Translation and Cross-Cultural Adaptation into French of the Harris Hip Score and the Modified Harris Hip Score

Figures & data

Table 1 Original Harris Hip Score Questionnaire

Harris Hip Score (HHS)	Modified Harris Hip Score (mHHS)	Patient-reported	Pain	/44
			None, or ignores it (44 points)
			Slight, occasional, no compromise in activity (40 points)
			Mild pain, no effect on average activities, rarely moderate pain with unusual activity, may take aspirin (30 points)
			Moderate pain, tolerable but makes concessions to pain. Some limitation of ordinary activity or work. May require occasional pain medicine stronger than aspirin (20 points)
			Marked pain, serious limitation of activities (10 points)
			Totally disabled, crippled, pain in bed, bedridden (0 point)
			Function (Gait and activities)	/47
			Gait	/33
			Limp	/11
			None (11 points)
			Slight (8 points)
			Moderate (5 points)
			Severe or unable to walk (0 point)
			Support	/11
			None (11 points)
			Cane/Walking stick for long walks (7 points)
			Cane/Walking stick most of the time (5 points)
			One crutch (3 points)
			Two Canes/Walking sticks (2 points)
			Two crutches (0 point)
			Not able to walk (0 point)
			Distance walked	/11
			Unlimited (11 points)
			Six blocks (30 minutes) (8 points)
			Two or three blocks (5 points)
			Indoors only (2 points)
			Bed and chair only (0 point)
			Activities	/14
			Stairs	/4
			Normally without using a railing (4 points)
			Normally using a railing (2 points)
			In any manner (1 point)
			Unable to do stairs (0 point)
			Shoes, socks	/4
			With ease (4 points)
			With difficulty (2 points)
			Unable (0 point)
			Sitting	/5
			Comfortably in an ordinary chair for one hour (5 points)
			On a high chair for half an hour minutes (3 points)
			Unable to sit comfortably on any chair (0 point)
			Public transportation	/1
			Able to use transportation (bus) (1 point)
			Unable to use public transportation (bus) (0 point)
	Total:/91*
		Clinician-reported	Absence of deformity**	/4
			Less than 30 degrees of fixed flexion AND
			Less than 10 degrees of fixed internal rotation in extension AND
			Less than 10 degrees of fixed adduction AND
			Limb length discrepancy less than 3.2 centimeters
			Range of motion	/5
			Grades of flexion	/3.9
			None (0.00 point) | 0–8° (0.04) | 9–16° (0.08) | 17–24° (1.20) | 25–32° (1.60) | 33–40° (2.00) | 41–45° (2.25) | 46–55° (2.55) | 56–65° (2.85) | 66–70° (3.00) | 71–75° (3.15) | 76–80° (3.30) | 81–90° (3.60) | 90–100° (3. 75) | 100–110° (3.90)
			Grades of abduction	/0.65
			None (0.00 point) | 0–5° (0.20) | 6–10° (0.40) | 11–15° (0.60) | 16–20° (0.65)
			Grades of external rotation in extension	/0.3
			None (0.0 point) | 0–5° (0.1) | 6–10° (0.2) | 11–15° (0.3)
			Adduction	/0.15
			None (0.00 point) | 0–5° (0.05) | 6–10° (0.10) | 11–15° (0.15)
Total: /100

Notes:*Multiply the score by 1.1 to have it on a 0–100 points scale. **The presence of at least one deformity results in 0 point.

Figure 1 Process for the cross-cultural adaptation and translation into French of the HHS and mHHS.

Table 2 Level of Comprehension for the 8 Items

Item	Mean±SD	(Min - Max)	Median
Pain	9.6±1.1	(7.0−10.0)	10.0
Limp	9.8±0.7	(8.0−10.0)	10.0
Support	9.1±1.2	(7.0−10.0)	10.0
Distance walked	10.0±0.0	(10.0−10.0)	10.0
Stairs	9.5±1.1	(7.0−10.0)	10.0
Shoes, socks	10.0±0.0	(10.0−10.0)	10.0
Sitting	10.0±0.0	(10.0−10.0)	10.0
Public transportation	9.6±1.1	(7.0−10.0)	10.0

Abbreviations: SD, Standard Deviation; Min, Minimum; Max, Maximum.

Table 3 Final Version of the HHS-Fr and mHHS-Fr

Harris Hip Score (HHS)	Modified Harris Hip Score (mHHS)	Evaluation par le patient	Douleur	/44
			Aucune/insignifiante (44 points)
			Minime, occasionnelle, aucune activité compromise (40 points)
			Légère, sans effet sur l’activité ordinaire, douleur après une activité, recours à l’aspirine (30 points)
			Modérée, supportable, nécessite des concessions, recours occasionnel à la codéine (20 points)
			Intense, limitations importantes (10 points)
			Totalement invalidante (0 point)
			Fonction (Démarche et activités)	/47
			Démarche	/33
			Boiterie	/11
			Aucune (11 points)
			Légère (8 points)
			Modérée (5 points)
			Importante / Incapacité de marcher (0 point)
			Aide à la marche	/11
			Aucune (11 points)
			Canne, longues marches (7 points)
			Canne, en permanence (5 points)
			Béquille (3 points)
			2 cannes (2 points)
			2 béquilles (0 point)
			Incapacité de marcher (0 point)
			Distance de marche	/11
			Illimité (11 points)
			1 kilomètre (15 minutes) (8 points)
			350–500 mètres (6–8 minutes) (5 points)
			En intérieur uniquement (2 points)
			Lit et fauteuil (0 point)
			Activités	/14
			Escaliers	/4
			Normalement (4 points)
			Normalement avec rampe (2 points)
			Toute méthode (1 point)
			Incapacité (0 point)
			Chaussettes/chaussures	/4
			Facilement (4 points)
			Avec difficulté (2 points)
			Incapacité (0 point)
			Position assise	/5
			Tout siège, 1 heure (5 points)
			Siège haut, ½ heure (3 points)
			Incapacité à s’asseoir, ½ heure, tout siège (0 point)
			Transports en commun	/1
			Capacité à utiliser les transports en commun (1 point)
			Incapacité à utiliser les transports en commun (0 point)
	Total:/91*
		Evaluation par le clinicien	Absence de déformation**	/4
			Moins de 30 degrés en flexion fixe ET
			Moins de 10 degrés en abduction fixe ET
			Moins de 10 degrés en rotation interne en extension ET
			Différence de longueur des membres inférieure à 3,2 cm
			Range of motion	/5
			Amplitude totale en flexion	/3.9
			Aucune (0.00 point) | 0–8° (0.04) | 9–16° (0.08) | 17–24° (1.20) | 25–32° (1.60) | 33–40° (2.00) | 41–45° (2.25) | 46–55° (2.55) | 56–65° (2.85) | 66–70° (3.00) | 71–75° (3.15) | 76–80° (3.30) | 81–90° (3.60) | 90–100° (3.75) | 100–110° (3.90)
			Amplitude totale en abduction
			Aucune (0.00 point) | 0–5° (0.20) | 6–10° (0.40) | 11–15° (0.60) | 16–20° (0.65)	/0.65
			Amplitude totale en rotation externe
			Aucune (0.0 point) | 0–5° (0.1) | 6–10° (0.2) | 11–15° (0.3)	/0.3
			Amplitude totale en adduction	/0.15
			Aucune (0.00 point) | 0–5° (0.05) | 6–10° (0.10) | 11–15° (0.15)
Total:/100

Notes:* Multiplier le score par 1.1 pour être sur une échelle de 0 à 100. ** Présence d’au moins 1 déformation équivaut à 0 point.