Questionnaires - Hithera

Body Region	Patient Completed	Clinician Completed
Psychological	DRAM (Distress and Risk Assessment Method) Fear Avoidance Beliefs - FAB-Q
C-spine	Vernin Mior
L-spine	Oswestry Low Back Pain Score Modified Oswestry Low Back Pain Score Back Pain Index
Shoulder	Oxford Shoulder Score ASES DASH (Disabilities of arm, shoulder & hand) Score Quick-DASH Score	Constant Shoulder Score UCLA Shoulder rating scale
Shoulder instability	Oxford Instability Score WOSI (Western Ontario Shoulder Instability Index)	Rowe Score for Instability
Elbow	Oxford Elbow Score DASH (Disabilities of arm, shoulder & hand) Score Quick-DASH Score	MAYO Elbow Score
Wrist	DASH (Disabilities of arm, shoulder & hand) Score Quick-DASH Score	MAYO Wrist Score
Hand	DASH (Disabilities of arm, shoulder & hand) Score Quick-DASH Score Michigan Hand Outcomes Questionnaire
Hip	Oxford Hip Score HOOS (Hip disability and Osteoarthritis Outcome) WOMAC Score	Harris Hip Score
Knee OA	Oxford Knee Score KOOS (Knee Injury & Osteoarthritis Outcome) WOMAC Score IKDC	Knee Society Score (KSS)
Knee ACL	KOOS (Knee Injury & Osteoarthritis Outcome) Modified Cincinatti Rating system Tegner Lysholm Knee Scoring Scale	Modified Cincinatti Rating system Tegner Lysholm Knee Scoring Scale
Ankle/foot	Foot & Ankle Disability Index	American Foot & Ankle Score

Body Region

Patient Completed

Clinician Completed

Psychological

DRAM (Distress and Risk Assessment Method)

Fear Avoidance Beliefs - FAB-Q

C-spine

Vernin Mior

L-spine

Oswestry Low Back Pain Score

Modified Oswestry Low Back Pain Score

Back Pain Index

Shoulder

Oxford Shoulder Score

ASES

DASH (Disabilities of arm, shoulder & hand) Score

Quick-DASH Score

Constant Shoulder Score

UCLA Shoulder rating scale

Shoulder instability

Oxford Instability Score

WOSI (Western Ontario Shoulder Instability Index)

Rowe Score for Instability

Elbow

Oxford Elbow Score

DASH (Disabilities of arm, shoulder & hand) Score

Quick-DASH Score

MAYO Elbow Score

Wrist

DASH (Disabilities of arm, shoulder & hand) Score

Quick-DASH Score

MAYO Wrist Score

Hand

DASH (Disabilities of arm, shoulder & hand) Score

Quick-DASH Score

Michigan Hand Outcomes Questionnaire

Hip

Oxford Hip Score

HOOS (Hip disability and Osteoarthritis Outcome)

WOMAC Score

Harris Hip Score

Knee OA

Oxford Knee Score

KOOS (Knee Injury & Osteoarthritis Outcome)

WOMAC Score

IKDC

Knee Society Score (KSS)

Knee ACL

KOOS (Knee Injury & Osteoarthritis Outcome)

Modified Cincinatti Rating system

Tegner Lysholm Knee Scoring Scale

Modified Cincinatti Rating system

Tegner Lysholm Knee Scoring Scale

Ankle/foot

Foot & Ankle Disability Index

American Foot & Ankle Score

Assessing patient health and tracking their progress over time is crucial. Use these questionnaires to grade disability and monitor improvement. These tools, based on evidence-informed best practices, are designed to support you in delivering quality patient care.

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