KOOS Knee Outcomes

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    Today’s date: Left or right knee: LeftRight
    Full Name: Email:

    INSTRUCTIONS: This survey asks for your view about your knee. This information will help us keep track of how you feel about your knee and how well you are able to perform your usual activities.
    Answer every question by ticking the appropriate box, only one box for each question. If you are unsure about how to answer a question, please give the best answer you can.

    Symptoms

    These questions should be answered thinking of your knee symptoms during the last week.

    S1. Do you have swelling in your knee?
    NeverRarelySometimesOftenAlways

    S2. Do you feel grinding, hear clicking or any other type of noise when your knee moves?
    NeverRarelySometimesOftenAlways

    S3. Does your knee catch or hang up when moving?
    NeverRarelySometimesOftenAlways

    S4. Can you straighten your knee fully?
    NeverRarelySometimesOftenAlways

    S5. Can you bend your knee fully?
    NeverRarelySometimesOftenAlways

    Stiffness

    The following questions concern the amount of joint stiffness you have experienced during the last week in your knee. Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint.

    S6. How severe is your knee joint stiffness after first wakening in the morning?
    NoneMildModerateSevereExtreme

    S7. How severe is your knee stiffness after sitting, lying or resting later in the day?
    NoneMildModerateSevereExtreme

    Pain

    P1. How often do you experience knee pain?
    NoverMonthlyWeekleyDailyAlways

    What amount of knee pain have you experienced the last week during the following activities?

    P2. Twisting/pivoting on your knee
    NoneMildModerateSevereExtreme

    P3. Straightening knee fully
    NoneMildModerateSevereExtreme

    P4. Bending knee fully
    NoneMildModerateSevereExtreme

    P5. Walking on flat surface
    NoneMildModerateSevereExtreme

    P6. Going up or down stairs
    NoneMildModerateSevereExtreme

    P7. At night while in bed
    NoneMildModerateSevereExtreme

    P8. Sitting or lying
    NoneMildModerateSevereExtreme

    P9. Standing upright
    NoneMildModerateSevereExtreme

    Function, daily living

    The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your knee.

    A1. Descending stairs
    NoneMildModerateSevereExtreme

    A2. Ascending stairs
    NoneMildModerateSevereExtreme

    For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your knee.

    A3. Rising from sitting
    NoneMildModerateSevereExtreme

    A4. Standing
    NoneMildModerateSevereExtreme

    A5. Bending to floor/pick up an object
    NoneMildModerateSevereExtreme

    A6. Walking on flat surface
    NoneMildModerateSevereExtreme

    A7. Getting in/out of car
    NoneMildModerateSevereExtreme

    A8. Going shopping
    NoneMildModerateSevereExtreme

    A9. Putting on socks/stockings
    NoneMildModerateSevereExtreme

    A10. Rising from bed
    NoneMildModerateSevereExtreme

    A11. Taking off socks/stockings
    NoneMildModerateSevereExtreme

    A12. Lying in bed (turning over, maintaining knee position)
    NoneMildModerateSevereExtreme

    A13. Getting in/out of bath
    NoneMildModerateSevereExtreme

    A14. Sitting
    NoneMildModerateSevereExtreme

    A15. Getting on/off toilet
    NoneMildModerateSevereExtreme

    For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your knee.

    A16. Heavy domestic duties (moving heavy boxes, scrubbing floors, etc)
    NoneMildModerateSevereExtreme

    A17. Light domestic duties (cooking, dusting, etc)
    NoneMildModerateSevereExtreme

    Function, sports and recreational activities

    The following questions concern your physical function when being active on a higher level. The questions should be answered thinking of what degree of difficulty you have experienced during the last week due to your knee.

    SP1. Squatting
    NoneMildModerateSevereExtreme

    SP2. Running
    NoneMildModerateSevereExtreme

    SP3. Jumping
    NoneMildModerateSevereExtreme

    SP4. Twisting/pivoting on your injured knee
    NoneMildModerateSevereExtreme

    SP5. Kneeling
    NoneMildModerateSevereExtreme

    Quality of Life

    Q1. How often are you aware of your knee problem?
    NeverMonthlyWeeklyDailyConstantly

    Q2. Have you modified your life style to avoid potentially damaging activities to your knee?
    Not at allMildlyModerateSeverelyExtremely

    Q3. How much are you troubled with lack of confidence in your knee?
    Not at allMildlyModerateSeverelyExtremely

    Q4. In general, how much difficulty do you have with your knee?
    Not at allMildlyModerateSeverelyExtremely