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Table 3 Leppilahti score.

From: Acute Achilles tendon rupture: minimally invasive surgery versus non operative treatment, with immediate full weight bearing. Design of a randomized controlled trial

Clinical factors Scores (points)*
Pain  
None 15
Mild, no limitations on recreational activities 10
Moderate, limitations on recreational, but not daily activities 5
Severe, limitations on recreational and daily activities 0
Stiffness  
None 15
Mild, occasional, no limitations on recreational activities 10
Moderate, limitations on recreational, but not daily activities 5
Severe, limitations on recreational and daily activities 0
Calf muscle weakness (subjective)  
None 15
Mild, no limitations on recreational activities 10
Moderate, limitations on recreational, but not daily activities 5
Severe, limitations on recreational and daily activities 0
Footwear restrictions  
None 10
Mild, most shoes tolerated 5
Moderate, unable to tolerate fashionable shoes, modified shoes tolerated 0
Active range of motion (ROM) difference between ankles  
Normal (<6°) 15
Mild (6°–10°) 10
Moderate (11°–15°) 5
Severe (>15°) 0
Subjective result  
Very satisfied 15
Satisfied with minor reservations 10
Satisfied with major reservations 5
dissatisfied 0
Isokinetic muscle strength (score)  
Excellent 15
Good 10
Fair 5
poor 0
  1. * Maximum overall score 100. An overall score of 90–100 rates excellent, 75–85 is good, 60–70 is fair and <55 is poor.
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