Broberg and Morrey used a functional rating index for evaluating patients following elbow injury and corrective surgery. The authors are from the Mayo Clinic.
Parameters:
(1) motion (flexion, pronation, supination)
(2) strength
(3) stability of the joint
(4) pain
points for flexion =
= MIN(27, (0.2 * (flexion arc in degrees)))
points for pronation =
= MIN(6, (0.1 * (pronation arc in degrees)))
points for supination =
= MIN(7, (0.1 * (supination arc in degrees)))
where:
• The maximum value for flexion indicates an arc of 135 degrees.
• The maximum value for pronation indicates an arc of 60 degrees.
• The maximum value for supination indicates an arc of 70 degrees.
|
Parameter |
Finding |
Points |
|
strength |
normal |
20 |
|
|
mild loss (not limiting, 80% of opposite side) |
13 |
|
|
moderate loss (limits some activities, 50% of opposite side) |
5 |
|
|
severe loss (limits everyday tasks, disabling) |
0 |
|
stability |
normal |
5 |
|
|
mild loss, no limitations |
4 |
|
|
moderate loss, limits some activities |
2 |
|
|
severe loss, limits everyday tasks, disabling |
0 |
|
pain |
none |
35 |
|
|
mild, with activities, no medication required |
28 |
|
|
moderate, with or after activities |
15 |
|
|
severe (at rest, disabling, requires constant medications) |
0 |
total score =
= SUM(points for all parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score the greater the functional capacity in the elbow joint.
|
Total Score |
Outcome |
|
95 - 100 |
excellent |
|
80 - 94 |
good |
|
60 - 79 |
fair |
|
0 to 59 |
poor |
Specialty: Surgery, orthopedic
