Scores/Evaluations/Questionnaires - Socrates Orthosocratesortho.com/wp-content/uploads/Scores-Evaluations1.pdf · SCORES/EVALUATIONS/QUESTIONNAIRES SCORES WHICH TO USE Socrates includes

SCORES/EVALUATIONS/QUESTIONNAIRES

Scores/Evaluations/Questionnaires

SCORES - Which to use ............................................................................................................................. 5 Paper Copies of Scores ......................................................................................................................... 5

Score Licensing......................................................................................................................................... 6 Fees .................................................................................................................................................... 6 Licenses required ................................................................................................................................. 6 Oswestry Spine ODI V2.1a .................................................................................................................... 6 OXFORD Scores.................................................................................................................................... 6 EQ5D – Euroqol.................................................................................................................................... 7 VR 12 and 36 – VETERANS RAND 12 and 36.......................................................................................... 7 SF 12 and 36........................................................................................................................................ 7 Dash and Quick Dash Shoulder Scores................................................................................................... 7 Promis surveys..................................................................................................................................... 7

Entering scores......................................................................................................................................... 7 Follow Ups ............................................................................................................................................... 7

How the follow up periods are calculated ............................................................................................... 7 Radiology follow-up .............................................................................................................................. 9

LIST OF SCORES AND ASSESSMENTS INCLUDED ..................................................................................... 10 GENERIC QUESTIONNAIRES AND SURVEYS – ALL MODULES .................................................................... 20

Patient Satisfaction, Normal, and Pain VAS........................................................................................... 20 Pain Scores ........................................................................................................................................ 21 Pain Catastrophising Score (PCS)......................................................................................................... 21 SANE/NORMAL and pain scores........................................................................................................... 22 GROC – Global Rating of Care ............................................................................................................. 23 Brief Resilience Score ......................................................................................................................... 23

QUALITY OF LIFE SCORES ...................................................................................................................... 23 SF 12 and SF 36 V2 ............................................................................................................................ 23 Veterans Rand 12 and 36 surveys ( VR 12 and VR 36).......................................................................... 23 EQ 5D 3 and 5 level QOL index ........................................................................................................... 24 Patient health questionnaire (PHQ-9)................................................................................................... 25 AQoL- 4D and 6D adult, and 6D Adolescent ......................................................................................... 25

PROMIS SURVEYS.................................................................................................................................. 25 Promis V1a Pain Interference SF8a...................................................................................................... 26 Promis V1 Physical Function SF12........................................................................................................ 26 Promis V1 Paediatric Peer Relationships SF8a....................................................................................... 26 Promis V1 Paediatric function mobility SF8a ......................................................................................... 26 Promis 43 profile V2.0 ....................................................................................................................... 26

PittsburgH Sleep Quality Index ................................................................................................................ 26 KNEE SCORES ........................................................................................................................................ 28

KOOS – Knee General and Arthroplasty Modules .................................................................................. 28 KOOS Child Knee score ....................................................................................................................... 28 WOMAC – Knee General and Arthroplasty Modules ............................................................................... 28

SOCRATES User Manual 1


Reduced WOMAC Score – Knee General and Arthroplasty Modules ........................................................ 28 OXFORD Knee scores – Knee General and Arthroplasty Modules ........................................................... 28 VAS 1-10 Pain ADL and Expectation Score ........................................................................................... 29 High Activity Arthroplasty Score Knee Arthroplasty .............................................................................. 29 Forgotten Joint Score.......................................................................................................................... 29 Knee Society Score Original and updated 2011 Version – Knee General ................................................ 29 IKDC International Knee Documentation Committee Score – Knee General ............................................ 30 IKDC International Knee Documentation Committee Score – Paediatric version – ................................... 30 Brittberg/Peterson - Knee General ....................................................................................................... 30 Kujala – Knee General ........................................................................................................................ 30 Modified Cincinnati Knee Score............................................................................................................ 31 Lysholm – Knee General ..................................................................................................................... 31 ACL QOL – Knee General .................................................................................................................... 31 WOMET – Knee General...................................................................................................................... 32 ACL History – Sport and expectation survey – Pre treatment ................................................................. 32 ACL History – Sport and expectation survey – Post treatment ............................................................... 32 Banff Patella Instability Instrument...................................................................................................... 32 Norwich Patellar Instability Score......................................................................................................... 33 VISA Patella Score............................................................................................................................. 33 Psycho-vitality Score........................................................................................................................... 33 Hamstring Outcome Score .................................................................................................................. 33

ACTIVITY SCORES .................................................................................................................................. 35 Tegner – Knee General and Foot & Ankle............................................................................................. 35 Marx – Knee General and Foot & Ankle................................................................................................ 35 UCLA activity score............................................................................................................................. 35 Shoulder Activity Level Score............................................................................................................... 35

Intra Operative Scores – Knee General..................................................................................................... 36 CSS – Chondropenia Severity Score – Knee General ............................................................................. 36 CRAS – Cartilage Repair Assessment Score .......................................................................................... 36

HIP SCORES ........................................................................................................................................... 37 OXFORD Hip Score – Hip General and Arthroplasty Modules.................................................................. 37 HOOS – Hip General and Arthroplasty Modules..................................................................................... 37 WOMAC – Hip General and Arthroplasty Modules ................................................................................. 37 Reduced WOMAC Score – Hip General and Arthroplasty Modules........................................................... 37 Harris Hip Score – Hip Arthroplasty...................................................................................................... 38 Ceramic Hip Nose Survey Hip Arthroplasty ........................................................................................... 38 High Activity Arthroplasty Score Hip Arthroplasty................................................................................. 39 Forgotten Joint Score.......................................................................................................................... 39 Modified Harris Hip Score – Hip General............................................................................................... 39 Non Arthritic Hip Score - Hip General ................................................................................................... 39 Hip Outcome Score (HOS) – Hip General ............................................................................................. 39 Vail Hip Score Hip General .................................................................................................................. 39 HAGOS – Hip and Groin outcome score................................................................................................ 39

2 SOCRATES User Manual


IHOT/MAHORN 12 and 33 scores ........................................................................................................ 40 Hamstring Outcome Score Hip General ................................................................................................ 40 Visa H – Hamstring............................................................................................................................. 41

SHOULDER SCORES................................................................................................................................ 42 ASES – American Shoulder and Elbow Society score. ............................................................................ 42 Constant Shoulder score ..................................................................................................................... 42 ROWE score....................................................................................................................................... 43 SANE numeric VAS ............................................................................................................................. 43 Subjective Shoulder Value (SSV) ......................................................................................................... 44 DASH and Quick DASH ....................................................................................................................... 44 Oxford Shoulder and Oxford Shoulder Instability Score ......................................................................... 45 FLEX 36 Shoulder ............................................................................................................................... 45 WORC................................................................................................................................................ 45 WOSI ................................................................................................................................................ 45 WOOS ............................................................................................................................................... 45 Simple Shoulder Test (SST)................................................................................................................. 46 Melbourne Instability Score ................................................................................................................. 46 L’Insalata Shoulder Score.................................................................................................................... 46 Kerlan Jobe Score for overhead throwing athletes ................................................................................ 46 PENN................................................................................................................................................. 47 SPADI................................................................................................................................................ 47 Shoulder Instability Severity Score....................................................................................................... 47 Shoulder Activity Score ...................................................................................................................... 47

SOMOS (Society of military orthopaedic surgeons USA) Scores ................................................................. 48 Active Duty Score ............................................................................................................................... 48 Biceps Outcomes................................................................................................................................ 48

FOOT AND ANKLE SCORES...................................................................................................................... 49 Oxford Foot and Ankle Score............................................................................................................... 49 FAAM – Foot and ankle ability measure................................................................................................ 49 FAOS – foot and ankle outcome score ................................................................................................. 49 AFAOS – American Foot and Ankle Score ............................................................................................. 50 Ankle Fracture Symptoms Scoring Scale............................................................................................... 50 Manchester Oxford Foot Questionnaire ................................................................................................ 50 Oxford Foot and Ankle Questionnaire for Children ................................................................................ 51 VISA Achilles Score............................................................................................................................ 51 Oxford ankle foot questionnaire- child and parent. ............................................................................... 51 Manchester-Oxford Foot Questionnaire (Moxfq).................................................................................... 51 Ankle Osteoarthritis Scale ................................................................................................................... 51 Revised Foot Function Index ............................................................................................................... 51

SPINE SCORES ....................................................................................................................................... 52 Oswestry ODI V 2.1a .......................................................................................................................... 52 VAS Pain scores, Back and Leg, Neck and Arm ..................................................................................... 52 Modified Lower Back Disability Questionnaire ....................................................................................... 52



Revised Disability Index (for low back pain/dysfunction) ....................................................................... 53 SRS 22 and 30 ................................................................................................................................... 53 Vernon Mior Neck Disability Index ....................................................................................................... 53 Roland Morris Lower Back pain survey ................................................................................................. 54 Tampa Scale for Kinesiophobia............................................................................................................ 54 OREBRO Musculoskeletal Pain Questionnaire........................................................................................ 54 JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) ............................................................. 54 JOA Back Pain Evaluation Questionnaire (JOABPEQ) ............................................................................. 54 Zurich Claudication Score.................................................................................................................... 54 Sciatica Bothersome and Frequency Index ........................................................................................... 55 Neurogenic Claudication Outcome Score .............................................................................................. 56 DRAM – distress and risk management Assessment method.................................................................. 56 Zung Depression Scale........................................................................................................................ 57 Modified Somatic Perception Questionnaire .......................................................................................... 57 ODOMS – neck and back..................................................................................................................... 57 Patient Medical History Questionnaire .................................................................................................. 57 Patient Spine History Questionnaires - Pre and Post op. ........................................................................ 58

HAND/WRIST/ELBOW SCORES ................................................................................................................ 60 PRWE - Patient reported wrist evaluation ............................................................................................. 60 PREE - Patient Reported Elbow Evaluation ........................................................................................... 60 Oxford Elbow score – Shoulder and Elbow/Hand Modules ..................................................................... 60 DASH and Quick DASH - Shoulder ....................................................................................................... 60 Kerlan Jobe Score for Overhead Throwing Athletes............................................................................... 61 Mayo Elbow and Wrist scores .............................................................................................................. 61

QUALITY OF LIFE SCORES ...................................................................................................................... 62 SF-36 and SF-12 v2 ............................................................................................................................ 62 VETERANS RAND 12 and 36................................................................................................................ 62 EQ5D Euroqol – All Joints.................................................................................................................... 62

PAEDIATRiC/Adolescent scores................................................................................................................ 62 KNEE ................................................................................................................................................. 62 AAOS................................................................................................................................................. 63 Foot and ankle - see the foot and ankle section for more details ........................................................... 63

Classifications/Scores .............................................................................................................................. 64 Radiology........................................................................................................................................... 64 Kellgren Lawrence Grading System – Knee General .............................................................................. 64

Classification codes ................................................................................................................................. 66 ICRS chondral grading, Outerbridge ICRS OCD, Kellgren Lawrence........................................................ 66 Hip Arthroplasty – Paprosky and Gross - bone loss classifications .......................................................... 67 Hip Arthroscopy – Method of classifying the pathology of the femoral head. .......................................... 67

Index ..................................................................................................................................................... 68



SCORES WHICH TO USE Socrates includes most of the commonly used and validated outcome scores and questionnaires – the choice of which to use is up to the user. As new ones become available these will be added to the program. Some scores are specific to modules, e.g. the Non Arthritic Hip score is only used in the Hip General module since it’s not relevant for arthroplasty surgery, there are separate Oxford scores for hip and knee arthroplasty as well as shoulder arthroplasty and instability. Some such as SF12 and 36, EQ5D and patient satisfaction are generic and can be used for all modules.

Socrates makes no recommendation as to which scores or questionnaires to use. It is the responsibility of the clinician to assess whether the evaluations they use are appropriate for the population they are following. Factors such as the demographics of the patient population, how much supervision is needed, how much time staff have to supervise and enter data, should be factored in to the decision about which to use. Fewer scores, completed properly, is probably better than more scores, incorrectly completed, or with errors in data entry. Scores requiring surgeon input to enable a score to be calculated such as the IKDC and Harris Hip should be considered carefully since they require additional time at examination which may not be feasible in some practices. If you are relying on fellows or trainee surgeons this may also add to the variability of the results.

Paper Copies of Scores

There are copies of the scores in the Forms folder on the web site. This can be accessed from the Home page of the program. The scannable forms can be printed for the relevant screen. If you find any discrepancies between the forms and the screen PLEASE tell us! We try our best not to make mistakes but there are several hundred forms and we are only human….

Note: Most of the commonly used scores can be entered using scannable forms which populate the screen immediately - this speeds up data entry and reduces data entry errors. These are printed from the screen of the individual score.

See the chapter on ‘Electronic data entry – scan forms’ for how to scan them into Socrates.

There are several scores/questionnaires with similar questions. If there is a need to give the patient more than one score to complete, it may require some explanation or you may find they don’t complete all the questions due to apparent duplication.

Note: You should not make any changes to any of the questions on any of

the scores, as they are proprietary and are validated exactly as they are

written.



SCORE LICENSING

Fees

Some licensors have required Socrates Ortho to pay a license fee to reproduce their scores/surveys in Socrates. This has been a one off fee and Socrates Ortho has absorbed this into the cost of Socrates. There is one exception (DASH – see below). Socrates Ortho reserves the right in the future to apply fees for any cost/fees charged by the licensors over and above what we can reasonably absorb into our ongoing costs.

Licenses required

The following scores require users to obtain a license to use them; you should obtain these directly from the licensors. The use of these scores in Socrates does not give you the right to use these scores without a obtaining a license. We have undertaken that our users will obtain their own individual licenses. The first time you use a score that needs a licence you will see this window with details of how to obtain the license. Please do the right thing or we may be required to limit access to these which will increase costs and administration. In most cases there will be no fee unless your use or research is commercially funded.

Scores which need licenses or where special conditions apply are:

Oswestry Spine ODI V2.1a

The original version of the ODI requires permission to use and there may be a small fee. Contact the licensors or is as below.

Note that there are two modifications of the ODI included in Socrates which have no restrictions or fees associated. However they are not called Oswestry scores as this infringes the original authors’ copyright. They are the Revised Disability Modified Low Back Pain.

MAPI Research Trust,Lyon,France. E-mail:[email protected]

OXFORD Scores

Licenses apply to the Oxford Hip, Knee, Elbow, Shoulder, Shoulder instability, MOXFQ ankle score and Oxford Children’s Ankle score.

You can apply for a license by filling in the on line request on this link:

http://www.isis-innovation.com/outcomes/apply or if your use doesn’t fit with the details on the request form send an email to [email protected]


mailto:[email protected]

http://www.isis-innovation.com/outcomes/apply



EQ5D – Euroqol

Contact the Euroqol Group for a license. In most cases for non commercial use it will be free. www.euroqol.org

Note, the EQ 5D surveys will not be available for data entry via the web for patients in Socrates. The only way a user can use a web interface is to use the Euroqol server. We have been advised that for us to set up access for the Euroqol server to access ours would open up potential security breaches, and be very costly. Thus, they will not be available in Socrates for data entry via Socrates web server.

VR 12 and 36 – VETERANS RAND 12 and 36

We have received permission to reproduce these surveys in Socrates providing users obtain the necessary licences. This can be obtained directly from Socrates Ortho by completing a form we will send you. Contact us on [email protected]

The use of this score is limited by password access; users will be prevented from accessing these screens until they have been granted a license. For non-commercial use there will be no charge to users but some conditions apply which will be outlined in the license request.

Permission to reproduce these instruments and supply licenses to users was kindly granted to us by the Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston USA.

SF 12 and 36

From August 2011 it will only be possible to enter the score totals into Socrates. A license and the scoring software must be obtained from www.qualitymetric.com to enable users to calculate the scores using their proprietary software.

Dash and Quick Dash Shoulder Scores

Use of the DASH and QuickDASH, inclusive of translated versions of the DASH and QuickDASH without charge is limited to a clinician using them only for treatment or assessment of a patient, or a researcher using them for non-funded research. To clarify if you qualify for free use check the conditions applicable for your contemplated use contact http://www.dash.iwh.on.ca

Note: We are charged an annual fee for the use of the DASH surveys. In order to offset this cost and not pass it on to users who do not use this score there will be an annual fee of $250 for use of the DASH surveys. There will be a message to this effect on the Dash Screen. A password will be required to access the score screens, this will be provided to users once they have agreed to pay the fee and comply with the conditions of use from the licensor.

Promis surveys

These surveys are provided free to users however users are required to register their use on the Promis website via the assessment centre. Their use in Socrates does not automatically register users or give them permission to use the surveys.

http://www.nihpromis.org

http://www.assessmentcenter.net

ENTERING SCORES See chapter on Data Entry.

FOLLOW UPS

How the follow up periods are calculated

There are three main time points for the Patient and surgeon follow-ups and scores/evaluations.

Note the Radiology and X-ray screens are an exception and are described at the end.


http://www.euroqol.org/


http://www.qualitymetric.com/

http://www.dash.iwh.on.ca/

http://www.nihpromis.org/

http://www.assessmentcenter.net/


Pre Injury: A pre injury score/assessment may be relevant for some scores or activity levels. It may be important to know what the patient was capable of doing prior to their injury, to compare with their post treatment score and it may also be important for their pre injury work status.

Pre Operative (or therapy/study): This is important to gain a baseline score before and after surgery.

Post Operative (or therapy/study): Measures work and functional status over time after surgery or treatment.

The program will calculate these three periods in the following way.

Pre Injury (or joint problem)

If a date of injury or joint problem is entered (as in the next example) and an evaluation is entered prior to that date, the program will assume that this is a pre injury evaluation and label it as such. In the example below, an evaluation entered on 2/2/04 which was before the date of injury 2/3/04 will be considered Pre Injury.

If you don’t have dates you can just enter preinj into the follow up (F/U) field.

Pre-Operative

If an evaluation is entered which is before the date of surgery and there is no date of injury or joint problem entered, or the date is after the date of injury and before surgery, the program allocates the evaluation to pre-operative.

If there is a date of injury entered and this evaluation date is after that date and before the date of surgery, or there is no date of surgery yet entered, it will be pre-operative.

If the date entered is the date of surgery, it will allocate it as pre-operative (except for the radiology evaluation). There are many same day procedures and often the patient may complete their evaluation the morning of their surgery – thus it is considered pre-operative.

Post-Operative

Any entry after the day of surgery will be allocated as a post-operative follow-up. See below for how you want to store these follow-ups. If it’s in the first week it will show up as 0w as week one doesn’t start until Day 8.



Radiology followup

There are additional possibilities for the radiology follow-up since it is possible to have all of the following:

Pre-injury

Pre-operative – can be any time prior to surgery date or pre op same day as surgery

Intra operative – e.g. X-rays to check alignment

Immediate post-operative (same day as surgery) – check post op position

Post-operative – after day of surgery

The rules for Pre Injury, Pre-operative and Post-Operative are the same as for the other evaluations as above. For Intra operative and Immediate Post op, which will be on the same day of surgery when the date entered is the same day as surgery the following window will appear.

Choose which time point you want the image or assessment stored.



LIST OF SCORES AND ASSESSMENTS INCLUDED

LEGEND

Y: these forms are available in the format of the column heading.

Scan forms: forms available as a scannable PDF to capture data via a Scanner

Patient/Surg: P indicates the patient completes the form; S is a surgeon completed form; C is combined





















GENERIC QUESTIONNAIRES AND SURVEYS – ALL MODULES

Patient Satisfaction, Normal, and Pain VAS

Pre Op

Patient satisfaction with the medical care, how normal does their affected joint feel and a pain scale.

All these questions are on a visual analogue score of 0-100.

The patient completes them either on a form by marking the scale, or on line by using the slider.

Post Op

This includes the 3 visual analogue scores above, and the additional five questions ask of the patient – did the surgery relieve the pain and meet the patient’s expectations, would they have it again, and were they able to manage their day-to-day functions and perform heavy work or sport. It was put together by a group of Australian surgeons over 10 years as a simple subjective assessment of the success of surgery from the patient’s perspective. It has not been formally validated.



Pain Scores

All modules have the Visual Analogue Pain score included.

Pain Catastrophising Score (PCS)

This scores is in all modules and is free for use. It was developed by Dr Michael Sullivan PhD. It consists of 12 questions relating to how patients feel about their pain and coping with it, and has 4 sub scores



SANE/NORMAL and pain scores

The SANE (Single Assessment Numerical Evaluation) or the SSV (Subjective Shoulder Value) was originally developed for the shoulder but we had requests to add this to all modules. We added the VAS pain scale also, so it possible to get both if this is selected. It now exists as a survey in all modules.

NOTE: The patient satisfaction also has a VAS scale for pain and “How normal does your joint feel”. Please be aware that if you are sending them both at the same time point, they will get these two questions twice.



GROC – Global Rating of Care

This survey asks the patient if there has been any change in their symptoms since treatment/surgery. The choices are Better, Same, Worse – if either better or worse the patient can then rate to what degree.

Jaeschke R, Singer J, Guyatt GH. Measurement of health status: ascertaining the minimal clinically important difference. Control Clin Trials 1989:407-15

Brief Resilience Score

This is in all modules.

The BRS is a reliable means of assessing resilience as the ability to bounce back or recover from stress and may provide unique and important information about people coping with health-related stressors.

QUALITY OF LIFE SCORES There are several scores/questionnaires in Socrates which assess quality of life and Specific parameter that are important to patients QOL.

SF 12 and SF 36 V2

These are included but it’s only possible to add the calculated mental and physical scores into Socrates. Users must purchase the scoring software e from the licensor (see page 7) It is only possible to enter the calculated scores into Socrates.

Veterans Rand 12 and 36 surveys ( VR 12 and VR 36)

Two surveys, a 12 and 36 question surveys. Originally developed as V1 of the S12 and 36 by the Rand corporation, and further validated by the Department of Health Policy and Management

We have received permission to reproduce these surveys in Socrates providing users obtain the necessary licences. This can be obtained directly from Socrates Ortho by completing a form we will send you. Contact us on [email protected] . See page 7 for more details.




Permission to reproduce these instruments and supply licenses to users was kindly granted to us by the Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston USA. http://sph.bu.edu www.rand.org

Selected Publications for the VR-12 and VR-36:

Kazis LE, Nethercot VA, Ren XS, Lee A, Selim A, Miller DR. Medication Effectiveness Studies in the United States Veterans Administration Health Care System: A Model for Large Integrated Delivery Systems. Drug Development Research 2006; 67:217-226.

Kazis LE, Miller DR, Skinner KM, Lee A, Ren XS, Clark JA, Rogers WH, Spiro III A, Selim A, Linzer M, Payne SM, Mansell D, Fincke BG. Applications of Methodologies of the Veterans Health Study in the VA Health Care System: Conclusions and Summary. J Ambulatory Care Management 2006; 29(2): 182-188.

Kazis LE, Miller DR, Clark JA, Skinner KM, Lee A, Ren XS, Spiro III A, Rogers WH, Ware Jr. JE. Improving the response choices on the veterans SF-36 health survey role functioning scales: results from the Veterans Health Study. J Ambulatory Care Manage 2004; 27(3): 263-280.

Selim AJ, Rogers W, Fleishman JA, Qian SX, Fincke BG, Rothendler JA and Kazis LE. Updated U.S. population standard for the Veterans RAND 12-item Health Survey (VR-12). Qual Life Res. 2009 Feb;18(1):43-52.

Selim AJ, Berlowitz D, Kazis LE, Rogers W, Wright SM, Qian S, Rothendler JA, Spiro III. A, Miller D, Selim BJ, and Fincke BG. Comparison of health outcomes for male seniors in the Veterans Health Administration and Medicare Advantage Plans. Health Services Research

Volume 45:2 376-396, 2010

Selim AJ, Rogers W, Qian SX, Brazier J, Kazis LE. A preference-based measure of health: the VR-6D derived from the veterans RAND 12-Item Health Survey. Quality of Life Research: Volume 20, Issue 8 (2011), Page 1337-1347. http://www.springerlink.com/openurl.asp?genre=article&id=doi:10.1007/s11136-011-9866-y

Jones D, Kazis L, Lee A, Rogers W, Skinner K, Cassar L, Wilson N, Hendricks A. Health status assessments using the Veterans SF-36 and SF-12. Methods for evaluating outcomes in the Veterans Health Administration. Journal of Ambulatory Care Management 2001; 24(3):1-19.

EQ 5D 3 and 5 level QOL index

www.euroqol.org

The EQ-5D surveys contain a descriptive system and the EQ visual analogue scale (EQ VAS) The EQ-5Ddescriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problem. The EQ-5D-5L has the same questions but with 5 responses not 3.

Note, the EQ 5D surveys will not be available for data entry via the web for patients. The only way a user can use a web interface is to use the Euroqol server. We have been advised that for us to set up access for the Euroqol server to access ours would open up potential security breaches, and be very costly. Thus, they will not be available in Socrates for data entry via the Socrates web server.


http://sph.bu.edu/

http://www.rand.org/



Patient health questionnaire (PHQ9)

A short nine question survey screening for depression.

http://www.phqscreeners.com

AQoL 4D and 6D adult, and 6D Adolescent

These are three quality of life scores for general use. These are the 4D (12 questions) 6D (20 questions) and the adolescent QOL 6D. See . www.aqol.com.au for more details. They are free to use, once the use has been registered. They are available as web scores and scannable forms.

PROMIS SURVEYS

PROMIS® stands for Patient Reported Outcomes Measurement Information System, which is a system of highly reliable, precise measures of patient–reported health status for physical, mental, and social well–being. PROMIS® tools measure what patients are able to do and how they feel by asking questions. PROMIS measures can be used as primary or secondary endpoints in clinical studies of the effectiveness of treatment, and PROMIS® tools can be used across a wide variety of chronic diseases and conditions and in the general population.

The data collected in PROMIS® provide clinicians and researchers with important patient–reported information about the effect of therapy that cannot be found in traditional clinical measures. When used with traditional clinical measures of health, PROMIS® tools allow clinicians to better understand how various treatments might affect what patients are able to do and the symptoms they experience. Not only can the reports be used to design treatment plans, but also can be used by patients and physicians to improve communication and manage chronic disease.


http://www.phqscreeners.com/

http://www.aqol.com.au/

http://www.nihpromis.org/measures/availableinstruments


The uniqueness of PROMIS® lies in four key areas:

1. Comparability—measures have been standardized so there are common domains and metrics across conditions, allowing for comparisons across domains and diseases.

2. Reliability and Validity—all metrics for each domain have been rigorously reviewed and tested 3. Flexibility—PROMIS can be administered in a variety of ways, in a different forms 4. Inclusiveness—PROMIS encompasses all people, regardless of literacy, language, physical function or

life course

http://www.nihpromis.org

Permission to use and registering your study can be made via the Assessment Centre website.

http://www.assessmentcenter.net

NOTE: Socrates users who plan to use any of the Promis surveys must register their study and usage with the PROMIS website and comply with their terms and conditions of use.

These surveys must not be modified in any way. . If there are users who want to use additional surveys please contact us.

Promis V1a Pain Interference SF8a

An 8 question survey asking about the degree that pain has interfered with the patient’s life.

Promis V1 Physical Function SF12

A 12 question survey asking about activities of daily living and activity

Promis V1 Paediatric Peer Relationships SF8a

An 8 question survey for children assessing relationships with their peers.

Promis V1 Paediatric function mobility SF8a

An 8 question survey for children assessing physical function and general mobility.

Promis 43 profile V2.0

This survey has 8 subscores as below.

PITTSBURGH SLEEP QUALITY INDEX


http://www.nihpromis.org/glossary#domain

http://www.nihpromis.org/

http://www.assessmentcenter.net/


This has been added to all modules. It is available as a scan form and a web score.



KNEE SCORES

KOOS – Knee General and Arthroplasty Modules

This is a patient-administered questionnaire developed as an instrument to assess the patient’s knee function. It is intended to be used for knee injuries that can result in post-traumatic osteoarthritis (OA) and OA studies, i.e. ACL (Anterior Cruciate ligament) injury, meniscus injury, chondral injury, and patients undergoing joint replacement. Its consists of five subscales: Pain, Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec), and knee and hip related Quality of life QOL. There is no total score. The last week is taken into consideration when answering the questions. Standardized answer options are given and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms, and 0 indicating extreme symptoms) is calculated for each subscale.

Note: This score also includes all the WOMAC Osteoarthritis Index questions and a WOMAC scores is also calculated by Socrates if all the questions have been entered. Both results will appear on the results column and separate graphs are generated. These forms can be scanned directly into the program.

The KOOS score is also available as scannable form in Portuguese, German, Austrian, Spanish, Swedish, Norwegian Dutch and Polish.

KOOS Child Knee score

Thanks to Dr E.M. Roos for permission to use this tool. For more information go to www.Koos.nu

WOMAC – Knee General and Arthroplasty Modules The Womac score is a patient administered questionnaire which assesses pain, disability and joint stiffness in the knee using a battery of 24 questions. It is widely used and published. As well as being integrated into the KOOS questionnaire it is also included standalone score in Socrates. www.Womac.org as a

Reduced WOMAC Score – Knee General and Arthroplasty Modules

This is an abbreviated Womac Score comprising of 12 of the original Womac questions. 5 are the standard WOMAC pain questions, the remaining 7 are from the function questions.

“The reduced version of the function dimension of the WOMAC retains excellent validity, reliability and responsiveness – excerpt from the paper referenced below. It also highlights the fact that there is an increase in compliance when asking the respondent to complete an appreciably smaller set of questions”

Whitehouse, Sarah L and Learmonth, Ian D and Crawford, Ross W (2007) Validation and Treatment of Missing Values for the Reduced WOMAC Function Scale. Journal of Orthopaedic Surgery (Hong Kong).

OXFORD Knee scores – Knee General and Arthroplasty Modules

The Oxford scores are patient administered questionnaires which assesses pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 12 questions. Originally published in JBJS, with an update in 2007 to amend the scoring. These forms can be scanned directly into the program.


http://www.kooos.nu/

http://www.womac.org/


This score requires users to obtain a license - contact ISIS innovation group [email protected]

VAS 110 Pain ADL and Expectation Score

This is a patient administered questionnaire developed by Dr Juan Rodrigo et al. It consists of five questions with the patient being asked to grade from 1–10 their assessment of how they are doing. The questions relate to pain, how they feel their ability is to do strenuous work, sedentary activities, and normal daily living activities. The 5th question asks whether the surgery met their expectations, and should be asked at the first visit after their immediate post operative period.

Ref: CORR 2001, 392 139:146 Rodrigo et al.

High Activity Arthroplasty Score Knee Arthroplasty

The High-Activity Arthroplasty Score (HAAS) was specifically developed to assess subtle variations in functional ability after lower limb arthroplasty with particular regard to highly functioning individuals. The score was a 4-item self-assessment measure covering the 4 domains of walking, running, stair climbing, and general activities, with a possible score ranging from 0 to 18 points. The score was validated in 22 patients (total hip arthroplasty [THA], n = 11; total knee arthroplasty [TKA], n = 11) by comparison with the Oxford, Knee Society, Harris Hip, and Short WOMAC scores. The HAAS was then administered to 152 high-functioning arthroplasty patients (THA, n = 99; TKA, n = 53), all younger than 66 years. The HAAS produced a much wider range of scores, allowing greater differentiation of level of function between patients in assessing performance after TKA or THA.

Ref: Simon Talbot, FRACS, Gary Hooper, FRACS, Andrew Stokes, FRACS and Rachel Zordan, BSc

The Journal of Arthroplasty Volume 25, Issue 2, Pages 268-273 (February 2010)

Forgotten Joint Score

This survey asks 12 questions about how often the patient is aware of their joint whilst undertaking various activities.

It is free for use.

Reference:

The “Forgotten Joint” as the Ultimate Goal in Joint Arthroplasty:

The Journal of Arthroplasty Volume 27, Issue 3 , Pages 430-436.e1, March 2012 H Behrend et al.

Knee Society Score Original and updated 2011 Version – Knee General

www.kneesociety.org

The original KSS score consists of eight patient questions relating to pain and function, and a surgeon clinical assessment of Range of Motion, stability and alignment. The alignment relates to the anatomic axis, not the mechanical axis.



http://www.arthroplastyjournal.org/article/S0883-5403(08)00780-8/abstract

http://www.arthroplastyjournal.org/issues?issue_key=S0883-5403(12)X0002-0

http://www.kneesociety.org/


NOTE: Varus should be entered as a minus value. Thus 7 degrees of varus is entered as -7. Valgus is entered as a positive number but it is not necessary to enter a + sign since the program assumes if there is no minus it is a positive number.

The method we have used to score the KSS is the original method using one point for each 5 Degrees of motion as recommended by the Knee Society.

KSS 2011

This was released in Socrates in June 2013 with permission from the Knee Society. Users need to obtain a license to use this score, and we can then issue a password which will allow access to the screen in Socrates. The score is different for the preop and post op time points, and ask questions about the patients’ expectations and whether they were met.

For permission to use contact www.kneesociety.org

IKDC International Knee Documentation Committee Score – Knee General

This score consists of patient questions relating to pain and function and a full clinical surgeon examination of the knee - assessment of stability, alignment and ROM. This score was developed by the following physicians.

Thanks to the AOSSM for allowing us to reproduce this. www.aossm.org

IKDC International Knee Documentation Committee Score – Paediatric version –

This is very similar to the above score but has been adapted for use by children. Permission to reproduce this was kindly given to us by Dr Min Kocher.

Brittberg/Peterson Knee General

This is a patient administered questionnaire consisting of 13 questions relating to pain and function plus three post-surgery relating to patient satisfaction. It uses the Visual Analogue scoring system and can be entered in 10 decimal points.

Kujala – Knee General


http://www.kneesociety.org/

http://www.aossm.org/


Modified Cincinnati Knee Score

This is a modified shorter version of the original Cincinnati Knee score published by Noyes et al. This version was from the AJSM 1990. See below. It contains 12 questions about pain, function and activity level and a single VAS scale asking the patient to rate how their knee feels.

Lysholm – Knee General

This well-known and widely used score consists of eight questions and is scored out of 100.

Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clinical Orthopaedic Related Research. 1985 Sep;( 198):43-9

ACL QOL – Knee General

This is patient-based, subjective outcome measure for chronic anterior cruciate ligament deficiency. It includes 32 items in 31 questions and used a VAS response format. There are 5 items for symptoms and physical complaints, 4 for work related concerns, 12 in the recreational activity and sport participation or competition domain, 6 questions related to lifestyle, and 5 in the social and emotional domain.



WOMET – Knee General

The WOMET is a disease-specific tool designed to evaluate HRQOL in patients with meniscal pathology. It has 16 items representing the domains of physical symptoms (nine items), sports/recreation/work/lifestyle (four items), and emotions (three items).These are presented in a VAS scale 01-100 format.

ACL History – Sport and expectation survey – Pre treatment

This is a list of questions for patients with ACL injures which is completed prior to treatment.

The questions relating to the history and cause of injury, sporting level and employment details, a VAS scale for pain questions relating to anterior and patella pain and the patient’s expectations about their return to post injury.

ACL History – Sport and expectation survey – Post treatment

These questions are filled in at a post op time point chosen by the users. The authors recommend completion at 12 month follow up. Questions are asked about pain, return to sport, both timing and level, and 12 VAS scales measuring confidence level in sport and activities

Both surveys were developed by Professor Julian Feller MBBS FRACS (ORTH) Musculoskeletal Research Centre La Trobe University and Dr Kate Webster PhD.

Banff Patella Instability Instrument

This is a survey of 31 VAS 0-100 questions relating to patella femoral instability.

Am J Sports Med July 2013 41 1629-1635;


http://www.latrobe.edu.au/mrc

http://www.latrobe.edu.au/mrc


Norwich Patellar Instability Score

This is a 25 question survey with six checkbox responses.

There is no licence required to use it, but the author would appreciate notification that it is being used. Contact Dr Toby Smith [email protected]

VISA Patella Score

An index of severity of symptoms in patients with jumper's knee (patellar tendinosis) Paul J Visentini et al. The brief questionnaire assesses (i) symptoms, (ii) simple tests of function and (iii) ability to undertake physical activity. Six of the eight questions are scored on a visual analogue scale from 0-10 with 10 representing optimal health. The maximal VISA score for an asymptomatic, fully performing individual is 100 points and the theoretical minimum is 0 points.

Psychovitality Score

This consists of six questions to be answered by the patient prior to surgery.

Hamstring Outcome Score

A patient questionnaire to determine if risk factors for groin injuries among male soccer players could be identified.

It consists of questions relating to Pain, Symptoms, Pain, soreness and quality of life, each of which has a sub score. We have also added this to the Hip general module.




Reference: Am J Sports Med October 2010 Vol. 38 no. 10 2051-2057



ACTIVITY SCORES These patient administered scores allow assessment of the patient’s activity levels. This index can be recorded pre injury or “normal” level, pre op (after the injury or problem has occurred but before surgery) and then post operatively at any time point.

Tegner – Knee General and Foot & Ankle

Rates the level of activity of the patient from 0–10. From 0 being disability pension due to knee problems, to 10 being a high level competitive sportsperson.

This is a well used and published activity score which features in many studies.

Marx – Knee General and Foot & Ankle

Five questions relating to the frequency of which a patient is able to perform functions necessary in sporting activities, from less than once a month to 4 or more times a week. Scores from 0 –16.

UCLA activity score

These patient administered scores allow assessment of the patient’s activity levels. This index can be recorded pre injury or ‘normal’ level, pre op (after the injury or problem has occurred but before surgery) and then post operatively at any time point.

Shoulder Activity Level Score

Five questions relating to the frequency of activities relating to Shoulder Activities. Two additional questions ask about the level of sports participation.



INTRA OPERATIVE SCORES – KNEE GENERAL There are two methods of evaluating the chondral surfaces of the knee which are included in the program.

CSS – Chondropenia Severity Score – Knee General

This score was developed by Dr Bert Mandelbaum et al as a method of macroscopically assessing and quantifying the chondral surfaces of the knee and to monitor it over time. It assesses the medial and femoral tibial and femoral compartments, patella, trochlear and meniscus. The score is out of 100 and uses the ICRS method of grading the chondral surfaces.

CRAS – Cartilage Repair Assessment Score – cartilage defects knee

This score was developed by the ICRS to assess the appearance of the chondral surface and grafted region after cartilage repair procedures such as ACI, Mosaicplasty.

Protocol A – ACI, periosoteal grafting, marrow stimulation techniques, carbon implants, others.

Protocol B – Mosaicplasty, OAT, OC allograft, plugs, others.

It results in the following score/grading.

Ref: ICRS evaluation documents



HIP SCORES

OXFORD Hip Score – Hip General and Arthroplasty Modules

The Oxford scores are patient administered questionnaires which assesses pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 12 questions. It was originally published in JBJS, with an update in 2007 to amend the scoring.

These forms can be scanned directly into the program.


HOOS – Hip General and Arthroplasty Modules

This is a patient-administered questionnaire developed as an instrument to assess the patient’s hip function. It is intended to be used for hip injuries that can result in post traumatic osteoarthritis (OA) and OA studies, i.e. FAI, chondral injury, and patients undergoing joint replacement. Its consists of five subscales; Pain, Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec), and hip related Quality of life QOL. There is no total score. The last week is taken into consideration when answering the questions. Standardized answer options are given and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms, and 0 indicating extreme symptoms) is calculated for each subscale.

Note: This score also includes all the WOMAC Osteoarthritis Index questions and a WOMAC scores is also calculated by Socrates if all the questions have been entered. Both results will appear on the results column and separate graphs are generated. These forms can be scanned directly into the program.

Thanks to Dr E.M. Roos for permission to use this tool. For more information go to www.Koos.nu

WOMAC – Hip General and Arthroplasty Modules

The Womac score is a patient administered questionnaire which assesses pain, disability and joint stiffness in the hip using a battery of 24 questions. It is widely used and published. As well as being integrated into the KOOS questionnaire it is also included as a standalone score in Socrates. www.womac.org

Reduced WOMAC Score – Hip General and Arthroplasty Modules

This is an abbreviated Womac Score comprising of 12 of the original Womac questions. 5 are the standard WOMAC pain questions, the remaining 7 are from the function questions.

“The reduced version of the function dimension of the WOMAC retains excellent validity, reliability and responsiveness – excerpt from the paper referenced below. It also highlights the fact that there is an increase in compliance when asking the respondent to complete an appreciably smaller set of questions”

Whitehouse, Sarah L and Learmonth, Ian D and Crawford, Ross W (2007) Validation and Treatment of Missing Values for the Reduced WOMAC Function Scale. Journal of Orthopaedic Surgery (Hong Kong).



http://www.kooos.nu/

http://www.womac.org/


Harris Hip Score – Hip Arthroplasty

Developed by Dr W Harris 1967, for assessment of patient undergoing arthroplasty procedures of the Hip. This is combination of patient questions and surgeon input Range of Motion assessments.

Ceramic Hip Nose Survey Hip Arthroplasty

This survey was developed by surgeons from the by the Melbourne Orthopaedic Group ( MOG) to assess the type and frequency of any nose experienced by patients with Ceramic on Ceramic bearing THR’S.

Reference : Bone Joint 2013;95-B:160–5. http://www.bjj.boneandjoint.org.uk/content/95-B/2/160.abstract


http://www.bjj.boneandjoint.org.uk/content/95-B/2/160.abstract

http://www.bjj.boneandjoint.org.uk/content/95-B/2/160.abstract


High Activity Arthroplasty Score Hip Arthroplasty

The High-Activity Arthroplasty Score (HAAS) was specifically developed to assess subtle variations in functional ability after lower limb arthroplasty with particular regard to highly functioning individuals. The score was a 4-item self-assessment measure covering the 4 domains of walking, running, stair climbing, and general activities, with a possible score ranging from 0 to 18 points. The score was validated in 22 patients (total hip arthroplasty [THA], n = 11; total knee arthroplasty [TKA], n = 11) by comparison with the Oxford, Knee Society, Harris Hip, and Short WOMAC scores. The HAAS was then administered to 152 high-functioning arthroplasty patients (THA, n = 99; TKA, n = 53), all younger than 66 years. The HAAS produced a much wider range of scores, allowing greater differentiation of level of function between patients in assessing performance after TKA or THA.

Ref: Simon Talbot, FRACS, Gary Hooper, FRACS, Andrew Stokes, FRACS and Rachel Zordan, BSc

The Journal of Arthroplasty Volume 25, Issue 2, Pages 268-273 (February 2010)

Forgotten Joint Score

This survey asks 12 questions about how often the patient is aware of their joint whilst undertaking various activities.

It is free for use.

Reference:

The “Forgotten Joint” as the Ultimate Goal in Joint Arthroplasty:

The Journal of Arthroplasty Volume 27, Issue 3 , Pages 430-436.e1, March 2012 H Behrend et al.

Modified Harris Hip Score – Hip General

The original Harris Hip score was modified for patients undergoing arthroscopic procedures to the hip. This patient group primarily has symptoms relating to pain and function, thus the ROM questions were eliminated and the score recalculated to include only the pain and function questions.

Non Arthritic Hip Score Hip General

This score was developed to assess a more active and younger patient population than those with arthritic disease.

Hip Outcome Score (HOS) – Hip General

Martin RL, Philippon MJ: Evidence of Reliability and Responsiveness for the

Hip Outcome Score (HOS). The Journal of Arthroscopic and Related Surgery. 24:2008

Vail Hip Score Hip General

10 questions relating to pain and function for patients undergoing hip arthroscopic procedures. Developed by Dr’s M Philippon MD and Karen Briggs PhD.

HAGOS – Hip and Groin outcome score


http://www.arthroplastyjournal.org/article/S0883-5403(08)00780-8/abstract

http://www.arthroplastyjournal.org/issues?issue_key=S0883-5403(12)X0002-0


The Copenhagen hip and groin outcome score (HAGOS) consists of six separate subscales assessing pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and/or groin-related quality of life.

IHOT/MAHORN 12 and 33 scores

The International Hip Outcome Tool (IHOT-33) is a 33-item patient-reported measure of health-related quality of life. [1] It was designed to measure the impact of hip disease in young active patients and to measure the effect of treatment of this disease.

The IHOT 12 was developed and validated as a shorter version of the International Hip Outcome Tool (IHOT-33) that could be easily used in routine clinical practice to measure health related quality of life, and changes after treatment, in young active patients with hip disorders. The original short version consisted of 14 questions, but was modified to 12 in late 2011. The scores have also been known as MHOT or MAHORN scores. The IHOT 12 was presented at the International Society for Hip Arthroscopy (ISHA) meeting Paris 2011.

References: Mohtadi et al. The development and validation of a self-administered quality of life outcome measure for young,

active patients with hip pathology: the International Hip Outcome Tool.

A short version of the International Hip Outcome Tool (IHOT-12) for use in routine clinical practice 1Damian R. Griffin, BM BCh, MA, MPhil, FRCS; 1Nicholas Parsons PhD; 2Nicholas G.H. Mohtadi, MD MSc FRCSC; 3Marc R. Safran MD; Multicenter Arthroscopy of the Hip Outcomes Research Network (MAHORN)

Thanks to Dr Nick Mohtadi, and Professor Damian Griffin for permission to reproduce these instruments.

The instruments consist of 12 or 33 VAS scales where patients mark the severity of their pain and symptoms from 0 – 100 - 0 being the worst/most severe symptoms, 100 no symptoms or pain.

ISHA web site www.isha.net

Hamstring Outcome Score Hip General

A patient questionnaire to determine if risk factors for groin injuries among male soccer players could be identified.

It consists of questions relating to Pain, Symptoms, Pain, soreness and quality of life, each of which has a sub score. We have also added this to the Knee general module.


http://www.isha.net/


Reference: Am J Sports Med October 2010 Vol. 38 no. 10 2051-2057

Visa H – Hamstring

Development and validation of a new visa questionnaire (VISA-H) for patients with proximal hamstring tendinopathy

Angelo Cacchio, Fosco De Paulis, Nicola Maffulli Br J Sports Med 2014;48:6 448-452



SHOULDER SCORES

ASES – American Shoulder and Elbow Society score.

This has a patient and a surgeon section, and they can be filled in separately. The patient part has a score, the surgeon part is based on examination and ROM with no actual score.

It’s not uncommon for patients to miss questions, and this wasn’t originally taken into account in the first publication. We contacted Dr Gary Gartsman and Richard Hawkins who consulted with Dr Karon Cook PhD. The algorithm they have allowed us to use if there are missing responses is.

The VAS pain must be answered. Of the other questions as long as there are 50% completed the mean of those answered can be used to calculate the total score.

Constant Shoulder score

The original Constant score has been revised, the newer score is what we have included in Socrates. Anyone with the old scores can enter just the scores calculated by the old method, see data entry section for instructions.



ROWE score

This score consists of 5 questions from both patient and surgeons perspective.

SANE numeric VAS

One VAS line from 01-100. We have also added the VAS pain scores to the same form.



Subjective Shoulder Value (SSV)

Note, the SANE and the SSV are the same, “How normal does your shoulder feel on a scale from 1-100”. One was developed in the US, the other in Europe.

We have added this to a scan form which includes a VAS pain score as well.

DASH and Quick DASH

DASH stands for "Disabilities of the Arm, Shoulder and Hand."

The DASH Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb. The tool gives clinicians and researchers the advantage of having a single, reliable instrument that can be used to assess any or all joints in the upper extremity.

A shorter version called the QuickDASH is also available. Both tools are valid, reliable and responsive and can be used for clinical and/or research purposes. However, because the full DASH Outcome Measure provides greater precision, it may be the best choice for clinicians who wish to monitor arm pain and function in individual patients.

Use of the DASH and QuickDASH, inclusive of translated versions of the DASH and QuickDASH without charge is limited to, a clinician using them only for treatment or assessment of a patient or a researcher using them for non-funded research. To clarify if you qualify for free use or whether you must obtain

written permission (and the conditions applicable to your contemplated use) contact http://www.dash.iwh.on.ca





Oxford Shoulder and Oxford Shoulder Instability Score

These scores requires users to obtain a license - contact ISIS innovation group [email protected]

FLEX 36 Shoulder

Flexilevel Scale of Shoulder Function (FLEX-SF). This scale includes three testlets that target low, medium, and high shoulder function. Patients are asked a routing question and depending on how difficult they find this task they answer either the easy, moderate, or difficult questions. The scoring has been adapted so that regardless of the set of questions they answer the scores can be compared.

WORC

WOSI

WOOS




These 3 scores were originally written and calculated assuming that all questions would be completed by patients as the original validation was done in a supervised environment. However, in many cases these surveys are completed by mail, unsupervised, and more recently via the internet. After discussion with users and in line with most of the modern scoring instruments we decided to use an algorithm to enable the total score to be calculated providing there weren’t too many missing answers.

This is the method we use to calculate a total score if there are missing answers. If there are more than this no total score can be calculated.

WORC – no more than two missing questions from section A (6 questions) B and C (4 questions), and one missing from D (4 questions) and E (3 questions),

WOSI - no more than four missing questions from section A (10 questions) two from B and C (5 questions) and one from D (2 questions)

WOOS - no more than two missing questions from section A (6 questions)B (5 questions) and C (5 questions) and one from D (3 questions).

Simple Shoulder Test (SST)

This is a patient questionnaire of 12 questions relating to pain and function with Yes / No answers.

Developed by the University of Washington Seattle WA

Melbourne Instability Score

Journal of Shoulder Elbow Surgery, Vol 14 (1);22- 26.

This instability score has 24 questions relating to work sports, pain and function.

L’Insalata Shoulder Score

Kerlan Jobe Score for overhead throwing athletes



PENN

24 questions relating to pain satisfaction and function of the shoulder.

The PENN shoulder score, Reliability and Validity, Brian G Leggit PT MS OCS et al.

Journal of Orthopaedic and Sports Physical Therapy.

Missing questions – we have been given permission by Dr Lori Michener PT, PhD who was a part of the team that validated the original Penn Shoulder Score to allow for missing responses. Pain –one missing pain question is allowed, take the average of the other 2 pain ratings, and assign that to the missing one. Up to 5 missing function questions allowed, and the mean of those answered assigned to the missing ones to calculate the score.

SPADI

Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a shoulder pain and disability index. arthritis care res. 1991 dec;4(4):143-9.

The Shoulder Pain and Disability Index (SPADIi) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use.

Shoulder Instability Severity Score

Reference:J Bone and Joing Surg (Br) 32007;89 = B 1471-7 F,Balg P Boileau

This is a surgeon completed instability severity index to assess the likely prognosis of surgery.

Shoulder Activity Score



The activity rating is a numerical sum of scores for five activities rated on a five point frequency scale from never performed (0 points) to daily (4 points). Patients were scored on the following criteria: carrying an object 8lb or heavier by hand, handling objects overhead, weight training with arms, swinging motion (i.e, hitting tennis or golf ball), and lifting objects 25 lbs or heavier. Two additional multiple choice questions provide a score assessing participation in contact and overhead sports.

SOMOS (SOCIETY OF MILITARY ORTHOPAEDIC SURGEONS USA) SCORES Two scores have been developed for SOMOS.

Active Duty Score – this questionnaire is to assess the patient with shoulder problems signs and symptoms, and their fitness for active duty. . This can be used by civilian users.

Reference: Dr John Tokish [email protected]

Biceps Outcomes – a 12 question post-operative score developed by the US military ( SOMOS) to assess the patient’s perception of their outcome following biceps surgery or treatment




FOOT AND ANKLE SCORES

Oxford Foot and Ankle Score

The Oxford Ankle Foot Questionnaire was developed to assess child - or parent (proxy) - reported health status for children with foot and ankle problems, aged between 5 and 16. There is a separate set of questions for the child and the parent.


FAAM – Foot and ankle ability measure

The FAAM was developed to meet the need for a self-reported evaluative instrument that comprehensively assesses physical function of individuals with musculoskeletal disorders of the leg, foot, and ankle. These results indicate that the FAAM is a reliable, valid, and responsive measure of self-reported physical function for individuals participating in physical therapy, with or without operative intervention, for a broad range of musculoskeletal disorders of the leg, foot, and ankle.

FAOS – foot and ankle outcome score

FAOS was developed to assess the patients’ opinion about a variety of foot and ankle-related problems. FAOS has this far been used in patients with lateral ankle instability, Achilles tendinosis, and plantar fasciitis. FAOS content is based on the Knee injury and Osteoarthritis Outcome Score (KOOS), content validity was confirmed by 213 patients with ankle instability.

FAOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport(Rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. Standardized answer options are given (5 Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile

www.koos.nu



http://www.koos.nu/


AFAOS – American Foot and Ankle Score

Foot and Ankle Int. 1994 Jul;15(7) : 349-53 Clinical rating systems for the ankle and hindfoot, midfoot, hallux and lesser toes. Surgeon and patient completed form to assess the function, pain and alignment of the foot and ankle. Ankle Fracture Symptoms Scoring Scale

A nine question survey for assessing pain and function after ankle fractures. The best score is 100, the worst 0. No licensing required for non commercial use.

Manchester Oxford Foot Questionnaire

16 questions relating to pain and function of the ankle.

A patient-based questionnaire to assess outcomes of foot surgery: Validation in the context of surgery for hallux valgus.

Jill Dawson, Jane Coffey, Helen Doll, Grahame Lavis, Paul Cooke, Mark Herron and Crispin Jenkinson


http://www.springerlink.com/content/?Author=Jill+Dawson

http://www.springerlink.com/content/?Author=Jane+Coffey

http://www.springerlink.com/content/?Author=Helen+Doll

http://www.springerlink.com/content/?Author=Grahame+Lavis

http://www.springerlink.com/content/?Author=Paul+Cooke

http://www.springerlink.com/content/?Author=Mark+Herron

http://www.springerlink.com/content/?Author=Crispin+Jenkinson


©

MOXFQ University of Oxford, Department of Public Health (HSRU), Old Road Campus, Oxford OX37LF, UK


Oxford Foot and Ankle Questionnaire for Children

The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is a child – or parent (proxy) – reported self-report health status PRO. The OxAFQ-C is used to measure subjective well-being for child patients (aged 5-16) affected by foot and ankle conditions using issues that are considered important to children. Typical clinical assessments fail to capture the child patient’s perspective and may not accurately reflect how children function in their usual environments. The OxAFQ-C was therefore designed to supplement clinical assessments to evaluate the effectiveness of interventions for ankle/foot.

© Isis Innovation Limited, 2007. All rights reserved


VISA Achilles Score

This score was developed by the Victorian Institute of Sport, Melbourne Australia specifically to assess the outcome of achilles tendinopathy.

Oxford ankle foot questionnaire child and parent.

The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) is a child – or parent (proxy)-reported self-report health status measure questionnaire. The OxAFQ-C is used with child patients (aged 5-16) affected by foot and ankle conditions to measure issues that are considered important to children.

ManchesterOxford Foot Questionnaire (Moxfq)

This is a 16 question survey published by the University of Oxford public health group.

Ankle Osteoarthritis Scale

A reliable and validated instrument that specifically measures patient symptoms and disabilities related to ankle arthritis.

Foot and Ankle International: Vol 19 No 7 July 1998.

Authors: Robyn Domsic B.S Charles Saltzman MD University of Iowa Hospital.

Revised Foot Function Index





This is a revision of the original Foot Function Index. There is a long (68 questions) and short version (34 questions) When requesting permission to reproduce the instrument in Socrates Dr Mak advised us that it has been further revised, and the latest revisions as per his instructions are included in the version of Socrates released April 2012.

Foot and Ankle International: Vol 27 No 7 July 2006.

Authors:Dr Elly Budiman-Mak MD MPH MS et al. Loyola University Stritch Scholl of Medicine [email protected]

SPINE SCORES

Oswestry ODI V 2.1a

This is the validated authentic version of the Oswestry Spine Score.

“ODI © Jeremy Fairbank 1980, All rights reserved”

Fairbank J, Pynsent PB. The Oswestry Disability Index. Spine 2000; 25(22):2940-2953. Fairbank JCT, Couper J, Davies JB, O’Brien JP. The Oswestry Low Back Pain Disability Questionnaire. Physiotherapy. 1980;66:271-273

This score requires users to obtain a license to use it from

MAPI Research Trust, Lyon, France. E-mail: [email protected]

It allows for as many as 9 missing responses in the scoring algorithm provided to us by the licensors.

VAS Pain scores, Back and Leg, Neck and Arm

All these questions are on a visual analogue score of 0-100.

The patient completes them either on a form by marking the scale, or on line by using the slider.

Modified Lower Back Disability Questionnaire

This is a modification of the original Oswestry V 2.1a. See below.





It allows for 2 missing responses in the scoring algorithm provided to us by the licensors.

Revised Disability Index (for low back pain/dysfunction)

This is a further revision of the original Oswestry with the question relating to sexual activities replaced by social activities.

It allows for 2 missing responses in the scoring algorithm.

SRS 22 and 30

A 22 and 30 question survey developed by the Scoliosis Research Society. www.srs.org/

Vernon Mior Neck Disability Index

The NDI is a simple 10-item questionnaire used to assess patients with neck pain.

Vernon H, Moir S (1991) The neck disability index: A study of reliability and validity. Journal of Manipulative Physiological Therapeutics 14:409-415.


http://www.srs.org/


Roland Morris Lower Back pain survey

Original English version: Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983; 8: 141-144

Tampa Scale for Kinesiophobia

The TSK is a 17-item checklist that was developed as a measure of fear of movement/(re)injury. Kinesiophobia is defined by the developers as “an irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or (re)injury” (Kori et al., 1990). The scale is based on the model of fear avoidance, fear of work related activities, fear of movement/re-injury (Vlaeyan et al., 1995).

Miller, Kori and Todd 1991

OREBRO Musculoskeletal Pain Questionnaire

Linton SJ, Boersma K. Early identification of patients at risk of developing a persistent back problem: the predictive validity of the Orebro Musculoskeletal Pain Questionnaire. Clin J Pain. 2003 Mar-Apr;19(2):80-6. The Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) is a screening tool which assesses the risk of developing long-term disability or fail to return to work following a musculoskeletal injury. It consists of 21 questions which address psycho-social factors including beliefs and expectations that may influence recovery and return to work.

JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ)

JOA Back Pain Evaluation Questionnaire (JOABPEQ)

Zurich Claudication Score

Reference Article:

Stucki G, Daltroy L, Liang MH, et al. Measurement properties of a self-administered outcome measure in lumbar spinal stenosis. Spine 1996; 21: 796–803.

Definition

The Zurich Claudication Questionnaire is a disease-specific self-report outcome instrument commonly used in trials to measure treatment outcomes in patients with lumbar spinal stenosis (LSS). The Zurich Claudication Questionnaire quantifies severity of symptoms, physical function characteristics, and patient's satisfaction after treatment. It was designed to complement existing generic measures of lumbar spine disability and health status



in the evaluation of patients with LSS. This tool is diversely referred to as the ‘Swiss Spinal Stenosis Questionnaire’, the ‘Zurich Claudication Questionnaire’ and the ‘Brigham Spinal Stenosis Questionnaire’, which all of them are exactly the same.

Structure / Content

The scale relates to symptoms over the past month. There are 12 questions for all patients, and a further 6 questions to measure treatment outcome (for those who have had treatment).

The Zurich Claudication Questionnaire consists of three subscales:

1. Symptom severity scale (questions I-VII) further subdivided into pain domain (questions I-IV) and a neuroischemic domain (questions V-VII): Possible range of the score is 1 to 5.

2. Physical function scale (questions VIII-XII): Possible range of scores is 1 to 4.

3. Patient's satisfaction with treatment scale(questions XIII-XVIII): the range of the scale is 1 to 4

Scoring Method /Interpretation

The result is expressed as a percentage of the maximum possible score. The score increases with worsening disability.

Sciatica Bothersome and Frequency Index

This is two separate scales using a scale of 0-6 to rate the severity and frequency of symptoms.



Neurogenic Claudication Outcome Score

Reference: Weiner and Fraser Spine 1999 24;24:62-6

DRAM – distress and risk management Assessment method

This score combines the Modified Zung Depression Scale and the Modified Somatic Perception Questionnaire.



Zung Depression Scale

A self-rating depression scale was devised as an attempt to quantitate the symptoms of depression, using the diagnostic criteria of the presence of a pervasive depressed affect, and its physiological and psychological concomitants as test items. This is included in the DRAM combined with the Modified Somatic Perception Questionnaire.

The responses are mixed so that for some the best result is the first one, other the last.

Modified Somatic Perception Questionnaire

This is 23 question survey (only 13 answers make up the score) assessing the patient’s physical signs and symptoms .

This is combined with the Zung to make up the DRAM score.

ODOMS – neck and back

This is post-operative or post-treatment questionnaire which assesses the patients view of their outcome.

Patient Medical History Questionnaire

A survey is included which covers the basic medical history of the patient. It captures current and past diseases, relevant family history, smoking, comorbidities, medications allergies etc.

This is web enabled survey, an example of the interface is below. The patient responses are imported into Socrates with the relevant details also cross populated onto the surgeon examination screen. Read the Spine chapter of the manual for more details. Word document copies are available in the Forms folder on the client section of the web site.



Patient Spine History Questionnaires Pre and Post op.

These surveys consist of are questions asking the patients about their spine condition problem. They include details of history, pain, location, other symptoms, treatments tried, previous spine surgery etc. The patient responses are imported into Socrates with the relevant details also displayed on the surgeon examination screen. Read the Spine chapter of the manual for more details.

There are two detailed surveys - one for back and leg symptoms , the other for neck and arm . There is also a combined “lite” survey, which asks questions about back /leg, neck /arm and mid back symptoms. Word document copies are available in the Forms folder on the client section of the web site. HOWEVER, it is not envisaged that these data would ever be completed by the patient on paper and manually entered, it would take a very long time to enter the data.





HAND/WRIST/ELBOW SCORES

PRWE Patient reported wrist evaluation

The Patient-rated Wrist Evaluation (PRWE) was developed to assess pain in the wrist joint and functional difficulties in activities of daily living resulting from injuries affecting wrist joint area.

The PRWE is a 15 item patient-reported questionnaire. It has two subscales: 1) Pain subscale - 5 items 2) Function subscale - 10 items © Joy C. MacDermid, BSc PT, MSc, PhD School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada Clinical Research Lab, Hand and Upper Limb Centre, St. Joseph’s Health Centre, London, Ontario, Canada E-mail: [email protected] or [email protected] PREE Patient Reported Elbow Evaluation

Based on the previously validated and reliable Patient-Rated Wrist Evaluation (PRWE), the PREE was designed to measure elbow pain and disability. The pain items are identical to the PRWE with the term “elbow” replacing “wrist”. The “specific activities” items in the function subscale were based on the multi-dimensional Mayo Elbow Performance Index (MEPI) which has been proven to be a valid outcome scale for elbow pathology. Information from biomechanical and clinical literature were also used to generate additional items for the function domain. The “usual activities” items in the function subscale were adapted from the PRWE with the term “elbow” replacing “wrist”.

The questionnaire format has five pain questions and fifteen function questions.

© Joy C. MacDermid, BSc PT, MSc, PhD School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada Clinical Research Lab, Hand and Upper Limb Centre, St. Joseph’s Health Centre, London, Ontario, Canada E-mail: [email protected] or [email protected]

Oxford Elbow score – Shoulder and Elbow/Hand Modules

The Oxford scores are patient administered questionnaires which assesses pain, disability and joint stiffness in knee and hip osteoarthritis using a battery of 12 questions. Originally published in JBJS, with an update in 2007 to amend the scoring.

These forms can be scanned directly into the program.


DASH and Quick DASH Shoulder

DASH stands for "Disabilities of the Arm, Shoulder and Hand."

The DASH Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb. The tool gives clinicians and researchers the advantage of having a single, reliable instrument that can be used to assess any or all joints in the upper extremity.

A shorter version called the QuickDASH is also available. Both tools are valid, reliable and responsive and can be used for clinical and/or research purposes. However, because the full DASH Outcome Measure provides greater precision, it may be the best choice for clinicians who wish to monitor arm pain and function in individual patients.

Use of the DASH and QuickDASH, inclusive of translated versions of the DASH and QuickDASH without charge, is limited to a clinician using them only for treatment or assessment of a patient or a researcher




using them for non funded research. To clarify if you qualify for free use or whether you must obtain written permission (and the conditions applicable to your contemplated use) contact http://www.dash.iwh.on.ca


Kerlan Jobe Score for Overhead Throwing Athletes

Mayo Elbow and Wrist scores

These 2 scores have both patient and surgeon questions relating to pain and function to derive a best score of 100.




QUALITY OF LIFE SCORES

SF36 and SF12 v2 It is only possible to enter the totalled scores for these surveys into Socrates. The license and scoring software must be obtained directly from the licensors www.qualitymetric.com

VETERANS RAND 12 and 36

These are an almost identical and free alternative to the SF 12 and 36 V2.

Access to these two scores is limited by a password. Once users have permission to use these let us know and we will issue you a password. Contact details are:

Center for the Assessment of Pharmaceutical Practices Department of Health Policy and Management Boston University School of Public Health Contact person: Anna Tobin [email protected]

http://www.herc.research.va.gov/resources/faq_a07.asp

The following is taken from the above web site.

The "Veterans RAND 36-Item Health Survey" (VR-36 and formerly the Veterans SF-36) was developed from the original RAND version of the 36-Item Health Survey version 1.0 (also known as MOS SF-36) at the RAND Corporation as part of the Medical Outcomes Study.1 The VR-12 ("Veterans RAND 12-Item Health Survey," formerly the Veterans SF-12) was derived from the VR-36.1While the names of these assessment tools have changed, the content of the instruments has not.

There is no cost to use the VR-36 and VR-12. However, so that the developers can monitor the use of these instruments, researchers must obtain permission by requesting to use the instrument in a letter on institutional letterhead to Dr. Lewis Kazis. The letter should state that the requestor agrees to the terms and conditions given by the RAND Corporation and indicate that the user plans to give appropriate acknowledgements for the VR-12 and/or VR-36.2 An abstract of the project should be included with the request.

EQ5D Euroqol – All Joints

EQ-5D is a standardised instrument for use as a measure of health outcome.

Applicable to a wide range of health conditions and treatments, it provides a simple descriptive profile and a single index value for health status. It contains 5 questions and VAS relating to the patient’s general health.

There are 2 versions, one with 3 levels of responses, the other 5. They are labelled EQ5D – 3L and EQ5D – 5L

Requires a license to use – contact www.euroqol.org

Note, the EQ 5D surveys will not be available for data entry via the web for patients. The only way a user can use a web interface is to use the Euroqol server. We have been advised that for us to set up access for the Euroqol server to access ours would open up potential security breaches, and be very costly. Thus, they will not be available in Socrates for data entry via Socrates web server.

PAEDIATRIC/ADOLESCENT SCORES There are a number of paediatric and adolescent scores included in Socrates. As we find out about them we add them so if you are a user and have a specific need for an additional one please let us know.

KNEE - see the knee section for more details of these.

KOOS Child

IKDC – Adolescent


http://www.qualitymetric.com/


http://www.herc.research.va.gov/resources/faq_a07.asp

http://sph.bu.edu/index.php?option=com_sphdir&id=239&Itemid=340&INDEX=6875

http://www.rand.org/health/surveys_tools/mos/mos_core_36item_terms.html



AAOS

There is a parent and a self-rated questionnaire published by the American Association of orthopaedic surgeons. These relate to the general health and activity levels of children.

Foot and ankle see the foot and ankle section for more details

Oxford parent and child ankle score.



CLASSIFICATIONS/SCORES

Radiology

Kellgren Lawrence Grading System – Knee General This is a radiological classification of knee OA.

Engh Score – Hip Arthroplasty A score to evaluate the fixation and stability of cementless hips. CORR No. 257 1990

Hip Resurfacing Radiographic Analysis Parameters and a fixation score relating to resurfacing arthroplasty were developed to follow the radiographic appearance of these implants over time.

MOCART MRI scale and score Marlovits S , Singer P , Zeller P , Mandl I , Haller J , Trattnig S . Magnetic resonance observation of cartilage repair tissue (MOCART) for the evaluation of autologous chondrocyte transplantation: determination of interobserver variability and correlation to clinical outcome after 2 years . Eur J Radiol 2006 ; 57 ( 1 ): 16 – 23 .

A grading and scoring classification of Articular cartilage using MRI This screen is in the Knee General module> Radiology follow up.





CLASSIFICATION CODES

ICRS chondral grading, Outerbridge ICRS OCD, Kellgren Lawrence

Descriptions and graphics where appropriate can be displayed by clicking on the small info icons - in the example below, they are on the chondral surgery screen.

After clicking on the icon next to the Classification name, a description of the classification will be displayed. There is also an electronic copy in the information folder.



Hip Arthroplasty – Paprosky and Gross bone loss classifications

Hip Arthroscopy – Method of classifying the pathology of the femoral head.



INDEX

ACL History – Sport and expectation survey ..... 32 Melbourne Instability Score............................. 46 ACL QOL –..................................................... 31 Modified Cincinnati Knee Score ....................... 31 Activity Scores................................................ 35 Modified Harris Hip Score ............................... 39 AFAOS – American Foot and Ankle Score ......... 50 Modified Lower Back Disability Questionnaire... 52 Ankle Osteoarthritis Scale ............................... 51 Modified Somatic Perception Questionnaire...... 57 ASES – American Shoulder and Elbow Society score

................................................................. 42 Neurogenic Claudication Outcome Score.......... 56 Non Arthritic Hip Score ................................... 39

Brittberg/Peterson .......................................... 30 OCD ICRS SCORE.......................................... 66

Ceramic Hip Nose Survey................................ 38 ODOMS – neck and back ................................ 57

Classification codes ........................................ 66 OREBRO Musculoskeletal Pain Questionnaire ... 54

Constant Shoulder score ................................. 42 Oswestry ODI V 2.1a...................................... 52

Copies of Scores...............................................5 OuterBridge ................................................... 66

CRAS – Cartilage Repair Assessment Score ...... 36 Oxford Elbow score ........................................ 60

CSS – Chondropenia Severity Score................. 36 Oxford Foot and Ankle Questionnaire for Children51

DASH and Quick DASH ............................. 44, 60 Oxford Foot and Ankle Score .......................... 49

DRAM – distress and risk management Assessment method...................................................... 56 Oxford Hip and Knee...................................... 28

OXFORD Hip Score......................................... 37 Engh ............................................................. 64 EQ 5D 3 and 5 level QOL index ....................... 24 EQ5D Euroqol ................................................ 62 FAAM – Foot and ankle ability measure............ 49 FAOS – foot and ankle outcome score ............. 49 FLEX 36 Shoulder ........................................... 45 GROC – Global Rating of Care ......................... 23 HAGOS – Hip and Groin outcome .................... 39 Hamstring Outcome Score ........................ 33, 40 Harris Hip Score ............................................. 38 High Activity Arthroplasty Score ................ 29, 39 Hip Arthroscopy – Method of classifying the

pathology of the femoral head .................... 67 Hip Outcome Score - HOS............................... 39 Hip resurfacing radiographic analysis ............... 64 ICRS chondral grading.................................... 66 IHOT/MAHORN 12 and 33 .............................. 40 IKDC International Knee Documentation Committee

Score......................................................... 30 JOA Back Pain Evaluation................................ 54 JOA Cervical Myelopathy Evaluation................. 54 Kellgren Lawrence.......................................... 64 Kerlan Jobe.............................................. 46, 61 Knee Society Score......................................... 29 KOOS ...................................................... 28, 37 KOOS Child Knee score................................... 28 Kujala............................................................ 30 L’Insalata Shoulder Score................................ 46 Lysholm......................................................... 31 Manchester Oxford Foot Questionnaire ............ 50 Marx score..................................................... 35 Mayo Elbow and Wrist scores.......................... 61

OOxxffoorrdd SShhoouullddeerr aanndd SShhoouullddeerr iinnssttaabbiilliittyy ssccoorree 45 Pain Scores.................................................... 21 Patient Medical History ................................... 57 Patient satisfaction score ................................ 20 Patient Spine History Questionnaires ............... 58 PENN ............................................................ 47 PREE - Patient Reported Elbow Evaluation ....... 60 PRWE - Patient reported wrist evaluation......... 60 Pyschovitality Score........................................ 33 Quality of life scores....................................... 23 Quality of life Scores ...................................... 62 Radiology CLASSIFICATIONS/SCORES............. 64 Reduced WOMAC Score.............................28, 37 Revised Disability Index (for low back

pain/dysfunction) ....................................... 53 Revised Foot Function Index........................... 51 Roland Morris Lower Back pain survey............. 54 ROWE shoulder score..................................... 43 SANE shoulder score ...................................... 43 SANE/NORMAL and pain scores ...................... 22 Sciatica Bothersome and Frequency Index....... 55 SCORES - WHICH TO USE ................................ 5 Scores/Evaluations/Questionnaires .................... 1 SF-36 and SF-12 v2........................................ 62 Shoulder Activity Level Score .......................... 35 Shoulder Instability Severity Score .................. 47 Simple Shoulder test - SST ............................ 46 SRS 22 and 30 ............................................... 53 Subjective Shoulder Value ( SSV) .................... 44 Tampa Scale for Kinesiophobia ....................... 54 Tegner .......................................................... 35



UCLA activity score......................................... 35 WOMAC....................................................28, 37 Vail Hip Score ................................................ 39 WOMET – ...................................................... 32 VAS 1-10 Pain ADL and Expectation Score ....... 29 WOOS ........................................................... 45 VAS Pain scores, Back and Leg, Neck and Arm.52 WORC ........................................................... 45 Vernon Mior Neck Disability Index ................... 53 WOSI ............................................................ 45 VETERANS RAND 12 and 36............................ 62 Zung Depression Scale ................................... 57 VISA Achilles Score........................................ 51 Zurich Claudication Score ............................... 54 VISA Patella Score......................................... 33


Documents

Scores/Evaluations/Questionnaires - Socrates Orthosocratesortho.com/wp-content/uploads/Scores-Evaluations1.pdf · SCORES/EVALUATIONS/QUESTIONNAIRES SCORES WHICH TO USE Socrates includes