UCLA肩关节评分系统

功能/治疗反应                                评分上海东方医院骨科袁锋

疼痛

持续性疼痛并且难以忍受；经常服用强镇痛药物                          1

持续性疼痛可以忍受；偶尔服用强镇痛药物                              2

休息时不痛或轻微痛，轻微活动时出现疼痛，经常服用水杨酸制剂          4

仅在重体力劳动或激烈运动时出现疼痛，偶尔服用水杨酸制剂              6

偶尔出现并且很轻微                                                  8

无疼痛                                                              10

功能

不能使用上肢                                                        1

仅能轻微活动上肢                                                    2

能做轻家务劳动或大部分日常生活                                      4

能做大部分家务劳动、购笔、开车；能梳头、自己更衣，包括系乳罩        6

仅轻微活动受限；能举肩工作                                          8

活动正常                                                            10

向前侧屈曲活动

150°以上                                                           5

120°～150°                                                        4

90°～120°                                                         3

45°～90°                                                          2

30°～45°                                                          1

<30°                                                               0

前屈曲力量（手测量）                                                   

5级（正常）                                                         5

4级（良）                                                           4

3级（可）                                                           3

2级（差）                                                           2

1级（肌肉收缩）                                                     1

0级（无肌肉收缩）                                                   0

病人满意度

满意、较以前好转                                                     5

不满意、比以前差                                                     0

注：总分为35分。优 34?35分，良 29?33分，差＜29分