Category | Points |
---|---|
Satisfaction (20 points) | Â |
   I am ... |  |
1. very satisfied with end results | 20 |
2. satisfied with end results | 16 |
3. neither satisfied nor unsatisfied with end results | 12 |
4. unsatisfied with end results | 08 |
5. very unsatisfied with end results | 04 |
Function (20 Points) | Â |
   In my daily living my club foot... |  |
1. Does not limit my activities | 20 |
2. Occasionally limit my strenuous activities | 16 |
3. Usually limits me in strenuous activities | 12 |
4. Limits me occasionally in routine activities | 08 |
5. Limits me in walking | 04 |
Pain (30 points) | Â |
   My club foot... |  |
1. Is never painful | 30 |
2. Occasionally causes mild pain during strenuous activities | 24 |
3. Usually is painful after strenuous activities only | 18 |
4. Is occasionally painful during routine activities | 12 |
5. Is painful during walking | 06 |
Position of heel when standing (10 points) | Â |
1. Heel varus 0 degree or some heel valgus | 10 |
2. Heel varus 1-5 degree | 5 |
3. Heel varus 6-10 degree | 3 |
4. Heel varus >10 degree | 0 |
Passive motion (10 Points) | Â |
1. Dorsiflexion | 1 point per 5 degree (up to 5 points) |
2. Total varus-valgus motion of heel | 1 point per 10 degree (up to 3 points) |
3. Total inversion-eversion of foot | 1 point per 50 degree (up to 2 points |
Gait (10 Points) | Â |
1. Normal | 6 |
2. Can toe walk | 2 |
3. Can heel walk | 2 |
4. Limp | -2 |
5. No heel strike | -2 |
6. Abnormal toe off | -2 |