Table 3 The Clubfoot Assessment Protocol (version 1.0)
Name: | Â | Â | Date of birth: | Â | Â |
|---|---|---|---|---|---|
Date of assessment: | Â | Â | Assessment number: | Â | Â |
Side: | O Left | O Right | Â | Â | Â |
Rating | 0 | 1 | 2 | 3 | 4 |
Passive mobility | |||||
1. Dorsiflexion | < -10° | -10°-< 0° | 0°- < +10° | +10°- +20° | >+20° |
2. Plantar flexion | 0°- < 10° | 10°- < 20° | 20°-< 30° | 30°- 40° | >40° |
3. Varus/valgus | >20°var | 20°-< 10°var | 10° -< 0°var | 0°- neutral | >0°vlg |
4. Derotation | >20°inv | 20°-< 10°inv | 10°- < 0°inv | 0°- 10°evr | >10°evr |
5. Add/abd | >20°add | 20°-< 10°add | 10°- < 0°add | 0°- neutral | >0°abd |
6. Tightness | + tight | tight | Â | soft-tight | soft |
7. Flx.dig.long. | + reduced | Â | reduced | Â | normal |
8. Flx.dig.hall. | + reduced | Â | reduced | Â | normal |
Muscle function (strength) | |||||
9. M. peroneus | absent/poor | Â | reduced | Â | normal |
10. M. ext.dig.long | absent/poor | Â | reduced | Â | normal |
11. M. sol./gastr. | absent/poor | Â | reduced | Â | normal |
Morphology | |||||
12. Tibial rotation | + inw. | Â | inw. | Â | normal |
13. Calcaneus position | >10 varus | Â | >0 varus <10 | Â | neutral/vlg |
14. Forefoot position | >20° add. |  | >10 add. <20° |  | add<10° |
15. Foot arch | + cavus | Â | cavus | Â | normal |
Motion quality | |||||
I | |||||
16. Walking | + deviant | deviant | Â | slightly deviant | normal |
17. Toe walking | cannot | deviant | Â | slightly deviant | normal |
18. Heel walking | cannot | deviant | Â | slightly deviant | normal |
19. Squatting | cannot | deviant | Â | slightly deviant | normal |
20. Running | + deviant | deviant | Â | slightly deviant | normal |
II | |||||
21. One legstand | cannot | deviant | Â | slightly deviant | normal |
22. Hop1leg | cannot | deviant | Â | slightly deviant | normal |