NC Cornerstone Physical Therapy WOMAC Knee 2012-2025 free printable template

Patient Name: Date: WOMAN KNEE This survey asks for your view about your knee. This information will help to keep track of how you feel about your knee and how well you are able to do your usual activities.

How to fill out womac knee

How to fill out NC Cornerstone Physical Therapy WOMAC Knee

1. Start with your personal information: Fill in your name, date of birth, and contact details at the top of the form.
2. Review the instructions: Read the guidelines provided to ensure you understand how to answer each question accurately.
3. Assess your pain: Answer the pain-related questions, rating your pain on a scale provided (e.g., 0-4).
4. Evaluate your stiffness: Respond to stiffness questions, indicating the severity of stiffness in your knee.
5. Rate physical function: Answer questions regarding your ability to perform daily activities, such as walking or climbing stairs.
6. Be honest and accurate: Provide truthful responses based on your current knee condition.
7. Review before submission: Go through your responses to check for any errors or incomplete sections.
8. Submit the form: Follow the instructions for submitting the completed form, either digitally or in print.

Who needs NC Cornerstone Physical Therapy WOMAC Knee?

1. Individuals experiencing knee pain or discomfort.
2. Patients dealing with osteoarthritis or similar conditions affecting the knee.
3. People undergoing rehabilitation after knee surgery.
4. Those looking to assess their knee function and track changes over time.

People Also Ask about

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

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

What are the components of the WOMAC scale?

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

What is the pain score for osteoarthritis?

The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function.

What is the pain scale for osteoarthritis of the knee?

Scores are transformed to a 0–100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopaedic scales and generic measures. Scores between 0 and 100 represent the percentage of total possible score achieved.

What is the WOMAC test?

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

What is a normal WOMAC score?

The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function.

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What is NC Cornerstone Physical Therapy WOMAC Knee?

NC Cornerstone Physical Therapy WOMAC Knee is a standardized questionnaire used to assess the condition of patients with knee osteoarthritis, focusing on their pain, stiffness, and physical function.

Who is required to file NC Cornerstone Physical Therapy WOMAC Knee?

Patients undergoing treatment for knee osteoarthritis at NC Cornerstone Physical Therapy are typically required to fill out the WOMAC Knee questionnaire as part of their assessment.

How to fill out NC Cornerstone Physical Therapy WOMAC Knee?

To fill out the NC Cornerstone Physical Therapy WOMAC Knee questionnaire, patients should read each question carefully and select the response that best reflects their experiences over the past week regarding pain, stiffness, and physical activity.

What is the purpose of NC Cornerstone Physical Therapy WOMAC Knee?

The purpose of the NC Cornerstone Physical Therapy WOMAC Knee is to evaluate the severity of symptoms and functional limitations in patients with knee osteoarthritis, aiding clinicians in developing appropriate treatment plans.

What information must be reported on NC Cornerstone Physical Therapy WOMAC Knee?

The NC Cornerstone Physical Therapy WOMAC Knee requires information on pain levels, stiffness, and physical function through a series of questions that patients respond to based on their recent experiences.