I PAIN (30 Points) | |||||||||||
None | 30 | ||||||||||
Tenderness or minimal pain in sports or heavy labor | 25 | ||||||||||
Minimal pain in ADL | 20 | ||||||||||
15 | |||||||||||
Moderate and tolerable pain (Analgetic needed, occasional night pain) | 10 | ||||||||||
Severe pain (ADL limited, frequent night pain) | 5 | ||||||||||
Totally incapacitated because of pain | 0 | ||||||||||
II FUNCTION (20 Points) | |||||||||||
Strength in Abduction (5 Points) | Endurance (5 Points) | ||||||||||
(To be measured at 90 degrees of abduction or at possible abduction level.) | Normal | 5 | (Time in seconds of holding 1 kg dumb-bell horizontally with elbow extended and force arm pronated) | More than 10 seconds | 5 | ||||||
Excellent | 4 | More than 3 seconds | 3 | ||||||||
Good | 3 | More than 2 seconds | 1 | ||||||||
Fair | 2 | Zero | 0 | ||||||||
Poor | 1 | ||||||||||
Zero | 0 | ||||||||||
Activities of Daily Living (10 Points) | |||||||||||
Combing hair | 1 | Reaching opposite axilla | 1 | ||||||||
Making knot in back | 1 | Open and close sliding door | 1 | ||||||||
Reaching mouth | 1 | Reaching overhead shelf | 1 | ||||||||
Sleep on involved side | 1 | Self hygienic care | 1 | ||||||||
Reaching side pocket(jacket) | 1 | Wearing jacket | 1 | ||||||||
Subtract one point from above for each activity that cannot be carried out, specify; | |||||||||||
1. 2. 3. | |||||||||||
III RANGE OF MOTION (30 Points) | |||||||||||
Elevation (15 Points) | Exertal Rotation (9 Points) | Internal Rotation (6 Points) | |||||||||
More than 150 degrees | 15 | More than 60 degrees 9 | Above T12 spinous process | 6 | |||||||
More than 120 degrees | 12 | More than 30 degrees 6 | Above L5 spinous process | 4 | |||||||
More than 90 degrees | 9 | More than 0 degrees 3 | Gluteal | 2 | |||||||
More than 60 degrees | 6 | More than −20 degrees 2 | Below gluteal | 0 | |||||||
More than 30 degrees | 3 | Less than −20 degrees 0 | |||||||||
0 degree | 0 | ||||||||||
IV ROENTGENOGRAPHIC EVALUATION (5 Points) | |||||||||||
Normal | 5 | ||||||||||
Moderate changes or subluxation | 3 | ||||||||||
Advanced change or dislocation | 0 | ||||||||||
V JOINT STABILITY (15 Points) | |||||||||||
Normal | 15 | ||||||||||
Slight instability or apprehension | 10 | ||||||||||
Severe instability or history or state of subluxation | 5 | ||||||||||
Relevant history or state of dislocation | 0 | ||||||||||