Score nach Mazur et al. ("Boston children's Hospital ankle scoring system)

Anwendung

Arthrodese

PainNone, or patient ignores it 50
 Slight when going up or down stairs or walking long distances (no restriction of activities of daily living)45
 Moderate when going up or down stairs or walking long distances; none during level gait; occasional non-narcotic medication needed 40
 During level gait, with more pain on stairs; none at rest; daily medication used 25
 At rest or at night in addition to during walking; narcotic medication required 10
 Continuous, regardless of activity 0
 Disabled because of pain 0
Function  
Limp, antalgic None 6
  Slight 4
 Moderate 2
 Marked 0
Hills (down) Descends normally 3
  Descends with foot externally rotated 2
 Descends on toes or by side-stepping 1
 Unable to descend 0
Stairs (down) Descends normally 3
  Needs banister 2
 Steps down with normal foot only 1
 Unable to descend stairs 0
Ability to rise on toes (stability) Able to rise on toes x 10 repetitions 5
  Able to rise on toes x 5 repetitions 3
 Able to rise on toes x 1 repetition 1
 Unable to rise on toes 0
Running Able to run as much as desired 5
 Able to run but limited 3
Distance Unlimited 6
 4-6 blocks 4
 1 - 3 blocks 2
 Indoors only 1
 Bed-chair 0
 Unable to walk 0
Hills (up) Climbs normally 3
 Climbs with foot externally rotated 2
 Climbs on toes or by side-stepping 1
 Unable to climb hills 0
Stairs (up) Climbs normally 3
 Needs banister 2
 Steps up with normal foot only 1
 Unable to climb stairs 0
Support None 6
 Cane, long walks only 5
 Cane, full time 3
 2 canes or crutches 1
 Walker required or unable to walk 0
Running Unable to run 0
Range of motion  
Dorsiflexion beyond neutral40° 5
  30° 4
  20° 3
  10° 2
 1
 0
Plantarflexion40°5
  30°4
 20°3
 10° 2
 1
 0
   
Result         80 -100 points             excellent
 70 - 79 points           good
 60 - 69 points             fair
 < 60 points            poor