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WOMAC · Western Ontario and McMaster Universities Osteoarthritis Index

24 items · 7 min · 0–96 (Likert) or 0–100 (VAS) · lower is better

Licensed — we carry the score, never the form

1 Before you use it

What it is

Metadata only. The most-cited osteoarthritis instrument in the world. Twenty-four items across three subscales — pain (5), stiffness (2) and physical function (17) — for hip and knee OA.

You do not need to licence it, because KOOS and HOOS contain it.

When to reach for it

When it appears in a trial report or a rheumatology letter. For your own baseline use KOOS or HOOS — both contain WOMAC, so you get the same information without the licence.

2 Giving it

Scoring

Three subscales reported separately. Likert and visual-analogue versions have different ranges. Higher means worse.

What it doesn’t measure

Sport, quality of life, strength or performance.

3 Reading the score

Interpreting it

The stiffness subscale is only two items, which is worth knowing when a report leans on it.

Is the change real?

MCID 6.4 points on the total score. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in knee osteoarthritis.

Student trap. Paying for a WOMAC licence when KOOS contains it and is free.

Licensed through womac.com. We don't host the form.

Use instead: KOOS — same construct, no licence.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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