Description

The Rotterdam Handicap Scale can be used to measure a patient's functional ability and level of handicap. This can be used to monitor a patient's status over time and evaluate the effectiveness of interventions. The authors are from Erasmus University in Rotterdam, The Netherlands.


 

Parameters:

(1) mobility indoors

(2) mobility outdoors

(3) kitchen tasks

(4) domestic tasks, indoors

(5) domestic tasks, outdoors

(6) leisure activities, indoors

(7) leisure activities, outdoors

(8) able to drive a car, travel by bus, and/or ride a bicycle

(9) work or study

 

Responses range from 1 (unable to perform at all) to 4 (normal). If not applicable then the item was scored as 0.

 

total score =

= SUM(points for all 9 items)

 

total score if less than 9 items completed =

= SUM(points of applicable items) * (9 / (9 – (number of nonapplicable items)))

 

Interpretation:

• minimum score: 0 (none of the items applicable)

• minimum score with all items applicable: 9

• maximum score with all items applicable: 36

• The higher the score, the better a person's functional ability.

 

Performance (page 375):

• Validity: The scale shows face validity, with scores varying with clinical severity. The score also correlates well with the Rankin scale.

• Reliability: Reliability was good for inter- and intra-observer scoring.

• Responsiveness: The Rotterdam score increased in patients who responded to therapy. The standardized response mean indicated good responsiveness in these patients.

 


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