NPTE: MSK outcome measures

DASH

The DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure is a 30-item, self-report questionnaire that measures physical function and symptoms in people with musculoskeletal disorders of the upper limb.

0-100, no disability to severe disability

"It's worse to get a higher number on the 100 yard DASH!"

FABQ

The Fear-Avoidance Beliefs Questionnaire (FABQ) is a patient reported questionnaire which specifically focuses on how a patient's fear avoidance beliefs about physical activity and work may affect and contribute to their low back pain and resulting disability

16 questions 0-6, 96 is highest. First 5 questions have to do with physical activity, the next 11 have to do with work, MCID is 13 points. Score of <19/54 on work sub-scale required for manip guidelines

"I fear high numbers!"

FFI

foot function index

A Foot Function Index (FFI) was developed in 1991 to measure the impact of foot pathology on function in terms of pain, disability and activity restriction. [1] It is a self-administered index consisting of 23 items divided into 3 sub-scales. Both total and sub-scale scores are produced.

Intended Population

The FFI has been shown to be a reasonable tool for use with low functioning individuals with foot disorders[2] ,patients with rheumatoid arthritis[1] and non-traumatic foot or ankle problems.[3] It can be used in both clinical and research settings.

However, it may not be appropriate for individuals who function at or above the level of independence in activities of daily living. [2]

Higher the more severe

"More toes, more severe!"

GRC

Global Rating of Change

A Global Rating of Change (GRC) score, which is a single-item questionnaire to quantify a change in a certain construct over a specified period of time, was used as an external criterion to assess whether participants had improved, deteriorated or not changed

KOOS

Knee Injury and Osteoarthritis Outcome Score

The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a knee-specific instrument, developed to assess the patients' opinion about their knee and associated problems. The KOOS evaluates both short-term and long-term consequences of knee injury.

Scores range from 0 to 100 with a score of 0 indicating the worst possible knee symptoms and 100 indicating no knee symptoms

KOOS - K (100) S

"I'll be K(100L)S with a 100!"

LEFS

Lower Extremity Functional Scale

-Measures function in individuals with lower extremity musculoskeletal conditions.

-Higher scores means higher function.

Minimum score: 0 Maximum score: 80 The lower the score the greater the disability. The Minimal Detectable Change (MDC) is 9 scale points. The Minimal clinically Important Difference (MCID) is 9 scale points.

"LEFS(less) is MORE disability"

NDI

Neck Disability Index

-10 items of which 7 are

related to activities

of daily living, 2 related to pain, and 1

item related to

concentration.

-Higher score means worse disability

MAX SCORE IS 50

"from 0-50 my neck is a 5! ouch!"

ODI

Oswestry Disability Index

The Oswestry Disability Index (ODI) is calculated based on each score of the ODQ, which consists of ten items. Each of the ten items is scored from 0 to 5, and the total is added and multiplied by 2. Therefore, the ODI ranges from 0 to 100. A higher score on the ODI indicates a more severe disability caused by LBP.

"Oswestry scored a 100 so he O Deed"

PCS

pain catastrophizing scale

The Pain Catastrophizing Scale was introduced in 1995. It is a self-report measure, consisting of 13 items scored from 0 to 4, resulting in a total possible score of 52. The higher the score, the more catastrophizing thoughts are present. ... Higher scores indicate higher levels of pain-related anxiety

I FEAR A HIGH SCORE!

SPADI

shoulder pain and disability index

-13 questions

-scored from 0-10

0 is less severe 10 is more severe

"Count down from 10..4.3.2.1. blast off in to SPADI!"

PSFS

Patient Specific Functional Scale

The Patient-Specific Functional Scale (PSFS) is a self-reported, patient-specific outcome measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders[1] [2]The scale was developed by Stratford et al 1995 as a self-report measure of function that could be used in patients with varying levels of independence[1]. It was designed to provide clinicians with a valid, reliable, responsive, and efficient outcome measure that would be easy to use and applicable to a large number of clinical presentations

10 is better 0 is worse

PSS

Penn Shoulder Score

The Penn Shoulder Score (PSS) is a condition- specific self-report measure that first became available in 1999.34 It is a 100-point scale that consists of 3 subscales, including pain, satisfaction, and function. The pain subscale consists of 3 pain items that address pain at rest, with normal activities and with strenuous activities (Appendix). All are based on a 10-point numeric rating scale with end points of ''no pain'' and ''worst possible pain.'' Points are awarded for each item by subtracting the number circled from the maximum of 10. Therefore, a patient is awarded 30 points for complete absence of pain. If a patient is not able to use the arm for normal or strenuous activities, 0 points are scored for that item.

"PSS.. 30 is easy"

STarT

Subgroups for Targeted Treatment

The Keele STarT Back Screening Tool (SBST) (9-item version) is a brief validated tool, designed to screen primary care patients with low back pain

0-9 points. used to determine risk (higher the number the higher the risk)

"STarT with more difficulty at the End (high number)"

TSK

Tampa Scale for Kinesiophobia

WOMAC

Western Ontario McMaster Universities Osteoarthritis Index

-self administered questionnaire used with patients who have hip or knee osteoarthritis.

-Q's on pain (0-20), stiffness(0-8), and function (0-68)

-Higher the score, the worse.

WOMAC Index was developed for Hip and Knee Osteoarthritis, however it has been used with other rheumatic conditions such as: Rheumatoid Arthritis, Juvenile Rheumatoid Arthritis, Fibromyalgia, Systemic Lupus Erythematosus and Low back pain.

WOOOMAC, I'm in a lot of pain, I am going to have a high score!"

WOSI

western ontario shoulder instability index

WDQ

Whiplash Disability Questionnaire

13-item questionnaire scored from 0 (no disability) to 130 (complete disability)

My whiplash went from 0-130, better to worse!