KOOS

A 'quality of life' scoring system for assessing outcomes after traumatic knee injury. Using s simple scoring method, patients are assessed on -

Symptoms

• swelling
• grinding, clicking or other noises
• catching
• straightening (extension)
• bending (flexion)

Stiffness

• stiffness on wakening
• stiffness later in the day

Pain

• frequency
• amount of pain in the last week -
• on twisting/pivoting
• on straightening knee fully
• on bending knee fully
• walking on a flat surface
• going up or down hills
• at night while in bed
• sitting or lying
• standing upright

Functions of daily living

Degree of difficulty -

• descending stairs
• ascending stairs
• rising from sitting
• standing
• bending to floor/pick up an object
• walking on flat surface
• getting in and out of a car
• going shopping
• putting on socks/stockings
• rising from bed
• taking off socks/stockings
• lying in bed (turning over/maintaining knee position)
• getting in and out of the bath
• sitting
• getting on and off the toilet
• heavy domestic duties
• light domestic duties

Function, sport and recreational activities

Assesses degree of difficulty in the last week of -

• squatting
• running
• jumping
• twisting/pivoting
• kneeling

Quality of life

• awareness of knee problem
• lifestyle modification because of knee problem
• lack of confidence in knee
• general degree of difficulty

Ref