Table V.
The core outcome set (COS) assessment form.
| Definition |
|---|
|
The corrected foot :
is one in which the talar head is covered, the heel is in neutral or valgus, the anterior process of the os calcis has rotated out from under the talus and where the ankle has 15° of dorsiflexion. is one that fits comfortably into the boots and bar. |
| Timing |
| The minimum follow-up for meaningful COS reporting is five years. |
| Outcome measures to be assessed, yes/no |
| General |
| 1. Recurrence: any change in clinical presentation of the fully corrected foot (following initial management) that requires further treatment. |
| Clinical outcome |
|
Static: 2. Is there any fixed deformity? Dynamic: Can the child: 3. Walk without a limp 4. Run 5. Hop 6. Is there any in-toeing originating from the foot? |
|
PBS
31
7. Hindfoot varus in standing 8. Supination in standing 9. Swing phase supination in walking 10. Early heel rise in stance when tibia perpendicular in walking 11. Passive ankle dorsiflexion in sitting 12. Active ankle dorsiflexion in sitting 13. Subtalar abduction in sitting |
| PROMs |
| Is the child able to: 14. Stair-climb in a reciprocal fashion (one foot after another) 15. Take part in a long walk (for example more than one to two miles and/or more than an hour) 16. Squat |
|
Oxford Foot and Ankle Questionnaire
32
17. Does the child have difficulty in walking because of the foot or ankle? 18. Does the child have difficulty in running because of the foot or ankle? 19. Does the child have difficulty in standing up for a long period because of the foot or ankle? 20. Does the child have pain in the foot or ankle? 21. Has the child’s legs been sore or ached after walking or running? 22. Has the child been tired because of the foot or ankle? 23. Has the foot or ankle stopped them joining in with others in the playground? 24. Has the foot or ankle stopped them playing outside or in the park? 25. Has the foot or ankle stopped them taking part in PE? 26. Has the foot or ankle stopped them from taking part in any other lesson at school? 27. Has the foot or ankle appearance bothered them? 28. Has their walk bothered them? 29. Have they been embarrassed because of the foot or ankle? 30. Has anyone been unkind because of the foot and ankle? 31. Has it stopped them wearing any shoes they wanted to wear? |
PE, physical education; PROMs, patient-reported outcome measures.