Use our readymade template to create your Kujala Anterior Knee Pain Scale (AKPS) for assessing anterior knee pain
Create your care assessments
| AKPS score | Severity |
|---|---|
| 100-86 | Excellent |
| 85-71 | Good |
| 70-56 | Fair |
| 55-0 | Poor |
- 13-item questionnaire that scores each item based on the severity of the pain and the impact on daily activities
- Real-time calculation of AKPS Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of the pain
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. Limp | None |
| 2. Support | Full support without pain |
| 3. Walking | Unlimited |
| 4. Stairs | No difficulty |
| 5. Squatting | No difficulty |
| 6. Running | No difficulty |
| 7. Jumping | No difficulty |
| 8. Prolonged sitting with knee flexed | No difficulty |
| 9. Pain | None |
| 10. Swelling | None |
| 11. Abnormal painful kneecap movements | None |
| 12. Atrophy of thigh | None |
| 13. Flexion deficiency | None |
| AKPS Score | 100 |
- Pre-populate patient details such as patient id, name, email etc in the AKPS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their AKPS assessment form prior to their visit
- Allow patients to save their progress and complete their AKPS assessment form at a later time without losing any responses
- Set up an email template for your AKPS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their AKPS score, diagnosis, next steps when they submit their AKPS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. Limp | None | 5 | 100 |
| 3 | John W | 2. Support | Full support without pain | 5 | 100 |
| 4 | John W | 3. Walking | Unlimited | 5 | 100 |
| 5 | John W | 4. Stairs | No difficulty | 10 | 100 |
| 6 | John W | 5. Squatting | No difficulty | 5 | 100 |
| 7 | John W | 6. Running | No difficulty | 10 | 100 |
| 8 | John W | 7. Jumping | No difficulty | 10 | 100 |
| 9 | John W | 8. Prolonged sitting with knee flexed | No difficulty | 10 | 100 |
| 10 | John W | 9. Pain | None | 10 | 100 |
| 11 | John W | 10. Swelling | None | 10 | 100 |
| 12 | John W | 11. Abnormal painful kneecap movements | None | 10 | 100 |
| 13 | John W | 12. Atrophy of thigh | None | 5 | 100 |
| 14 | John W | 13. Flexion deficiency | None | 5 | 100 |
- Export patient responses including the calculated AKPS score to Google Sheets for easy record-keeping
- Export individual points for 13 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their knee pain symptoms
- Receive a copy of the response and the calculated AKPS score by email whenever a patient submits their AKPS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. Limp: | None |
| 2. Support: | Full support without pain |
| 3. Walking: | Unlimited |
| 4. Stairs: | No difficulty |
| 5. Squatting: | No difficulty |
| 6. Running: | No difficulty |
| 7. Jumping: | No difficulty |
| 8. Prolonged sitting with knee flexed: | No difficulty |
| 9. Pain: | None |
| 10. Swelling: | None |
| 11. Abnormal painful kneecap movements: | None |
| 12. Atrophy of thigh: | None |
| 13. Flexion deficiency: | None |
| AKPS Score: | 100 |
| AKPS Score: | 100 |
- Create a HIPAA compliant AKPS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting AKPS form responses to Google Sheets and sending them on email
- Prepopulate patient details in AKPS assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
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