Larson Score (IOWA-Hip-Score)

Anwendung

allgemein
Anmerkung
Empfohlener Score bei der medialen Schenkelhalsfraktur. Dt. Ges. f. Orthopädie und Traumatologie + Berufsverb. d. Ärzte f. Orthopädie (Hrsg.) Leitlinien der Orthopädie. Dt. Ärzte-Verlag, Köln, 1999, S. 113ff oder www.awmf-online.de 2 Scores beschrieben, meist wird Score 1 benutzt, wenn man vom IOWA-Hip-Score spricht
submittedKorrektur der Auswertung: Kajetan Klos, Uniklinik Jena

Score 1   
Function (35 points)Does most of housework or job which requires moving about5
 Dresses unaided (includes tying shoes and putting socks)5
 Walks enough to be independent5
 Sits without difficulty at table or toilet4
 Picks up objects from floor by squatting3
 Bathes without help3
 Negotiates stairs foot over foot3
 Carries objects comparable to suitcase2
 Gets into car or public conveyance unaided and rides comfortably2
 Drives a car1
Freedom from pain (35 points)No pain35
 Pain only with fatigue30
 Pain only with weight-bearing20
 Pain at rest but not with weight-bearing15
 Pain sitting or in bed10
 Continuous pain0
Gait (10 points) No limp; no support 10
 No limp using cane 8
 Abductor limp 8
 Short-leg limp8
 Needs 2 canes 6
 Needs 2 crutches 4
 Cannot walk 0
Absence of deformity (10 points) No fixed flexion over 30° 
 No fixed adduction over 10°  
 No fixed rotation over 10° 
 Not over 1" shortening 
Range of motion (10 points) Flexion-extension (normal 140°).. °
 Abduction-adduction (normal 80°) .. °
 External-internal rotation (normal 80°) .. °
 Total degrees .. °
 Points (1 point/30°) ..
Muscle strenth (no points)  
Straight leg-raisingLess than gravity 
 Gravity  
 Gravity + resistance  
AbductionLess than gravity 
 Gravity  
 Gravity + resistance  
ExtensionLess than gravity 
 Gravity  
 Gravity + resistance  
Auswertung100 Punkte Skala, 35 für Schmerzfreiheit, 35 für Funktion, 10 Punkte für den Gang, 10 für Fehlen einer Deformität und 10 für die Beweglichkeit. 
   
Score 2  
Pain (40%)None40
 Pain with fatigue 35
Pain with weight-bearingMild 30
 Moderate 20
 Severe 10
 Persistent with non-weight-bearing 10
 Continuous pain 0
Function ability (30%)  
Work and household dutiesFull day - usual occupation 10
 Modified work or duties 6
 Severe restriction of former 2
Walking tolerancesLong distances 10
 Shorter distances 6
 2 blocks or less1
Self-relianceDresses self unaided 3
 Help with shoes, socks2
 Sit at table and toilet3
Stairsnormal2
 one at time1
othergets into car or public conveyance without difficulty2
Gait (15%)No limp - no support 15
 No limp - with cane12
 Limp - mild - without cane12
 Limp - mild - with cane9
 Limp - moderate - without cane or crutch9
 Limp - moderate - with cane or crutch6
 Limp - severe - without cane or crutch 3
 Limp - severe - with cane or crutch2
 Two canes or crutches 1
Anatomic assessment (15%)   
MotionFlexion - up to 80° in range 0° - 100° x 0, 1 8
 Abduction - up to 20° in range 0° - 30° x 0,12
ShorteningNone - 1/2 3
 1/2-12
 1 -2 1
Trendelenburgabsent 2