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Pirani Score
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Purpose
Assessment of severity and monitor progress in the Assessment and Treatment of Clubfoot . Also outcome measure
Babies and children with congenital club foot
Assesment Type
Patient Group
Musculoskeletal
Age Group
Infants (0-2 years) | Children (3-12 years)
ICF domain
Body Structure & Function
Area of assessment
Joints and muscles
Key description
Description
Observational score of 6 “Signs”
Scored depending on Severity - 0, 0.5, or 1
Midfoot- medial crease
curved lateral border
lateral head of talus
Hind foot- posterior crease
empty heel
rigid equinus
Total Score varies from 0 to 6 and is the sum of midfoot and hindfoot contracture scores:
Reliability / validity
Established validity and reliability 0.90
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241062/#:~:text=The%20correlation%20coefficients%20were%20found,after%20an%20initial%20learning%20phase
Strengths / weaknesses
Quick and easy to use. Picture reference sheet
No training required to use assessment
Cost
Free
Equipment required
Ruler
Training required
N/A
Considerations & references
Cost
Free: Score sheet: http://globalclubfoot.org/wp-content/uploads/2011/02/Pirani-score-form.pdf
https://pubmed.ncbi.nlm.nih.gov/25989760/
https://www.physio-pedia.com/Pirani_Score
Time to complete
5-10 minutes
If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk