PatientIQ Patient Portal

Outstanding Tasks0

Complete Tasks Below
Click on the items below to complete.

Koos Jr Test

KOOS Jr

Form

KOOS Jr
Form

Outstanding Tasks0

Complete Tasks Below
Click on the items below to complete.

Koos Jr Test

KOOS Jr

Form

KOOS Jr
Form

KOOS Jr

Instructions

This survey asks for your view about your knee. This information will help us keep track of how you feel about your knee and how well you are able to do your usual activities.

Stiffness

The following question concerns the amount of joint stiffness you have experienced during the last week in your knee. Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint.

Pain

What amount of knee pain have you experienced the last week during the following activities?

Function, daily living

The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your knee.

	None	Mild	Moderate	Severe	Extreme
Twisting/pivoting on your knee
Straightening knee fully
Going up or down stairs
Standing upright

	None	Mild	Moderate	Severe	Extreme
Rising from sitting
Bending to floor/pick up an object

Koos Jr Test

KOOS Jr

KOOS JrForm

Koos Jr Test

KOOS Jr

KOOS JrForm

Instructions

The following question concerns the amount of joint stiffness you have experienced during the last week in your knee. Stiffness is a sensation of restriction or slowness in the ease with which you move your knee joint.

What amount of knee pain have you experienced the last week during the following activities?

The following questions concern your physical function. By this we mean your ability to move around and to look after yourself. For each of the following activities please indicate the degree of difficulty you have experienced in the last week due to your knee.

KOOS Jr
Form

KOOS Jr
Form