www.orthopaedicscores.com
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Date of completion
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Clinical rating system for the ankle and hindfoot
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Clinician's name (or ref)
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Patient's name (or ref)
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Please answer the following questions.
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During the past 4 weeks......
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Section 1 - Pain
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Section 2 - Function-activity limitations/support requirements
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None
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No limitations, no support
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Mild Occasional
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No limitation of daily activities, limitation of recreational activities, no support
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Moderate, daily
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Limited daily and recreational activities, cane
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Severe, almost always present
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Severe limitation of daily and recreational activities, walker, crutches, wheelchair, brace
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AMERICAN FOOT AND ANKLE - Reference for Score:
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M.
Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes.
Foot Ankle Int. 1994 Jul;15(7):349-53.
link to pubmed
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