Evaluation of a Patient with Hip Arthritis Using the Staffelstein Score

Pain Assessment

Finding

Points

pain

none during ADL

40

mild, does not interfere with ADL

30

moderate, requiring use of analgesics

20

continuous pain, restricting work and everyday performance, constant use of analgesics

10

severe pain, completely interfering with ADL

0

ADL Parameter

Finding

Points

climbing stairs

without difficulty

5

with some difficulty or needs to use the handrail

3

with great difficulty or unable to perform at all

0

putting on shoes and socks

without difficulty

5

with some difficulty

3

unable to perform

0

mobility

for an unlimited distance

5

can go a limited distance (500 meters)

4

mobile in room

2

immobile

0

limp

able to move fluidly (no limp)

5

mild to moderate

3

severe

0

hygiene

without difficulty

5

need minor assistance

3

dependent on others

0

use of public transportion

able to use

5

unable to use

0

walking aid

none

5

underarm crutches (UAG = unterarmgehstutzen)

4

rollator

3

wheelchair

2

bedridden

0

standing up from bed or chair

without difficulty

5

need minor assistance

3

dependent on others

0

Hip Joint Function

Finding

Points

flexion

>= 100 degrees

10

75 to 95 degrees

5

<= 70 degrees

0

extension deficit

<= 5 degrees

10

10 to 25 degrees

5

>= 30 degrees

0

abduction

>= 25 degrees

10

15 to 20 degrees

5

<= 10 degrees

0

gluteal muscle power

4 or 5 out of 5

10

3 out of 5

5

1 or 2 out of 5

0