| Category | Score | Findings |
| Pain (25 points) | 25 | No pain |
| 20 | Mild pain with vigorous activities | |
| 20 | Pain only with weather changes | |
| 15 | Moderate pain with vigorous activities | |
| 10 | Mild pain with activities of daily living | |
| 5 | Moderate pain with activities of daily living | |
| 0 | Pain at rest | |
| Satisfaction (25 points) | 25 | Very satisfied |
| 20 | Moderately satisfied | |
| 10 | No satisfied, but working | |
| 0 | No satisfied, unable to work | |
| Range of motion (25 points) | 25 | 100% percentage of normal |
| 15 | 75% - 99% percentage of normal | |
| 10 | 50% - 74% percentage of normal | |
| 5 | 25% - 49% percentage of normal | |
| 0 | 0% - 24% percentage of normal | |
| Grip strength (25 points) | 25 | 100% percentage of normal |
| 15 | 75% - 99% percentage of normal | |
| 10 | 50% - 74% percentage of normal | |
| 5 | 25% - 49% percentage of normal | |
| 0 | 0% - 24% percentage of normal | |
| Final result (total points) | 90 - 100 | Excellent |
| 80 - 89 | Good | |
| 65 - 79 | Fair | |
| <65 | Poor |