Table 1.
Gait parameter | Definition | Limb score |
---|---|---|
Initial foot contact | Toe | 0 |
Forefoot | 1 | |
Foot-flat | 2 | |
Heel | 3 | |
Foot contact at midstance | Toe/toe (equinus) | −1 |
Foot-flat/early heel rise | 0 | |
Foot-flat/no early heel rise | 1 | |
Occasional heel/foot-flat | 2 | |
Heel/toe (normal roll-over) | 3 | |
Gait assistive devices | Walker (forward/posterior) with assistance | 0 |
Walker (independent) | 1 | |
Crutches, sticks | 2 | |
None, independent for 10 m | 3 | |
Total score (score = −1–9 per limb) |
Adapted from: Boyd RN, Graham HK. Objective measurement of clinical findings in the use of botulinum toxin type A for the management of children with cerebral palsy. European Journal of Neurology. 1999;(4):S23–S35 (Partial quoted)