Pain (15 points) |
No pain at any time |
15 |
|
|
|
15 |
|
15 |
|
15 |
|
|
15 |
15 |
15 |
|
15 |
|
Mild pain |
10 |
10 |
|
|
|
|
|
|
|
10 |
10 |
|
|
|
10 |
|
10 |
Moderate pain |
5 |
|
5 |
5 |
|
5 |
|
|
|
|
|
|
|
|
|
|
|
Severe pain |
0 |
|
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
Need for orthoses (15 points) |
No |
15 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Occasionally (once a week) |
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Frequently (twice a week) |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Regularly (greater than twice a week) |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Normal shoes (5 points) |
Yes |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Yes, but prefers certain types |
3 |
|
3 |
|
3 |
|
3 |
|
3 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
No |
0 |
0 |
|
0 |
|
0 |
|
0 |
|
|
|
|
|
|
|
|
|
Functional outcome (10 points) |
Normal daily activity and normal recreation |
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Normal daily activity and limited recreation |
6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Limited daily activity and recreation |
3 |
3 |
3 |
3 |
3 |
|
3 |
|
3 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
Severe limitation on daily activity and recreation |
0 |
|
|
|
|
0 |
|
0 |
|
|
|
|
|
|
|
|
|
Muscle power (25 points) (modified Medical Research Council grading) |
Grade 4+ or 5 |
25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grade 4 |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grade 3 |
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Grade 2 or less |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Degree of active dorsiflexion (degrees) |
Greater than 6° |
25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0°–5° |
20 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
−5° to −1° |
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
−10° to −6° |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
Less than −11° |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Foot posture (5 points) |
Plantigrade, balanced, no deformity |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Plantigrade, mild deformity |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
|
3 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
3 |
Obvious deformity or malalignment |
0 |
|
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
Total score of SS |
|
16 |
14 |
11 |
24 |
8 |
24 |
0 |
24 |
19 |
19 |
24 |
24 |
24 |
19 |
24 |
19 |
Toe dorsiflexion |
|
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |
−1 |