腰腿痛的JOA评分--患者朋友可以自己评评

广东省中医院脊柱专科

腰椎疾患疗效评定表（1986 joa）

姓名             性别     年龄     病案号            门诊诊疗卡号广东省中医院脊柱专科范京强

诊断                               随访电话：

入/出院/随访时间                          负责医生

指标                                                            分数（29分满分）

1.自觉症状(9分)

(1)腰痛

 

a完全无腰痛                                                                3

b有时轻微腰痛                                                              2

c经常腰痛或者有时很严重                                                    1

d经常有非常剧烈的腰痛                                                      0

(2)下肢疼痛及麻木

a只是下肢痛,没有麻木感                                                     3

b有时有轻微的下肢痛,有麻木感                                               2

c经常下肢痛,有麻木感;或有时有较重的下肢痛、麻木                            1

d经常有剧烈的下肢痛、麻木                                                  0

(3)步行能力

a完全正常的步行                                                            3

b行走500米以上会出现疼痛、麻木、乏力                                      2

c行走500米以下会出现疼痛、麻木、乏力、不能走                              1

d行走100米以下会出现疼痛、麻木、乏力、不能走                              0

2.体征(6分)

(1)slr(包含hamstring tightness)

a正常                                                                      2

b 30-70度                                                                  1

c 小于30度                                                                 0

(2)感觉

a正常                                                                      2

b有轻度的感觉障碍(指患者自身意识不到的程度)                                1

c有明显的感觉障碍(指感觉完全消失或接近于此,且患者自身也能清楚地意识到)     0

(3)肌力

a正常                                                                      2

b轻度肌力减弱(4级)                                                        1

c明显肌力减弱(3级以下)                                                    0

3.日常生活动作(14分)

                                              非常困难      轻度困难      容易

(1) 睡觉障碍                                      0             1           2

(2) 起立动作                                      0             1           2

(3) 洗脸动作                                      0             1           2

(4) 欠身姿势和持续站立                            0             1           2

(5) 长时间坐(1小时)                              0             1           2

(6) 举重物并保持                                  0             1           2

(7) 步行                                          0             1           2

4.膀胱功能(6分)

(1)正常                                                                   0

(2)轻度排尿困难(尿频、排尿延迟、残尿感)                                   -3

(3)重度排尿困难(尿失禁、尿闭)                                             -6

得分：

[注]改善率=（治疗后分数-治疗前分数）/（29-治疗前分数）x100%