Description

The Cochin Scale can be used to assess disability in hand function for a patient with rheumatoid arthritis. This can be used to monitor a patient over time and to evaluate the response to interventions. The scale was developed at Hopital Cochin, Universite Rene Descartes in Paris.


 

Hand functions:

(1) hold a bowl

(2) grasp and raise a full bottle

(3) hold a plate full of food

(4) pour liquid into a glass from a bottle

(5) unscrew the lid from a previously opened jar

(6) cut meat with a knife

(7) prick things with a fork

(8) peel the skin from a fruit

(9) button a shirt

(10) open and close and zipper

(11) squeeze a new (full) tube of toothpaste

(12) effectively hold a toothbrush

(13) write a short sentence with a regular pen

(14) write a letter with a regular pen

(15) turn a round door knob

(16) cut paper with a pair of scissors

(17) pick up coins from a surface

(18) turn a key in a lock

 

Difficulty

Points

none

0

a little

1

some

2

much

3

nearly impossible

4

impossible

5

 

total score =

= SUM(points for all 18 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 90

• The higher the score the greater the disability.

 


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