Index of severity for Osteoarthritis of the hip

This tool is intended for healthcare professionals. It is an evaluation tool used and validated in clinical medicine and by healthcare professionals, to whom it gives an expert view to understand patient´s condition. A self-measurement test will not be sufficient to complete and interpret correctly these scales.
The Lequesne algofunctional index is used to assess the impact of pain associated with hip osteoarthritis on the daily functioning of patients. This index evaluates the severity and frequency pain, claudication distance, and difficulties in daily life. This scale can be used to monitor a patient and track treatment efficacy.

A - Pain or Discomfort

1 - Pain or discomfort during nocturnal bedrest
  • none
  • only on movement or in certain positions
  • without movement
2 - Duration of morning stiffness or pain after getting up
  • none
  • < 15 minutes
  • >= 15 minutes
3 - Remaining standing for 30 minutes increases pain
  • no
  • yes/li>
4 - Pain on walking
  • none
  • only after walking some distance
  • early after starting
5 - Pain or discomfort in sitting position for 2 hours
  • no
  • yes

B - Maximum Distance Walked

6 - Maximum distance walked
  • unlimited
  • 1 kilometer but limited
  • about 1 kilometer (about 15 minutes)
  • about 500 - 900 meters (about 8-15 minutes)
  • from 300 - 500 meters
  • from 100 - 300 meters
  • < 100 meters
7 - Walking aids required
  • none
  • 1 walking stick or crutch
  • 2 walking sticks or crutches

C - Activities of Daily Living

8 - Can you put on socks by bending forward?
  • easily
  • with mild difficulty
  • with moderate difficulty
  • with marked difficulty
  • impossible
9 - Can you pick up an object from the floor?
  • easily
  • with mild difficulty
  • with moderate difficulty
  • with marked difficulty
  • impossible
10 - Can you go up and down a standard flight of stairs?
  • easily
  • with mild difficulty
  • with moderate difficulty
  • with marked difficulty
  • impossible
11 - Can you get into and out of a car?
  • easily
  • with mild difficulty
  • with moderate difficulty
  • with marked difficulty
  • impossible

Source :
Lequesne M, Mery C, Samson M, Gérard P. Indexes of severity for osteoarthritis of the hip and knee. Scand J Rheumatol, 1987, 65 : 85-89

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