Table 3.
GSL outcome parameters: clinical (including GOAL®), gait analysis and physical Examination, ankle Range of Motion (ROM).
| Consensus: > 80% | General Agreement: 60% to 79% | No Consensus: < 60% |
|---|---|---|
| Improved ankle kinematics | - | - |
| Improved ankle kinetics | - | |
| Improved GDI | Normalization PFKE couple index | - |
| - | Improved GPS | - |
| - | Improved ankle GVS | |
| Better brace tolerance | Decreased AFO use | - |
| Improved stability stance | - | - |
| Less tripping | - | - |
| Improved GOAL® scores | - | |
| Satisfaction with cosmesis | ||
| Dorsiflexion to neutral | - | Dorsiflexion > 10 past neutral |
AFO: Ankle Foot Orthosis ; GDI, Gait Deviation Index; GOAL®, Gait Outcomes Assessment List; GPS, Gait Profile Score; GVS, Gait Variable Score, PFKE, Plantarflexion, Knee Extension
Note. Not shown in the table was that the group achieved consensus, that intraoperative dorsiflexion > 20° was not a GOAL for surgery for equinus in ambulant children with cerebral palsy. Also, not shown was that there was general agreement that under-correction was preferred to overcorrection outcome measures.