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Evaluation

Are you evaluating a patient who has had or will have a total knee replacement?

Select appropriate answer to indicate the level of pain over the past 4 weeks

Usual level of pain in the knee

When standing up from a chair

In bed at night

Walking before there is severe pain

Select appropriate answer to indicate how much difficulty or trouble you have had during the past 4 weeks doing each task

Kneeling down and getting up

Household shopping on own

Walking down a flight of stairs

Washing and drying self all over

Getting into or out of car/transportation

Doing usual work

Select appropriate answer to indicate how often each of the following occurred over the past 4 weeks

Knee giving way

Limping because of the knee

Results

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