Harris Hip Score

DS Harris_hip_score.pdf

Children’s Hospital 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