1. Subjective symptoms (9 points)
-
Low back pain
None (3), occasional mild pain (2), frequent mild or occasional severe pain (1), frequent or continuous severe pain (0)
-
Leg pain and/or tingling
None (3), occasional slight symptom (2), frequent slight or occasional severe symptom (1), frequent or continuous severe symptom (0)
-
Walking capacity
Normal (3), Able to walk more than 500 metres although it results in pain, tingling and /or muscle weakness (2), Unable to walk more than 500 metres owing to leg pain, tingling and/or muscle weakness (1), Unable to walk more than 100 metres owing to leg pain, tingling and/or muscle weakness (0)
|
2. Objective findings (6 points)
-
SLR test
Normal (2), 30° to 70° (1), < 30° (0)
-
Sensory disturbance
None (2), slight disturbance (1), marked disturbance (0)
-
Motor disturbance
Normal (grade 5) (2), slight weakness (grade 4) (1), marked weakness (grade 3) (0)
|
3. Restriction of ADL (14 points)
Turn over while lying, standing, washing the face, leaning forwards, sitting (about one hour), lifting or holding heavy objects, walking:
No restriction (2), moderate restriction (1), severe restriction (0) for each item |
4.Bladder function (-6 points)
Normal (0), mild dysuria (-3), severe dysuria (-6) |
