Myerson et al used a questionnaire to evaluate patients who had undergone trauma with crush injuries to the foot. This can help identify functional outcome. The authors are from Union Memorial Hospital in Baltimore.
Parameters:
(1) pain and impact on lifestyle
(2) gait
(3) stability
(4) limp
(5) shoes
(6) terrain
(7) stairs
|
Parameter |
Finding |
Points |
|
residual pain in foot and impact on lifestyle |
none; can do sports and strenuous (heavy) activities |
40 |
|
|
slight; no change in work ability |
35 |
|
|
mild; minimal change in daily activities |
30 |
|
|
moderate; requires use of aspirin or other NSAIDs |
20 |
|
|
marked; pain occurs with minimal activity |
10 |
|
|
disabling; requires frequent analgesia |
0 |
|
gait |
walk unlimited distances |
20 |
|
|
slight limits on distance |
15 |
|
|
severely limited |
10 |
|
|
in house only |
0 |
|
stability |
foot stable and sturdy |
10 |
|
|
foot weak and/or unstable |
5 |
|
|
foot gives way |
0 |
|
limp |
none |
10 |
|
|
barely noticeable |
5 |
|
|
noticeable |
2 |
|
|
limiting or severe |
0 |
|
shoes |
can wear any kind |
10 |
|
|
make concessions in shoe wear |
9 |
|
|
can wear flat shoes only |
7 |
|
|
wear an orthotic device |
5 |
|
|
require special shoe |
2 |
|
terrain |
can walk on any terrain |
5 |
|
|
problems with hills |
2 |
|
|
problems on flat surfaces |
0 |
|
stairs |
can climb stairs unassisted |
5 |
|
|
can climb stairs if assisted |
2 |
|
|
unable to handle stairs |
0 |
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 2
• maximum score: 100
• The higher the score, the better the outcome.
|
Score |
Outcome |
Clinical Correlates |
|
75 - 100 |
good |
minimal functional limitation |
|
50 - 74 |
fair |
pain and functional impairment in activities of daily living |
|
< 50 |
poor |
significant complaints of pain and functional impairment; may require long term therapy and be incapacitated |
where:
• I would think a score near 100 would be an excellent outcome.
Specialty: Surgery, orthopedic
