CL Item

none, including sports (45)

CL Item

slight; no change in activities of daily living (ADL) or work ability (40)

CL Item

mild; minimal change in ADLs or work (35)

CL Item

moderate; significant decrease in ADLs (30)

CL Item

marked; during minimal ADLs (10)

CL Item

disabled; unable to work or shop (5)

CL Item

unlimited (10)

CL Item

slight limitation (8)

CL Item

moderate limitation (2 or 3 blocks) (5)

CL Item

severe limitation (1 block) (2)

CL Item

indoors only (0)

CL Item

normal (4)

CL Item

weak feeling; no true giving way (3)

CL Item

occasional giving way (1-2 months) (2)

CL Item

frequent giving way (1)

CL Item

orthotic device used (0)

CL Item

none (4)

CL Item

cane (3)

CL Item

crutches (1)

CL Item

wheelchair (0)

CL Item

none (4)

CL Item

slight (3)

CL Item

moderate (2)

CL Item

severe (1)

CL Item

unable to walk (0)

CL Item

any type (10)

CL Item

minor concessions (9)

CL Item

flat, laced (7)

CL Item

with orthotics (5)

CL Item

space shoes (2)

CL Item

unable to wear shoes (0)

CL Item

normally (4)

CL Item

with bannister (3)

CL Item

any method (2)

CL Item

unable (0)

CL Item

no problem with any surface (4)

CL Item

problems on stones or hills (2)

CL Item

problems on flat surfaces (0)

CL Item

normal (10)

CL Item

mild deformity (8)

CL Item

moderate deformity (6)

CL Item

severe deformity / multiple deformities (0)

CL Item

slightly decreased (4)

CL Item

markedly decreased (2)

CL Item

ankylosed (0)

CL Item

normal (5)