HarrisHipScore.pdf
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Harris Hip Score
Hip ID:
Study Hip:
Left
Right
Examination Date (MM/DD/YY):
/ /
Subject Initials: |____|____|____|
Medical Record Number:
Interval:
______________
Harris Hip Score
Pain
(check one)
Stairs
None or ignores it (44)
Normally without using a railing (4)
Slight, occasional, no compromise in activities (40)
Normally using a railing (2)
Mild pain, no effect on average activities, rarely moderate
In any manner (1)
pain with unusual activity; may take aspirin (30)
Unable to do stairs (0)
Moderate Pain, tolerable but makes concession to pain.
Put on Shoes and Socks
Some limitation of ordinary activity or work. May require
With ease (4)
With difficulty (2)
Occasional pain medication stronger than aspirin (20)
Marked pain, serious limitation of activities (10)
Unable (0)
Totally disabled, crippled, pain in bed, bedridden (0)
Absence of Deformity
(All yes = 4; Less than 4 =0)
Limp
Less than 30° fixed flexion contracture
Yes
No
None (11)
Less than 10° fixed abduction
Yes
No
Slight (8)
Less than 10° fixed internal rotation in extension
Yes
No
Moderate (5)
Limb length discrepancy less than 3.2 cm
Yes
No
Severe (0)
Range of Motion (
*indicates normal)
Support
Flexion (*140°) ________
None (11)
Abduction (*40°) ________
Cane for long walks (7)
Adduction (*40°) ________
Cane most of time (5)
External Rotation (*40°) ________
One crutch (3)
Internal Rotation (*40°) ________
Two canes (2)
Range of Motion Scale
Two crutches or not able to walk (0)
211° - 300° (5) 61° - 100 (2)
Distance Walked
161
° - 210° (4)
31
° - 60° (1)
Unlimited (11)
101
°
- 160
° (3)
0
° - 30° (0)
Six blocks (8)
Range of Motion Score ____________
Two or three blocks (5)
Indoors only (2)
Total Harris Hip Score ____________
Bed and chair only (0)
Sitting
Comfortably in ordinary chair for one hour (5)
On a high chair for 30 minutes (3)
Unable to sit comfortably in any chair (0)
Enter public transportation
Yes (1)
No (0)
Plik z chomika:
Dr.Rockit
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