Index of Severity for Osteoarthritis of the Hip by Lequesne et al

Overview

Lequesne et al developed an index of severity for osteoarthritis for the hip (ISH). This can be used to assess the effectiveness of therapeutic interventions. Your answers will enable an overall assessment of your health over the last four weeks. Please select the boxes than better represent your situation.

Patient Name

Section I: Pain or Discomfort

Pain or discomfort during nocturnal bedrest (i.e. sleep)

None
Only on movement or in certain positions
Without movement

Duration of morning stiffness or pain after getting up

None
< 15 minutes
>= 15 minutes

Remaining standing for 30 minutes increases pain

No
Yes

Pain on walking

None
Only after walking some distance
Early after starting (just when start walking)

Pain or discomfort after getting up from sitting without use of arms

No
Yes

Section II: Maximum Distance Walked

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

Walking aids required

None
One walking stick or crutch
Two walking sticks or crutches

Section III: Activities of Daily Living

Can you put on socks by bending forward?

Easily
With mild difficulty
With moderate difficulty
With marked difficulty
Impossible

Can you pick up an object from the floor?

Easily
With mild difficulty
With moderate difficulty
With marked difficulty
Impossible

Can you go up and down a standard flight of stairs?

Easily
With mild difficulty
With moderate difficulty
With marked difficulty
Impossible

Can you get into and out of a car?

Easily
With mild difficulty
With moderate difficulty
With marked difficulty
Impossible