Method of Lazansky for Grading Pain and Function in a Patient with a Hip Disorder

Parameter

Finding

Points

pain

severe, spontaneous

1

severe on attempting to walk, prevents all activity

2

tolerable, permitting limited activity

3

only after some activity, disappears quickly with rest

4

slight or intermittent; pain on starting to walk but getting less with normal activity

5

no pain

6

use of walking aid

bedridden

1

chair life

2

2 crutches

3

2 sticks

4

one stick always

5

one stick outdoors

6

none

7

walking ability

bedridden or a few yards

1

time and distance very limited, with or without sticks

2

limited with one stick (less than 1 hour); difficult without stick; able to stand for long periods

3

long distances with one stick; limited without stick

4

no stick required but limps; little or no limitation on distance

5

normal for age and health

6

gait without aids

cannot walk

1

shuffles with small steps or scissors

2

walks with gross limp

3

walks with moderate limp

4

slight limp

5

normal gait

6

shoes and stockings

no

1

yes

2

cut toenails

no

1

yes

2

Total Score

Outcome

> 5.5

excellent

4.51 to 5.5

very good

3.51 to 4.5

good

2.51 to 3.3

fair

1.51 to 2.5

poor

1.0 to 1.5

very poor