Oakland Hip Evaluation Scale

 A Modification of the Harris Hip Score

  

Pain

Degree of hip pain

• Incapacitating      ( 0)
• Severe                   (10)
• Moderate              (20)
• Mild                        (30)
• None                      (40)

 

Function

 

Dressing

Pain, discomfort, or difficulty with putting on or taking off socks or shoes

• Most of the time             (0)
• Occasionally                    (2)
• Never                                 (4)

 

Gait aid used in past few weeks

• None                                  (8)
• Cane, crutches, walker, wheelchair (0)

 

With gait aid

comfortable walking distance without stopping

• Unlimited                                    (8)
• Long distances but limited     (7)
• Short distances                         (5)
• Household only                         (3)
• Transfers only; requires wheelchair (0)

 

Without gait aid

comfortable walking distance without stopping

• Unlimited                                   (11)
• Long distances but limited      (7)
• Short distances                          (5)
• Household only                          (3)
• Transfers only; requires wheelchair (0)

 

Sitting

• Can sit comfortably in ANY position   (5)
• Can sit comfortably at a table or movies but can’t tolerate other sitting position (3)
• Unable to sit comfortably for more than a few minutes without changing positions (0)

 

Stair climbing

• Foot over foot without a railing       (4)
• Foot over foot with a railing             (2)
• Foot to foot stair climbing with/without railing        (1)
• Unable to climb stairs or only with great difficulty   (0)

 

Physical examination

 

Passive range of motion

Hip internal rotation, sitting, knee 90°

• < 16° =  0    
• 16° – 29°  = 1    
• 30° – 39° =  2  
• > 39°  =  3

Hip external rotation, sitting, knee 90°

• < 16°  =  0  
• 16° – 29°  = 1    
• 30° – 39° =  2  
• > 39° = 3

Hip flexion, supine

• < 90°  = 0
• 90° – 100° = 1
• 101° – 114° = 2
• > 114°  =  3

Hip abduction, supine

< 20°  =  0

20° – 29° =  1

30° – 39° = 2

> 39° =  3

 

Thomas test

• Hip flexion contracture present        (0)
• Hip flexion contracture not present (1)

 

Manual muscle testing Score each as follows:

trace, no movement, or

less than anti-gravity resistance =  0

antigravity =  1

anti-gravity with resistance =  2

tolerates normal resistance =  2

• Hip flexion   (   )
• Hip extension  (   )
• Hip abduction  (   )
• Hip adduction  (   )

 

Best step height performance

• Unable  (0)
• 15–20cm  (2)
• >50cm/transportation  (6)

 

Limp

• No limp; no gait aid  (1)
• No limp; with gait aid  (0)
• Limp; no gait aid  (0)
• Limp; with gait aid  (0)

 

Total score for each hip:

Høyre           Venstre

 

 

Oakland Children mod Harris Hip Score DS.pdf