American Foot and Ankle Score

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www.orthopaedicscores.com Date of completion December 24, 2014 Clinical rating system for the ankle and hindfoot Clinician's name (or ref) Patient's name (or ref) Please answer the following questions. During the past 4 weeks...... Section 1 - Pain Section 2 - Function-activity limitations/support requirements None No limitations, no support Mild Occasional No limitation of daily activities, limitation of recreational activities, no support Moderate, daily Limited daily and recreational activities, cane Severe, almost always present Severe limitation of daily and recreational activities, walker, crutches, wheelchair, brace Section 3 - Maximum walking distance ( blocks) Section 4 - Walking surfaces Greater than 6 No difficulty on any surface 4-6 Some difficulty on uneven terrain, stairs, inclines, ladders 1-3 Severe difficulty on uneven terrain, stairs, inclines, ladders Less than 1 Section 5 - Gait abnormality Section 6 - Sagittal motion (flexion plus extension) None, slight Normal or mild restriction (30° or more) Obvious Moderate restriction (15°-29°) Marked Severe restriction (less than 15°) Section 7 - Hindfoot motion (inversion plus eversion) Section 8- Alignment Normal or mild restriction (75%-100% normal) Good, plantigrade foot, ankle-hindfoot well aligned Moderate restriction (25%-74% normal) Fair, plantigrade foot, some degree of ankle- hindfoot malalignment observed, no symptoms Marked restriction (less than 25% normal) Poor, nonplantigrade foot, severe malalignment, symptoms Section 9 - Ankle-hindfoot stability (anteroposterior, varus- valgus) The Clinical rating system for the ankle and hindfoot is 0 Stable Definitely unstable Print page Close Window Reset To save this data please print or Save As CSV AMERICAN FOOT AND ANKLE - Reference for Score: Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994 Jul;15(7):349-53. link to pubmed Web Design London - James Blake Internet

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Ankle and foot

Transcript of American Foot and Ankle Score

  • www.orthopaedicscores.comDate of completionDecember 24, 2014

    Clinical rating system for the ankle and hindfootClinician's name (or ref) Patient's name (or ref)

    Please answer the following questions. During the past 4 weeks......

    Section 1 - Pain Section 2 - Function-activity limitations/supportrequirements

    None No limitations, no support

    Mild Occasional No limitation of daily activities, limitation of recreationalactivities, no support

    Moderate, daily Limited daily and recreational activities, cane

    Severe, almost always present Severe limitation of daily and recreational activities, walker,crutches, wheelchair, brace

    Section 3 - Maximum walking distance ( blocks) Section 4 - Walking surfaces

    Greater than 6 No difficulty on any surface

    4-6 Some difficulty on uneven terrain, stairs, inclines, ladders

    1-3 Severe difficulty on uneven terrain, stairs, inclines, ladders

    Less than 1

    Section 5 - Gait abnormality Section 6 - Sagittal motion (flexion plus extension)

    None, slight Normal or mild restriction (30 or more)

    Obvious Moderate restriction (15-29)

    Marked Severe restriction (less than 15)

    Section 7 - Hindfoot motion (inversion plus eversion) Section 8- Alignment

    Normal or mild restriction (75%-100% normal) Good, plantigrade foot, ankle-hindfoot well aligned

    Moderate restriction (25%-74% normal) Fair, plantigrade foot, some degree of ankle- hindfootmalalignment observed, no symptoms

    Marked restriction (less than 25% normal) Poor, nonplantigrade foot, severe malalignment, symptoms

    Section 9 - Ankle-hindfoot stability (anteroposterior, varus-valgus) The Clinical rating system for the ankle and hindfoot is

    0Stable

    Definitely unstable Print page Close Window Reset

    To save this data please print or Save As CSV

    AMERICAN FOOT AND ANKLE - Reference for Score: Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA,Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot AnkleInt. 1994 Jul;15(7):349-53. link to pubmed

    Web Design London - James Blake Internet