Hip Evaluation Chart 1 of Larson

Parameters:

(1) function (35 points)

(2) freedom from pain (35 points)

(3) gait (10 points)

(4) absence of deformity (10 points)

(5) range of motion (10 points)

 

Functional Parameter	Finding	Points
does most of housework or job which requires moving about	yes	5
	no	0
dresses unaided (including tying shoes and putting on socks)	yes	5
	no	0
walks enough to be independent	yes	5
	no	0
sits without difficulty at table or toilet	yes	4
	no	0
picks up objects from floor by squatting	yes	3
	no	0
bathes without help	yes	3
	no	0
negotiates stairs foot over foot	yes	3
	no	0
can climb stairs in any manner	yes	2
	no	0
carries objects comparable to suitcase	yes	2
	no	0
gets into car or public conveyance unaided and rides comfortably	yes	2
	no	0
drives a car	yes	1
	no	0

 

where:

• The item for "drives a car" has several nuances. One is ability to sit. The second is to operate the foot pedals. The latter could be bypassed by use of hand controls.

 

points for function =

= SUM(points for all 10 parameters)

 

NOTE: Function points are supposed to add up to a subtotal of 35. If you add the numbers up in Chart 1, the total is only 33. In Chart 3 (page 87), there is an additional item for "can climb stairs in any manner" valued at 2 points.

 

Parameter	Finding	Points
freedom from pain	no pain	35
	pain only with fatigue	30
	pain only with weight-bearing	20
	pain at rest but not with weight-bearing	15
	pain sitting or in bed	10
	continuous pain	0
gait	no limp, no support	10
	no limp using cane	8
	abductor limp	8
	short-leg limp	8
	needs 2 canes	6
	needs 2 crutches	4
	cannot walk	0

 

 

Absence of Deformity	Finding	Points
fixed flexion	> 30°	0
	<= 30°	3
fixed adduction	> 10°	0
	<= 10°	3
fixed rotation	> 10°	0
	<= 10°	2
leg shortening	> 1 inch	0
	<= 1 inch	2

 

where:

• normal flexion-extension range of motion is 140°

• normal abduction-adduction range of motion is 80°

• normal external-internal rotation range of motion is 80°

 

total degrees in range of motion =

= (degrees of flexion-extension) + (degrees for abduction-adduction) + (points for external-internal rotation)

 

where:

• normal flexion-extension range of motion is 140°

• normal abduction-adduction range of motion is 80°

• normal external-internal  range of motion is 80°

 

points for range of motion =

= MIN(10,INT((total degrees in range of motion) / 30))

 

Muscle strength is also recorded but is not graded:

(1) straight leg raising: against gravity + resistance, against gravity, less than gravity

(2) abduction: against gravity + resistance, against gravity, less than gravity

(3) extension: against gravity + resistance, against gravity, less than gravity

 

total score =

= (points for function) + (points for freedom from pain) + (points for gait) + (points for absence of deformity) + (points for range of motion)

 

Interpretation:

• minimum score: 0

• maximum score: 100

• The higher the score the better the function of the hip.