The western ontario rotator cuff index worc is an increasingly applied conditionspecific outcome measure for rotator cuff rc conditions. In all cases, please enter the amount of the symptom you have experienced in the last week. The worc index was developed for patients with degeneration of the rotator cuff. Developed in 1988, specifically for use in shoulder instability, the western ontario shoulder instability index wosi is a validated pro measure. Failure of the rotatorcuff tendons due to wear and tear is the most common clinical problem of the shoulder, 1 accounting for more than 4. Recently, we presented in the detail a rehabilitation program21 and evaluated its impact on a patient reported tool, the western ontario rotator cuff worc index. It consists of 21 visual analog scale vas items organised in 5 subscales. Write it into the space provided for that question. The development and evaluation of a diseasespecific qualityoflife questionnaire for disorders of the rotator cuff.
The worc score is a conditionspecific 21item selfreporting questionnaire using a visual analogue scale. Registered users can save articles, searches, and manage email alerts. The western ontario rotator cuff index unchained fitness. Rotator cuff, shoulder, worc, quality of life, validity, reliability, responsiveness, questionnaire background the western ontario rotator cuff index worc is a tool for evaluating shoulder function, based on a subjective selfevaluation by the patient 1. Validation of the western ontario rotator cuff index in patients with. You can calculate a total score for each domain physical symptoms600. Western ontario osteoarthritis shoulder woos index. The western ontario rotator cuff index is a selfreport instrument used to assess healthrelated quality of life specifically in people with rotator cuff disease 27,28.
All items have the same weight and each has a possible score of 0 to 100 100 mm vas. Worc pdf click to download western ontario rotator cuff index wosi. The third and most recent western ontario outcome measure is the western ontario rotator cuff index worc. The western ontario rotator cuff index worc is a conditionspecific. A shortened version of the western ontario rotator cuff. Februarythe western ontario rotator cuff index worc is a selfreported instrument to assess the healthrelated quality of life of patients with shoulder complaints as a consequence of rotator cuff disease 1. Pdf the western ontario rotator cuff index worc is a conditionspecific. Worc is also an increasingly applied diseasespecific outcome measure for.
The western ontario rotator cuff index worc is a selfreport questionnaire developed specifically to evaluate disability in persons with pathology of the rotator cuff of the shoulder. Here is the new updated version of the the western ontario rotator cuff index also called worc score. For cuff disorders, the conditionspecific western ontario rotator cuff worc index. The western ontario shoulder instability index wosi. The randomisation is stratified according to participating hospital, gender and baseline western ontario rotator cuff index worc. Please indicate the appropriate amount for the past week with a slash.
The western ontario shoulder instability index wosi clinicians name or ref patients name or ref the following questions concern the symptoms you have experienced due to your shoulder problem. The patient indicates on a line how much pain, discomfort and limitation he or she experiences in various situations. Short western ontario rotator cuff index shortworc. A shortened version of the western ontario rotator cuff disability. Rotator cuff is a collective term for four tendons. The western ontario rotator cuff index worc is a scale designed to evaluate the impact of rotator cuff rc disorders on patients general quality of life. Range of motion functional movements strength testing manual muscles testing or with a.
While previous studies have examined the immediate effects of. How comprehensive and efficient are patientreported. Our study aims to adapt the worc for chinese patients and to assess its reliability, validity, and responsiveness in chinese patients with rc disorders. Crosscultural translation of the western ontario cuff. The purpose was to develop and validate a diseasespecific quality of life measurement tool for osteoarthritis oa of the shoulder an instrument which could be used as the primary outcome measure in clinical trials involving patients with oa of the shoulder was developed using a specific methodological protocol. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in 30. Progressive early passive and active exercise therapy. The authors created items in 5 categories based on a model of quality of life, but never validated this structure. The western ontario rotator cuff index in rotator cuff. Ontario shoulder tools western ontario shoulder instability indexwosi, western ontario osteoarthritis of the shoulder indexwoos, western ontario rotator cuff indexworc 1517. Crosscultural adaptions and measurement properties of the. The western ontario shoulder instability index wosi 70. The western ontario rotator cuff index worc the following questions concern the physical symptoms you have experienced, how your shoulder has affected your work, sports or recreational activities, the amount that your shoulder has affected or changed your lifestyle, and your emotions with regards to your shoulder.
Pdf western ontario rotator cuff index researchgate. Surgical intervention to repair one or more damaged or torn tendons of the shoulder girdle musculature. The conceptually equivalent dutch version of the western ontario rotator cuff index worc. The western ontario rotator cuff index worc section c. Subacromial pain syndrome sps involving rotator cuff tendinopathy is a common cause of shoulder pain and disability. Measure the distance from the left side of the line and calculate the score out of 100 recorded to the nearest 0. Traumatic rotator cuff tears are typically managed surgically followed by 20 weeks of rehabilitation. Western ontario shoulder instability index wosi pro. Kinesiotaping kt is widely used by clinicians for rehabilitation of rcte. Western ontario rotator cuff index an overview sciencedirect.
Review open access crosscultural adaptions and measurement properties of the worc western ontario rotator cuff index. However, the timing and intensity of the postoperative rehabilitation strategy required to reach an optimal clinical outcome is unknown. The western ontario rotator cuff index worc, developed by kirkley et al. Effects of kinesiotaping added to a rehabilitation. Methods and analysis acute cuff tear repair trial accurate is a randomised, placebocontrolled, multicentre efficacy trial with sample size of 180 patients. Rotator cuff tear is a common cause of shoulder disability and results in patients predominantly complaining of pain and loss of motion and strength.
Western ontario rotator cuff index the worc is a selfreporting questionnaire with 21 items concerning. Effectiveness of aquatic therapy on increasing range of. To compare the validity and responsiveness of the short version of the western ontario rotator cuff index shortworc and the worc diseasespecific measures with those of the shoulder pain and disability index spadi and the simple shoulder test sst jointspecific measures. The western ontario rotator cuff index worc, also published by dr. Validity and responsiveness of the short version of the. The reliability and validity of the turkish version of the. The following section concerns the amount that your shoulder problem has affected your work around or outside of the home. Its proven to be a useful outcome measure in several clinical studies and has been translated and validated in italian, german, swedish, and japanese 2.
The western ontario rotator cuff index worc 69 rotator cuff. The western ontario shoulder instability index wosi strument, the western ontario shoulder instability index wosi, was designed to be used as the primary outcome measure in clinical trials evaluating treatments for patients with shoulder instability. The danish version of the western ontario rotator cuff index. Joa, penn, shoulder pain and disability index spadi, linsalata shoulder rating questionnaire srq, korean shoulder scoring system kss, and marx shoulder activity scale, diseasespecific western ontario rotator cuff index worc, quality of life outcome measure for rotator cuff disease rcqol, general health short form12. The shortworc has seven items, including all items from the worc work and. Evaluating the reproducibility of the short version of the. This questionnaire, published in 2003, is targeted for use with clients diagnosed with rotator cuff disease, including tendonitis, tendinosis with no tear, partialthickness tears, full. Comparison of the responsiveness of the brazilian version. However, it has yet to be evaluated prospectively for reproducibility reliability and agreement and floor and ceiling effects. Western ontario rotator cuff worc index physiopedia. Recently, a shorter version of the western ontario rotator cuff index. Introduction rotator cuff tendinopathy rcte is the most frequent cause of shoulder pain, resulting in considerable losses to society and public resources. Validation of the western ontario rotator cuff index in. The western ontario osteoarthritis of the shoulder index.
Recently, a shorter version of the western ontario rotator cuff index shortworc was created to reduce patient response burden. Evaluating the reproducibility of the short version of the western. The following questions concern the physical symptoms you have experienced, how your shoulder has affected your work, sports or recreational activities, the. A comparison of isometric, isotonic concentric and.
Griffinthe development and evaluation of a diseasespecific qualityoflife questionnaire for disorders of the rotator cuff. Western ontario rotator cuff index description the western ontario rotator cuff index worc is a conditionspeci. Background the western ontario rotator cuff index worc is a widely used instrument to measure quality of life in patients with subacromial pain or rotator cuff syndrome. The western ontario shoulder instability index wosi the following questions concern the physical symptoms you have experienced, how your shoulder has affected your work, sports or recreational activities, the amount that your shoulder has affected or changed your lifestyle, and your emotions with regards to your shoulder. A validation of the swedish version of the worc index in. Evidence suggests that structured physiotherapy may be as effective as surgery in this condition with significant improvements demonstrated in trials involving scapular retraining, rotator cuff strengthening and flexibility exercises. The use of water to facilitate the application of established therapeutic interventions, including stretching, strengthening, joint mobilization, balance and gait training, and endurance training1 rotator cuff repair rcr. It has been tested and found acceptable regarding reliability and validity in these patients. However, in most worc validation studies, only a limited number of psychometric properties are studied in indistinct patient groups.
Validity of the quickdash in patients with shoulder. The western ontario rotator cuff index worc is a 21 question selfreport using a visual analogue scale. As standardized screens are always favoured in the medical community, the. The western ontario rotator cuff index clin j sport med, 2003, pp. The conceptually equivalent dutch version of the western. The factor validity of the western ontario rotator cuff index.