Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

Pirani scoring system for club foot

Discussion in 'Pediatrics' started by NewsBot, Jul 28, 2006.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Members do not see these Ads. Sign Up.
    The role of the Pirani scoring system in the management of club foot by the
    Ponseti method

    Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 8, 1082-1084.
  2. NewsBot

    NewsBot The Admin that posts the news.

    Early results of a physiotherapist-delivered Ponseti service for the management of idiopathic congenital talipes equinovarus foot deformity
    Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 8, 1085-1089.
  3. Admin2

    Admin2 Administrator Staff Member

  4. NewsBot

    NewsBot The Admin that posts the news.

    Does the Pirani score predict relapse in clubfoot?
    Goriainov V, Judd J, Uglow M.
    J Child Orthop. 2010 Oct;4(5):439-44.
  5. aliciaj

    aliciaj Member

    The clubfoot assessment protocol (CAP); description and reliability
    of a structured multi-level instrument for follow-up
    Hanneke Andriesse*1, Gunnar Hägglund1 and Gun-Britt Jarnlo2

    This tool can be easily used within the clinical setting, used for monitoring developtment of a post treatment TEV. On assessment deteriation can be measured and referral made upon results.

    Taken from Article


    Background: In most clubfoot studies, the outcome instruments used are designed to evaluate classification or long-term
    cross-sectional results. Variables deal mainly with factors on body function/structure level. Wide scorings intervals and total sum
    scores increase the risk that important changes and information are not detected. Studies of the reliability, validity and
    responsiveness of these instruments are sparse. The lack of an instrument for longitudinal follow-up led the investigators to
    develop the Clubfoot Assessment Protocol (CAP).
    The aim of this article is to introduce and describe the CAP and evaluate the items inter- and intra reliability in relation to patient
    Methods: The CAP was created from 22 items divided between body function/structure (three subgroups) and activity (one
    subgroup) levels according to the International Classification of Function, Disability and Health (ICF). The focus is on item and
    subgroup development.
    Two experienced examiners assessed 69 clubfeet in 48 children who had a median age of 2.1 years (range, 0 to 6.7 years). Both
    treated and untreated feet with different grades of severity were included. Three age groups were constructed for studying the
    influence of age on reliability. The intra- rater study included 32 feet in 20 children who had a median age of 2.5 years (range, 4
    months to 6.8 years).
    The Unweighted Kappa statistics, percentage observer agreement, and amount of categories defined how reliability was to be
    Results: The inter-rater reliability was assessed as moderate to good for all but one item. Eighteen items had kappa values >
    0.40. Three items varied from 0.35 to 0.38. The mean percentage observed agreement was 82% (range, 62 to 95%). Different
    age groups showed sufficient agreement. Intra- rater; all items had kappa values > 0.40 [range, 0.54 to 1.00] and a mean
    percentage agreement of 89.5%. Categories varied from 3 to 5.
    Conclusion: The CAP contains more detailed information than previous protocols. It is a multi-dimensional observer
    administered standardized measurement instrument with the focus on item and subgroup level. It can be used with sufficient
    reliability, independent of age, during the first seven years of childhood by examiners with good clinical experience.
    A few items showed low reliability, partly dependent on the child's age and /or varying professional backgrounds between the
    examiners. These
  6. NewsBot

    NewsBot The Admin that posts the news.

    Interobserver reliability in Pirani clubfoot severity scoring between a paediatric orthopaedic surgeon and a physiotherapy assistant.
    Shaheen S, Jaiballa H, Pirani S.
    J Pediatr Orthop B. 2012 Feb 14.
  7. NewsBot

    NewsBot The Admin that posts the news.

    Photographic recording of the features of the Pirani classification for club feet - A Case Study.
    Huntley JS.
    J Vis Commun Med. 2013 Dec;36(3-4):117-120.
  8. NewsBot

    NewsBot The Admin that posts the news.

    Inter-rater reliability of physiotherapists using the Pirani scoring system for clubfoot: comparison with a modified five-point scale.
    Harvey, Nicole J.; Mudge, Anita J.; Daley, Deborah T.; Sims, Susan K.; Adams, Roger D.
    Journal of Pediatric Orthopaedics B: August 20, 2014
  9. NewsBot

    NewsBot The Admin that posts the news.

    H Steck and A Robertson
    Bone Joint J 2014 vol. 96-B no. SUPP 13 21
  10. NewsBot

    NewsBot The Admin that posts the news.

    Correlation of Pirani and Dimeglio scores with number of Ponseti casts required for clubfoot correction.
    Gao R, Tomlinson M, Walker C.
    J Pediatr Orthop. 2014 Sep;34(6):639-42
  11. NewsBot

    NewsBot The Admin that posts the news.

    A Clinical Evaluation of the Pirani and Dimeglio Idiopathic Clubfoot Classifications
    Dan Cosma, MD, PhD, Dana Elena Vasilescu, MD, PhD
    The Journal of Foot and Ankle Surgery; Articles in Press
  12. NewsBot

    NewsBot The Admin that posts the news.

    A comparison between orthopedic surgeon and allied health worker in pirani score.
    Jillani SA, Aslam MZ, Chinoy MA, Khan MA, Saleem A, Ahmed SK
    J Pak Med Assoc. 2014 Dec;64(12 Suppl 2):S127-30.
  13. NewsBot

    NewsBot The Admin that posts the news.

    The Heel Pad in Congenital Idiopathic Clubfoot: Implications of Empty Heel for Clinical Severity Assessment.
    Adegbehingbe OO, Asuquo JE, Joseph MO, Alzahrani M, Morcuende JA
    Iowa Orthop J. 2015;35:169-174.

Share This Page