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Lansky Play Performance Scale for Children with Cancer

Purpose: To use the level of active and passive playing as an indicator of performance status in children with cancer.

Description

The play performance scale is a parent or guardian rated instrument which records usual play activity in a child with cancer. It is intended to provide a standardized measure for the child's level of performance. It is analogous to the Karnofsky scale in adults.


Patient selection:

(1) A child with cancer aged from 1 to 16 years.

(2) The child may be inpatient or outpatient.

(3) The patient may be in active treatment or during long term followup.

 

The evaluation is completed by a parent or guardian based on the average performance during the past week.

 

Level of Performance

Points

fully active; normal

100

minor restrictions in physically strenuous activities

90

active, but tires more quickly

80

restriction in and less time spent in active play

70

up and around; minimal active play; keeps busy with quieter activities

60

gets dressed but lies around much of the day; no active play; able to participate in all quiet play and activities

50

mostly in bed; participates in quiet activities

40

in bed; needs assistance even with quiet play

30

in bed, often sleeping; play limited to very passive activities

20

does not get out of bed; does not play

10

unresponsive

0

 

Interpretation:

• The higher the score the better the child's performance.

• moderately restricted: scores 50 or 60

• completely disabled: scores of 0 or 10


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Objective

ICD-10