Recognizing the need for standardized, reliable and valid instruments to measure the outcomes of musculoskeletal care, the American Academy of Orthopaedic Surgeons (AAOS), in conjunction with a number of orthopaedic specialty societies, created a series of outcomes instruments, or measuring tools. In 1999, the AAOS, along with the Council of Musculoskeletal Societies (COMSS) and the Council of Spine Societies, undertook a normative data study that has provided these standardized scores for
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