Item | Grade/Classification | Score |
---|---|---|
Subjective symptoms | Â | Â |
   Lumbar and leg pain | No | 0 |
 | Mild pain or occasional moderate pain | 1 |
 | Usual moderate pain or occasional severe pain | 2 |
 | Frequent or continuous severe pain | 3 |
   Numbness | No | 0 |
 | Occasional | 1 |
 | Frequent but relief may be on their own | 2 |
 | Continuous, not alleviated | 3 |
Objective signs | Â | Â |
   Paravertebral tenderness | No | 0 |
 | Mild | 1 |
 | Moderate | 2 |
 | Severe | 3 |
   Myodynamia | Grade V | 3 |
 | Grade IV | 2 |
 | Grade III | 1 |
 | Grade 0 to II | 0 |
   Straight let raising test | > 70°, straight leg drive up (-) | 0 |
 | > 45°, straight leg drive up (+) | 1 |
 | > 30°, straight leg drive up (+) | 2 |
 | < 30°, straight leg drive up (+) | 3 |
   Radiating pain | No | 0 |
 | Hip/thigh | 1 |
 | Shank | 2 |
 | Foot | 3 |
Activities of daily life and work | Â | Â |
   Stoop and lift heavy things | Normal stoop, lift weight > 3 kg | 0 |
 | Able to stoop, lift weight ≤ 3 kg | 1 |
 | Unable to stoop | 2 |
 | Serious difficulties in bending and lifting | 3 |
   Walking distance/time | Walking ≥ 1 km or 60 min | 0 |
 | Walking ≥ 500 m or 30 min | 1 |
 | Walking ≥ 100 m or 10 min | 2 |
 | Serious difficulties in walking | 3 |
   Daily time in bed(h) | < 10 | 0 |
 | 10 to 12 | 1 |
 | 12 to 16 | 2 |
 | > 16 | 3 |
   Ability to work | Full-time to do as before | 0 |
 | Although able to work, occasionally need a break | 1 |
 | Although able to work, usually need a break | 2 |
 | Unable to work | 3 |