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. 2010 Apr 1;257(8):1330–1337. doi: 10.1007/s00415-010-5526-3

Table 1.

Gait pattern scale (Physician’s Rating Scale)

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)