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It’s NOT Just About Pain

As clinicians we frequently ask our patients to report their pain level to us.  Sometimes we use the visual analogue scale and sometimes we ask for descriptors or ask for drawings on a diagram.  In any case, pain is a one-dimensional parameter.  Of course, pain is important.  It is often one of the primary three reasons people seek medical care.  However, it should be taken in context.  Sometimes there is concern if a person’s pain level doesn’t decrease with medication or treatment.  What if pain doesn’t change but function improves?  Isn’t that a win?  So how can we merge these two parameters together to assess patient outcomes?

 

Therapeutic questionnaires can be valuable to provide serial assessments of pain and function.  They can even be wonderful outcome measures.  Many therapeutic questionnaires have been studied for reliability and validity.  Many are very specific to a given pathology and others are more general.  In either case, they allow a clinician to track an individual’s progress (or lack of progress) in a quantitative manner. 

 

The purpose of this BLOG is to serve as a resource for a variety of therapeutic questionnaires.  Below is a list of questionnaires grouped by pathology and a direct link to the questionnaire with the scoring instructions.  Hopefully, this will be helpful for you and your patients to see the big picture.

 

Shoulder:

 

Elbow:

 

Wrist & Hand:

 

Hip:

 

Knee:

  • HOOS = Hip Disability & Osteoarthritis Outcome Score (HOOS) consists of 10 items to assess pain, 5 items about stiffness & range of motion, 17 items about activity limitations-daily living, 4 items about sports and recreation function, & 4 items about hip related quality of life.    https://orthotoolkit.com/hoos/ 

 

Ankle & Foot:

 

Cervical Spine:

 

Lumbar Spine:

 

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If you would like to learn more about the MobilAider orthopedic arthrometer to quantify joint mobility, please visit:  https://mobil-aider.com/