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Table 3 Scoring system for the treatment of low back disorders devised by the Japanese Orthopaedic Association

From: Clinical and imaging characteristics in patients undergoing surgery for lumbar epidural lipomatosis

Item

Score

Subjective symptoms

 Low back pain

  None

3

  Occasional mild pain

2

  Frequent mild or occasional severe pain

1

  Frequent severe pain

0

 Leg pain and/or numbness

  None

3

  Occasional mild leg pain and/or numbness

2

  Frequent mild or occasional severe leg pain and/or numbness

1

  Frequent severe leg pain and/or numbness

0

 Walking capacity

  Normal

3

  Able to walk > 500 m with leg pain and/or numbness

2

  Able to walk 100–500 m with leg pain and/or numbness

1

  Able to walk < 100–500 m with leg pain and/or numbness

0

 Clinical signs

  Straight leg raise test

 

  Normal

2

  30 degrees to 70 degrees

1

   < 30 degrees

0

 Motor function

  Normal

2

  Slight weakness (MMT: good)

1

  Severe weakness (MMT: poor)

0

 Sensory function

  Normal

2

  Slight disturbance

1

  Severe disturbance

0

 Bladder function

  Normal

0

  Mild dysuria

–3

  Severe dysuria

–6

 Restriction of activities of daily living

Impossible

Difficult

Easy

  Turning in bed

0

1

2

  Standing up

0

1

2

  Washing face

0

1

2

  Half-sitting posture

0

1

2

  Sitting

0

1

2

  Lifting

0

1

2

  Running

0

1

2

Total for normal

29

  1. MMT manual muscle testing