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KOOS Score

KOOS Score

Knee Injury & Osteoarthritis Outcome Score

Pain

9 questions

1. Frequency of knee pain

2. Twisting/pivoting pain

3. Straightening fully painful

4. Bending fully painful

5. Walking on flat surface

6. Going up/down stairs

7. Pain at night in bed

8. Sitting/lying pain

9. Standing upright pain

Symptoms

7 questions

10. Swelling in knee

11. Grinding/clicking sensation

12. Knee catching/hanging up

13. Full straightening possible

14. Full bending possible

15. Morning stiffness

16. Stiffness after sitting

ADL

17 questions

17. Descending stairs

18. Ascending stairs

19. Rising from sitting

20. Standing

21. Bending to floor

22. Walking on flat

23. Getting in/out car

24. Going shopping

25. Putting on socks

26. Rising from bed

27. Taking off socks

28. Lying in bed

29. Getting in/out bath

30. Sitting

31. Getting on/off toilet

32. Heavy duties

33. Light duties

Sport & Rec

5 questions

34. Squatting

35. Running

36. Jumping

37. Twisting/pivoting

38. Kneeling

Quality of Life

4 questions

39. Awareness of knee problem

40. Modified lifestyle

41. Lack of confidence in knee

42. Overall difficulty

Subscale Scores

Pain100
Symptoms100
ADL100
Sport & Rec100
Quality of Life100
Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

When to Use

Knee injury outcome assessment (ACL, meniscus)
Knee osteoarthritis progression monitoring
Post-TKA functional evaluation
Sports medicine knee evaluation
Clinical trials for knee interventions

How it Works

Subscales

SubscaleItemsMax Score
Pain936
Symptoms728
ADL1768
Sport/Rec520
QOL416

Formula

Each subscale: 100 - (Raw Score / Max Score) x 100 Each item scored 0-4 (None to Extreme) Higher scores = better knee function

Clinical Pearls

Key Points

MCID: 8-10 points per subscale
Responsive to ACL reconstruction and TKA
Five separate subscales provide granular assessment

Next Steps

Clinical Actions

01
Report all 5 subscale scores separately
02
Compare to age-matched normative data
03
Track subscales individually for targeted intervention

The Evidence

Primary Reference

Knee Injury and Osteoarthritis Outcome Score (KOOS) - development of a self-administered outcome measure

Roos EM et al. • Journal of Orthopaedic and Sports Physical Therapy. 1998;28(2):88-96

Origins & History

Development

KOOS was developed by Ewa Roos and colleagues in 1998 as an extension of the WOMAC Index.

Last Comprehensive Review: 2026-07-17

In Recent Clinical News

Scanning Medical Journals

No new significant updates or guidelines matching this topic were found today. We will check again soon.