity or algofunctional indices for hip and knee osteoarthritis oa have been used in europe for about 10 years. The functional disability has been appreciated by lequesne functional pain rate. Lequesnealgofunctional index of severity for the knee is a diseasespeci. The average intensity of knee pain according to vas was 55. A popular patientreported outcome measure prom used for evaluation with hip and knee osteoarthritis is the western ontario and mcmaster universities osteoarthritis index womac. Studies have reported that compared with prp alone, ha combined with prp in koa treatment significantly improves physical function at 1 and 3months after treatment 11. Assessment of the testretest reliability and construct. Comparative validation of the womac osteoarthritis and.
Validation of an algofunctional index for osteoarthritis of the hand article pdf available in revue du rhumatisme english ed. Validity and reliability of the persian versions of womac. The selection of comparators for intervention trials. Although knee osteoarthritis koa is a leading cause of impaired. Vas, sf36, haq, lequesne algofunctional index, aims, ksps, mcgill pain. The american journal of sports medicine, 385, 891902. Since its development, the lisoh has been widely used.
The western ontario mcmaster universities osteoarthritis index womac, visual analog scale, and lequesne s functional index were used to evaluate pain, stiffness, and physical function of knee. Two of 10 patients needed some explanation to fill out the questionnaire in a french study using the lequesne index of severity for osteoarthritis of the knee. Indices of severity and disease activity for osteoarthritis. Although the metric properties of the lequesne index have been established12, separate subscales have not been.
Lequesne algofunctional index the lequesne index is a 10question survey given to patients withosteoarthritis of the knee. Duringnocturnal bedrest 0 only on movement or in certain positions 0 without movement 0 less than 15 rnin 0 15 minor more b. The free information and calculation service, designed for orthopaedic surgeons, physicians, physical therapists, osteopaths, chiropractors and patients. Although the metric properties of the lequesne index have been established12, separate subscales have not been validated for. Duration of morning stiffness or pain after getting up. Internal consistency reliability was assessed by cronbachs alpha and itemscale correlations. Validity, reliability, and comparison of the womac. Clinical characteristics and disability in patients with knee. Pra clinical practice guidelines for the medical management. Adopted by the american academy of orthopaedic surgeons.
Index of severity for osteoarthrosis of the hip points i pain or discomfort a. It has been suggested that periarticular and muscular connective tissue could be implicated as symptom sources in patients with osteoarthritis of the knee. Why a composite index that includes outcome variables selected for future phase iii oa trials. Cetylated fatty acids improve knee function in patients with. Acceptability, reliability, validity and responsiveness of. Methods acraf 2019 guideline for the management of osteoarthritis of the hand, hip and knee methodology overview this guideline followed the american college of rheumatology acr guideline development process. Activity limitation and participation restriction outcome measures may include the womac physical function subscale, the hip dis. Pronunciation of lequesne with 2 audio pronunciations and more for lequesne. Orthopedics a measure of pain and dysfunction of the knee in pts with osteoarthritis. Cetylated fatty acids improve knee function in patients.
Validity, reliability, and comparison of the womac osteoarthritis index and lequesne algofunctional index in turkish patients with hip or knee osteoarthritis. Methodssingapore english and chinese versions were crossculturally adapted from the source english version following standard guideline including cognitive debriefing. Assessment of the testretest reliability and construct validity of a modified womac index in knee osteoarthritis article in joint bone spine 706. Quality of life of patients with knee osteoarthritis with. 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. In a postal survey, the constituent item response rate was 71% for the lisoh, which was lower than for the short form 36 sf. It consists of 10 questions grouped into three subscales pain or discomfort, activities of daily living and maximum distance walked. It has five questions pertaining to pain or discomfort, 1 question dealing with maximum distance walked, and four questions about activities of daily living. Development and preliminary psychometric testing of a new oa. How severe is your knee joint stiffness after first wakening in the morning.
Index of severity for osteoarthritis of the knee by. They are useful mainly as outcome measures in oa trials, and also for appraising the severity of patient function. Read psychometric properties of selfadministered lequesne algofunctional indexes in patients with hip and knee osteoarthritis. The womac western ontario and mcmaster universities index. Crosscultural adaptation and validation of singapore english and chinese versions of the lequesne algofunctional index of knee in asians with knee osteoarthritis in singapore1 f. The prevalence of osteoarthritis oa has been reported to be as high as 8. Objective to assess and compare the testretest reliability and the construct validity of the lequesne and the frenchcanadian version of the womac indexes.
Devised by rheumatologists during the 1980s, the lequesne index of severity for. The index of severity for knee disease isk table 11 was compared with the following other assessment tests. Comparison of the womac western ontario and mcmaster universities osteoarthritis index and a selfreport format of the selfadministered lequesne algofunctional index in patients with knee and hip osteoarthritis. Outcome measures included the womac, lequesne index, quality of life measures like haq, sf 36, and pain and function measures like likert scale and vas.
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