Description

The Oxford Hip Score can be used to evaluate a patient with hip problems. It can be used as an outcome measure for total hip replacement by comparing the change in functional disability before and after surgery. The authors are from the University of Oxford and the Nuffield Orthopaedic Centre.


 

There are 12 questions covering hip-related signs and symptoms over the previous 4 weeks.

 

Items:

(1) pain

(2) trouble washing and drying self

(3) trouble with transportation

(4) trouble with socks or stockings

(5) household shopping

(6) walking distance

(7) climbing a flight of stairs

(8) pain when standing up from a chair at table

(9) limping

(10) frequency of severe pain

(11) interference with work

(12) pain in bed at night

 

The responses are scored from 1 (no impact) to 5 (marked impact).

 

Oxford hip score =

= SUM(points for all 12 questions)

 

Interpretation:

• minimum score: 12

• maximum score: 60

• The higher the score the greater the disability.

 

percent of maximal score =

= ((Oxford hip score) – 12) / 48 * 100%

 

Performance:

• The authors felt that the score was simple, practical, reliable, valid and sensitive.

• Sensitivity to change was assessed by analyzing the differences between pre- and post-operative scores.

 

Limitations:

• McMurray et al found that the score has deficiencies in the instructions and lack of clarity in purpose.

 


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