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IKDC Subjective Knee Evaluation Form 2000-2025 free printable template

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2000 IKDC SUBJECTIVE KNEE EVALUATION FORM Your Full Name Today s Date // Day Month Date of Injury // Year SYMPTOMS Grade symptoms at the highest activity level at which you think you could function without significant symptoms even if you are not actually performing activities at this level. 1. During the past 4 weeks or since your injury how often have you had pain Never q Constant 3. If you have pain how severe is it No pain Worst pain imaginable q Not at all 3qMildly 2qModerately 1qVery...
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How to fill out IKDC Subjective Knee Evaluation Form

01
Begin with your personal information: fill out your name, date of birth, and the date of the evaluation.
02
Indicate the affected knee by selecting left or right.
03
Complete the questionnaire regarding your knee symptoms, including pain level, swelling, and stiffness.
04
Respond to questions about your ability to perform specific activities such as walking, running, and climbing stairs.
05
Rate your overall knee function and any limitations you experience due to your knee condition.
06
Review your answers for accuracy before submitting the form.

Who needs IKDC Subjective Knee Evaluation Form?

01
Individuals recovering from knee injuries or surgeries.
02
Athletes undergoing rehabilitation for knee-related issues.
03
Patients experiencing chronic knee pain or dysfunction.
04
Healthcare providers needing to assess knee function over time.

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INTERNATIONAL KNEE DOCUMENTATION COMMITTEE (IKDC) SUBJECTIVE KNEE EVALUATION FORM.
A score of 100 is interpreted to mean no limitation with activities of daily living or sports activities and the absence of symptoms. The IKDC Subjective Knee Form score can be calculated when there are responses to at least 90% of the items (i.e. when responses have been provided for at least 16 items).
ES = effect size; SRM = standardized response mean; MCID = minimum clinically important difference; IKDC = International Knee Documentation Committee Subjective Knee Evaluation Form; ACL = anterior cruciate ligament; KOOS = Knee Injury and Osteoarthritis Outcome Score; symp.
International Knee Documentation Committee (IKDC Questionnaire)
The IKDC is a patient-completed tool, which contains sections on knee symptoms (7 items), function (2 items), and sports activities (2 items). Scores range from 0 points (lowest level of function or highest level of symptoms) to 100 points (highest level of function and lowest level of symptoms).
IKDC is a subjective scale that provides patients with an overall function score. The questionnaire looks at three (3) categories: symptoms, sports activity and knee function. The symptoms subscale helps to evaluate things such as pain, stiffness, swelling and giving-way of the knee.

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The IKDC Subjective Knee Evaluation Form is a patient-reported outcome measure designed to assess a person's knee symptoms and functional limitations associated with various knee disorders.
The form is typically filled out by patients who are experiencing knee issues, as well as by healthcare professionals who need to evaluate the patient's knee condition and progress.
To fill out the IKDC Subjective Knee Evaluation Form, patients should read each question carefully and provide answers based on their current knee condition, symptoms, and level of function. The form usually includes rating scales for pain and function.
The purpose of the IKDC Subjective Knee Evaluation Form is to provide a standardized way to evaluate knee symptoms and function from the patient's perspective, which aids in diagnosing conditions, planning treatment, and monitoring rehabilitation progress.
The form requires information regarding the patient's knee pain, functional limitations, and symptoms both during activities and at rest. Specific sections may ask about the history of the knee injury, current symptoms, and limitations in daily activities.
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