Larson developed two charts for evaluating the hip and was intended for use with all hip disorders. This implements Chart 2 for hip evaluation.
Evaluation sections:
(1) pain (40%)
(2) function ability (30%)
(3) gait (15%)
(4) anatomic assessment (15%)
|
Pain |
Points |
|
no pain |
40 |
|
pain with fatigue |
35 |
|
pain with weight-bearing, mild |
30 |
|
pain with weight-bearing, moderate |
20 |
|
pain with weight-bearing, severe |
10 |
|
pain even when not weight-bearing |
10 |
|
continuous |
0 |
|
Function Ability |
Finding |
Points |
|
work and household duties |
full day at usual occupation |
10 |
|
|
modified work or duties |
6 |
|
|
severe restriction on work or duties |
2 |
|
|
unable to work or perform duties |
0 |
|
walking tolerances |
able to walk long distances |
10 |
|
|
can walk shorter distances |
6 |
|
|
able to walk 2 blocks or less |
1 |
|
|
unable to walk |
0 |
|
self-reliance, dressing |
dresses self unaided |
3 |
|
|
needs help with socks and shoes |
2 |
|
|
needs additional help in dressing |
0 |
|
self-reliance, sitting |
able to sit at table or on toilet |
3 |
|
|
unable to sit at table or on toilet |
0 |
|
stairs |
normal |
2 |
|
|
one at a time |
1 |
|
|
unable to take stairs |
0 |
|
getting into car or public conveyance without difficulty |
yes |
2 |
|
|
no |
0 |
|
total |
30 |
function ability subscore =
= (points for work and duties) + (points for walking tolerance) + (points for dressing) + (points for sitting) + (points for stairs) + (points for getting into transport)
|
Gait |
Points |
|
no limp, no support |
15 |
|
no limp, uses cane |
12 |
|
mild limp, no support |
12 |
|
mild limp, uses cane |
9 |
|
moderate limp, without cane or crutch |
9 |
|
moderate limp, with cane or crutch |
6 |
|
severe limp, without cane or crutch |
3 |
|
severe limp, with cane or crutch |
2 |
|
two canes or crutches needed |
1 |
|
unable to walk even with aids |
0 |
|
Anatomic Assessment |
Finding |
Points |
|
flexion in range 0-100° |
>= 80° |
8 |
|
|
< 80° |
0 |
|
abduction in range 0-30° |
>= 20° |
2 |
|
|
< 20° |
0 |
|
shortening |
none to 0.5 inches |
3 |
|
|
0.51 inches to 1.0 inch |
2 |
|
|
1.01 inches to 2.0 inches |
1 |
|
|
> 2 inches |
0 |
|
Trendelenberg test |
absent |
2 |
|
|
present |
0 |
|
total |
15 |
anatomic assessment subscore =
= (points for flexion) + (points for abduction) + (points for shortening) + (points for Trendelenberg)
hip evaluation score =
= SUM(points for 4 evaluation sections)
Interpretation:
• minimum score: 0
• maximum score: 100%
• The greater the score, the greater the function and the less the disability.
Specialty: Surgery, orthopedic
