ASSESSMENT TOOL CRITIQUE FORM

GENERAL INFORMATION
Title of Tool
Author
Time Required
to administer the test
Materials Required
Cost
TEST DESCRIPTION
Purpose of the Test

Target Population

Domains Measured
Item Description
PRACTICAL ASSESSMENT
Ease of administration

Knee Injury and Osteoarthritis Outcome Score

(KOOS)
Ewa Roos and L Stefan Lohmander (2003)
10 minutes
Knee Injury and Osteoarthritis Outcome Score
Questionnaire and Pencil
FREE

The purpose of KOOS is to cover several types

of knee injury and including osteoarthritis (OA),
was that traumatic knee injuries often causes
concomitant damage to multiple
Structures (ligaments, menisci, cartilage, etc.)
and frequ0ently lead to the later development
of OA. To be able to follow patients after a
trauma and to gain insight into the change of
symptoms, function etc. over time, a
questionnaire which covers bo9akth the shortterm and long-term consequences is needed.
(Roos & Lohmander, 2003)
The KOOS is intended to be used in knee Injury that
can result in post-traumatic OA or in primary OA. The
KOOS has been used in men and women ranging
from 14-79 years in age with varying disorders
resulting in knee complaints such as anterior
cruciate ligament tear, meniscus tear, and mild
moderate, and severe OA. (Roos & Lohmander 2003)
Long term and short term consequences of the knee
injury.
Function in daily living, Sports and Recreation and
Knee Related Quality of Life
KOOS is self-explanatory and can be administered in
waiting room or used as a mailed survey. (Roos &
Lohmander 2003)

Clarity of directions

All questionnaires were mailed to the patients

and returned by mail in a pre-paid envelope. In
addition to the KOOS, which include the
WOMAC, patients were also sent the SF-36 and
questions regarding background data. The
Swedish version LK 1.0 of the KOOS, including
the Swedish version LK 1.0 of the WOMAC, and
the Acute Swedish version of the SF-36 were
used. Literacy of the subjects was not assessed.
(Roos &Larsen 2003)

Scoring & Interpretation

The score is a percentage score from 0 to 100, 0

representing extreme problems and 100
representing no problems, is common in orthopaedic
instruments and generic measures like the SF-36.
(Roos & Lohmander 2003)
No Training Required

Examiner qualifications & training

PSYCHOMETRIC PROPERTIES

Validity

Reliability

Responsiveness

OTHER CONSIDERATIONS
Culture-Fair Evaluation

s. There were strong correlation between KOOS

Pain and SF-36 BP (r 0.79, P < 0.01), KOOS
ADL and SF-36 PF (r 0.73, P < 0.01) and
KOOS Sport/Rec and SF-36 PF (r 0.72, P <
0.01). Also, higher correlations were found
between KOOS subscales and SF-36 subscales
of PH than between KOOS subscales and SF-36
subscales of MH. (Salavati et al. 2011)
The test-retest reliability of all KOOS subscales
was excellent, with ICCs ranging from 0.81 to
0.86. (Paradowskei, Keska & Witonski 2016)
The most responsive subscale was knee-related
quality of life (QOL) with an effect size of 2.86
at 6 months and 3.54 at 12 months. The second
most responsive subscale was Pain with effects
sizes of 2.28 and 2.55 at 6 and 12 months,
respectively. The subscale sport and recreation
function (Sport/Rec) was the least responsive
subscale with effect sizes of 1.18 and 1.08 at 6
and 12 months, respectively. (Roos & Larsen
2003)
Briefly, two bilingual translators proficient
in English and Chinese independently translated
the
source English version into Chinese and then
developed
a reconciled version, which was back translated
into English
by another two independent bilingual
translators, with further refinements based on
the feedback from back translation resulting in
the consensus Singapore Chinese version. (Xie
et al. 2006)

Disability-Fair Evaluation

Roos, Ewa M., and L. Stefan Lohmander. The Knee Injury and Osteoarthritis Outcome Score
(KOOS): From Joint Injury to Osteoarthritis. Health and Quality of Life Outcomes 1 (2003):
64. doi:10.1186/1477-7525-1-64.
Salavati, M., B. Akhbari, F. Mohammadi, M. Mazaheri, and M. Khorrami. Knee Injury and
Osteoarthritis Outcome Score (KOOS); Reliability and Validity in Competitive Athletes after
Anterior Cruciate Ligament Reconstruction. Osteoarthritis and Cartilage / OARS,
Osteoarthritis Research Society 19, no. 4 (April 2011): 40610.
doi:10.1016/j.joca.2011.01.010.
Xie, F., S.-C. Li, E. M. Roos, K.-Y. Fong, N.-N. Lo, S.-J. Yeo, K.-Y. Yang, W. Yeo, H.-C. Chong,
and J. Thumboo. Cross-Cultural Adaptation and Validation of Singapore English and
Chinese Versions of the Knee Injury and Osteoarthritis Outcome Score (KOOS) in Asians

with Knee Osteoarthritis in Singapore. Osteoarthritis and Cartilage / OARS, Osteoarthritis

Research Society 14, no. 11 (November 2006): 10981103. doi:10.1016/j.joca.2006.05.005.
Roos, Ewa M., and Sren Toksvig-Larsen. Knee Injury and Osteoarthritis Outcome Score
(KOOS) - Validation and Comparison to the WOMAC in Total Knee Replacement. Health
and Quality of Life Outcomes 1 (2003): 17. doi:10.1186/1477-7525-1-17.