Osteoarthritis (OA) is a common articular conditions among adults ≥60 years of age,
with OA of the knee and hip resulting in significant chronic disability.1 The economic effect of OA is high as a consequence of lost productivity at work,
the cost of treatment, and the frequent need for patients to adapt their lives and
environment because of the disease.2 Because joint pain is a primary symptom of OA, it is important for clinicians to
monitor the occurrence and intensity of joint pain in patients with OA. The Measure
of Intermittent and Constant Osteoarthritis Pain (ICOAP) is an 11-item patient-reported
outcome measure that measures intermittent (6 items) and constant (5 items) pain among
patients with OA. The assessment includes separate versions for the hip and knee joints.
Items are scored using a 0 to 4 scale, with 0 representing no pain and 4 representing
extreme pain.3 The ICOAP does not require any formal training, is free to use, and only requires
the evaluation form and a writing utensil. Additionally, the ICOAP has been cross-culturally
validated in >9 different languages.4 The ICOAP demonstrates excellent test-retest reliability,3., 5. internal consistency,3., 6. and convergent validity with similar instruments that assess osteoarthritis pain.3 A Rasch analysis indicated the ICOAP is a unidimensional measure of pain.7
Bibliography
- 1.Grazio S, Balen D. [Obesity: risk factor and predictor of osteoarthritis] [Croatian]. Lijec Vjesn 2009;131:22-6.
- 2.Altman RD. Early management of osteoarthritis. Am J Manag Care 2010;16 Suppl Management:S41-7.
- 3.Hawker G, Davis A, French M, et al. Development and preliminary psychometric testing of a new OA pain measure – an OARSI/OMERACT initiative. Osteoarthritis Cartilage 2008;16:409-14.
- 4.Maillefert J, Kloppenburg M, Fernandes L, et al. Multi-language translation and cross-cultural adaptation of the OARSI/OMERACT measure of intermittent and constant osteoarthritis pain (ICOAP). Osteoarthritis Cartilage 2009;17:1293-6.
- 5.Singh JA, Luo R, Landon GC, Suarez-Almazor M. Reliability and clinically important improvement thresholds for osteoarthritis pain and function scales: a multicenter study. J Rheumatol 2014;41:509-15.
- 6.Manolarakis GE, Kontodimopoulos N, Sifaki-Pistolla D, Niakas D. Establishing the psychometric properties of the ICOAP questionnaire through intra-articular treatment of osteoarthritic pain: implementation for the Greek version. Arthritis 2016;2016:1-11.
- 7.Moreton B, Wheeler M, Walsh D, Lincoln N. Rasch analysis of the intermittent and constant osteoarthritis pain (ICOAP) scale. Osteoarthritis Cartilage 2012;20:1109-15.
- 8.Gonçalves R, Meireles A, Gil J, Cavalheiro L, Rosado J, Cabri J. Responsiveness of intermittent and constant osteoarthritis pain (ICOAP) after physical therapy for knee osteoarthritis. Osteoarthritis Cartilage 2012;20:1116-9.
- 9.Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63 Suppl 11:S240-52.
- 10.Hawker GA, Stewart L, French MR, et al. Understanding the pain experience in hip and knee osteoarthritis--an OARSI/OMERACT initiative. Osteoarthritis Cartilage 2008;16:415-22.
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Publication history
Published online: March 30, 2017
Footnotes
Highlights From the Rehabilitation Measures Database
This content is provided as a service by the American Congress of Rehabilitation Medicine and is not peer reviewed by the Archives.
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© 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.