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Table 1 Clubfoot questionnaire emerged from our orthopedic and psychiatric experience. The questionnaire was translated into the English language for publication

From: Clubfoot treatment with Ponseti method—parental distress during plaster casting

Nr.

Statement

Not limited

Highly limited

1

 Own current physical capacity (in relation to the therapy of the child)

1

2

3

4

5

6

2

 Own current mental resilience (in relation to the therapy of the child)

1

2

3

4

5

6

 

Parents Score

Not at all

Very strong

1

 My partnership is burdened by the deformity.

1

2

3

4

5

6

2

 My spare time activities are limited by the deformity.

1

2

3

4

5

6

3

 My finances are limited by the deformity.

1

2

3

4

5

6

4

 My professional life is limited by the deformity.

1

2

3

4

5

6

 

Motion Score

Not at all

Very strong

1

 The movement of my child will be limited.

1

2

3

4

5

6

2

 Playing with other children will be limited.

1

2

3

4

5

6

 

Child Score

Not at all

Very strong

1

 My child will not be accepted by others.

1

2

3

4

5

6

2

 My child will be restricted in choosing a career.

1

2

3

4

5

6

3

 My child will have a hard time at school.

1

2

3

4

5

6

4

 My child will be teased.

1

2

3

4

5

6