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The document is a WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) score questionnaire designed to assess a patient's knee symptoms, stiffness, pain, and functional ability over the past week. It includes various questions that require the patient to indicate the severity of their symptoms and difficulties in daily activities related to their knee condition.

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Click ‘Get Form’ to open the WOMAC form in the editor.
Begin by entering your personal information at the top of the form, including your name, date of birth, and physician's name.
Proceed to the 'Symptoms' section. For each question, select the appropriate box that reflects your experience over the last week regarding knee symptoms.
Move on to the 'Stiffness' section. Indicate how severe your knee stiffness has been after waking up and after periods of rest by checking the corresponding boxes.
In the 'Pain' section, assess your knee pain during various activities. Mark each activity based on your experience in the past week.
Finally, complete the 'Function, daily living' section by indicating any difficulties you faced with daily activities due to your knee condition.
Once all sections are filled out, review your responses for accuracy before submitting via email.

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What is the MCID for the WOMAC?

After adjusting for confounding variables such as age, gender, BMI as well as preoperative Short Form-12 and WOMAC scores, the MCID was 11 for pain, 9 for function, 8 for stiffness and 10 for the total WOMAC score. The MIC was 21 for pain, 16 for function, 13 for stiffness and 17 for the total WOMAC score.

How do you score a WOMAC hip?

The WOMAC is divided into three subscales: 20 points for pain, 8 for stiffness, and 68 for function. The total score in the Likert variant can be calculated by summing up all points (0\u201396 points), the average value (max. of 4), or the percent of maximum value.

How do you calculate WOMAC?

The overall WOMAC score (index) is determined by summing the scores across the three dimensions and the score ranges include 0\u2013240 (derived from the VAS 0\u201310 or NRS scale), or 0\u20132400 (derived from the VAS 0\u2013100) or 0\u201396 (derived from a 0\u20134 Likert scale).

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What is the WOMAC test?

The WOMAC is a widely used self-administered health status measure used in assessing pain, stiffness, and function in patients with OA of the hip or knee. The WOMAC has also been used to assess back pain, rheumatoid arthritis, juvenile rheumatoid arthritis, systemic lupus erythematosus, and fibromyalgia.

What WOMAC pain score should make a patient eligible for a trial in knee osteoarthritis?

To be eligible, subjects needed to have a WOMAC pain score of 4 out of 20 and at least moderate pain (a score of 2) for at least 2 questions on activities.

What are the parameters evaluated in WOMAC scale?

The WOMAC consists of three subscales: pain (five questions), stiffness (two questions), and physical function (17 questions). The subscale scores can vary, with pain ranging from 0 to 20 points; stiffness, 0 to 8 points; and physical function, 0 to 68 points.

What is WOMAC pain scale?

WOMAC. Purpose. evaluate an individual's osteoarthritis. Higher scores indicate worse pain, stiffness, and functional limitations. The WOMAC measures five items for pain (score range 0\u201320), two for stiffness (score range 0\u20138), and 17 for functional limitation (score range 0\u201368).

What does WOMAC measure?

The WOMAC is a disease-specific tool used for people with hip or knee OA to measure physical function, pain, and stiffness in the past 48 hours. The WOMAC is a self-administered instrument containing 24 items measuring 3 subscales: physical function (17 items), pain (5 items), and stiffness (2 items).

Womac form printable 2025

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What is the WOMAC test?

What WOMAC pain score should make a patient eligible for a trial in knee osteoarthritis?

What are the parameters evaluated in WOMAC scale?

What is WOMAC pain scale?

What does WOMAC measure?

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