Validity and responsiveness of the Clubfoot Assessment Protocol (CAP). A methodological study

Table 1 The Clubfoot Assessment Protocol (CAP version 1.1).

Name:	Date of birth:
Date of assessment:	Assessment number:
Side:	O Left	O Right
Rating	0	1	2	3	4
Passive mobility
I.
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. Inv/evers	>20°inv	20°-<10°inv	10°-<0°inv	0°–10°evrs	>10°ev
5. Add/abd	>20°add	20°-<10°add	10°-<0°add	0°-neutral	>0°abd
II.
6. Flx.dig.long.	+ reduced		reduced		normal
7. Flx.dig.hall.	+ reduced		reduced		normal
Muscle function (strength)
8. M. peroneus	absent/poor		reduced		normal
9. M. ext.dig.long	absent/poor		reduced		normal
10. M. sol./gastr.	absent/poor		reduced		normal
Morphology
11. Tibial rotation	+ inw.		inw.		normal
12. Calcaneus position	>10 varus		>0 varus <10		neutral/vlg
13. Forefoot position	>20° add.		>10 add. <20°		add<10°
14. Foot arch	+ cavus/planus		cavus/planus		normal
Motion quality
I.
15. Running 2 y	cannot	+deviant	deviant	slightly deviant	normal
16. Walking 2 y	cannot	+deviant	deviant	slightly deviant	normal
17. Toe walking 3 y	cannot	+deviant	deviant	slightly deviant	normal
18. Heel walking 3 y	cannot	+deviant	deviant	slightly deviant	normal
II.
19. One legstand 4 y	cannot	+deviant	deviant	slightly deviant	normal
20. Hop1leg 4 y	cannot	+deviant	deviant	slightly deviant	normal
Extra notes: Structured questions about pain, stiffness, shoe problems, physical condition, activity level, sports and social participation and patient/parent satisfaction.

+ = Pronounced/very, var = varus, vlg = valgus, inv = inversion, evers = eversion, add = adduction, abd = abduction., inw = inward rotation, flx.dig.long. = length of M. flexor digiti longus, flx.dig.hall. = length of M. flexor digiti hallucis, y = years.

ISSN: 1471-2474