Modified Harris Hip Score

Original Editor - Nupur Smit Shah

Top Contributors - Nupur Smit Shah  

Objective[edit | edit source]

The idea of using the modified hip score is to assess the functional capacity of the client including the domain of pain and gait and functional activities. It is a disease specific questionnaire. [1]The physiotherapist or a physician can administer this outcome measure and it takes very less time. The only difference between Harris hip score and the modified Harris hip score is the domain of clinical evaluation was removed in modified Harris Hip Score.

Intended Population[edit | edit source]

Operated hip cases like total hip arthroplasty/pertrochanteric hip fractures.[2][3]

Osteoarthritis of hip.[4]

Method of Use[edit | edit source]

The following are the main domains: Pain, Function(gait), and functional activities.

The first section (pain domain) has various questions related to pain. The highest score of this section is 44points when there is no pain experienced by the patient.

The next domain is function wherein the gait is assessed. This domain is further divided into three parts like Limp, Support, and Distance Walked. If the candidate has no limp, and walks unlimited distances without support then he gets 11 points for all the three individual categories.

The final domain is functional activities. Here, stair climbing, the ability to don/doff shoes and socks, sitting balance, and the ability to commute independently are assessed. If he does stair climbing and donning /doffing successfully, he gets 4 points each.

If he sits in any type of chair, the score is 5. And by entering the public transportation easily he gets 1 point.

The highest score is 91 points out of which the higher the score of the client, the better is his functional independence.

Reliability[edit | edit source]

This tool is considered as a reliable to check the functional outcome after total hip arthroplasty.

Test retest reliability is high.[2][4]

Validity[edit | edit source]

The validity of this tool is proved to be high.[4]

References[edit | edit source]

  1. Harold RE, Butler BA, Delagrammaticas D, Sullivan R, Stover M, Manning DW. Patient-reported outcomes measurement information system correlates with modified harris hip score in total hip arthroplasty. Orthopedics. 2021 Jan 1;44(1):e19-25.
  2. 2.0 2.1 Kumar P, Sen R, Aggarwal S, Agarwal S, Rajnish RK. Reliability of Modified Harris Hip Score as a tool for outcome evaluation of Total Hip Replacements in Indian population. Journal of clinical orthopaedics and trauma. 2019 Jan 1;10(1):128-30.
  3. Vishwanathan K, Akbari K, Patel AJ. Is the modified Harris hip score valid and responsive instrument for outcome assessment in the Indian population with pertrochanteric fractures?. Journal of orthopaedics. 2018 Mar 1;15(1):40-6.
  4. 4.0 4.1 4.2 Stasi S, Papathanasiou G, Diochnou A, Polikreti B, Chalimourdas A, Macheras GA. Modified Harris Hip Score as patient-reported outcome measure in osteoarthritic patients: psychometric properties of the Greek version. Hip International. 2021 Jul;31(4):516-25.