Parameter
1. Pain (40 points)
None	40
Mild, occasional	30
Moderate, every day	20
Severe, almost always present	0
2. Function (50 points)
2.1. Limitation on activities and need for support
No limitations; no supports	10
No limitations on activities, recreational limitations; no supports	7
Limitation on daily and recreational activities; use of stick	4
Significant limitation on daily activities; use of crutches, walking frame or wheelchair	0
2.2. Maximum walking distance (in blocks)
More than 6	5
From 4 to 6	4
From 1 to 3	2
Less than 1	0
2.3. Walking surface
No difficulty on any surface	5
Some difficulty on uneven ground, stairs or slopes	3
Severe difficulty on uneven ground, stairs or slopes	0
2.4. Gait abnormalities
None or mild	8
Obvious	4
Severe	0
2.5. Sagittal mobility (flexion + extension)
Normal or minimal limitation (30° or more)	8
Moderate limitation (15 to 29°)	4
Severe limitation (less than 15°)	0
2.6. Mobility of hindfoot (inversion and eversion)
Normal or mild limitation (75 to 100%)	6
Moderate limitation (25 to 74%)	3
Severe limitation (less than 25%)	0
2.7. Stability of ankle and hindfoot (anteroposterior + varus-valgus)
Stable	8
Unstable	0
3. Alignment (10 points)
Good – plantigrade foot with ankle and hindfoot aligned	10
Fair – plantigrade foot with some misalignment and without pain	5
Poor – non-plantigrade foot with significant misalignment and symptoms	0