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Table 2 Qualitative history taking generated statements and assessments included within the GALLOP and round in which they were accepted

From: Gait and Lower Limb Observation of Paediatrics (GALLOP): development of a consensus based paediatric podiatry and physiotherapy standardised recording proforma

Question Theme

Generated statement

Consensus %

Agreement %

Round accepted

What are the common questions asked relating to pre and post natal history?

1. Pregnancy complications (Including mother’s health and medications)

88

 

1

2. Term/gestation

100

 

1

3. Delivery method (vaginal, spontaneous, induced caesarean, elective caesarean)

76

 

1

4. Complications during and/or post-delivery and/or postnatal

100

 

1

 

5. Breech position

 

94

2

 

6. Birth weight

 

88

2

 

7. Assistance during labour (Forceps/ventouse)

 

76

2

 

8. APGAR score at 1 and 5 min

 

71

2

 

9. Other health professionals involved at birth or in first 14 days

 

71

2

 

10. Family history of foot or leg problems

 

100

2

Questions asked about the child’s developmental milestones or acquisition of skills

11. Age of sitting

71

 

1

12. Age of crawling and type of crawl

100

 

1

13. Age of walking

100

 

1

14. Age of running

71

 

1

16. Age of jumping

 

82

2

17. Medical history/other health conditions

 

100

2

18. Previous treatment of foot/lower limb

 

100

2

19. Pain History

 

100

2

 

20. Footwear

 

88

2

 

21. Recreational/sporting history

 

88

2

 

22. Sensory concerns

 

82

2

 

23. Primary sitting positions

 

76

2

 

24/25. Height/weight

 

71

3

Observation of presence in relationship to age

26. Squatting (single or double leg)

82

 

1

27. Running

82

 

1

28. Jumping

82

 

1

29. Skipping

82

 

1

30. Hopping

82

 

1

31. Single leg stance- (eyes open, eyes closed, timed)

76

 

1

 

32. Ability to go up/down stairs

 

76

2

 

33. Observation of functional tasks (throwing, catching, kicking a ball, animal walks, sport specific activities)

 

71

2

 

34. Quality of body movement (symmetry, coordination)

 

71

2

What other neurological observations should be recorded?

35. Muscle tone (passive, active, spasticity, rigidity)

 

88

2

36. Gower’s sign

 

88

2

37–39. Other observations (syndactlyl, skin folds of feet, legs or thighs, tufts)

 

76

2

What aspect of the lower limb are visualised during a gait assessment?

40. Arm swing (symmetry, guard position, flapping/flailing)

70

 

1

41–43. Hip (rotation, flexion, hip drop/raise)

76

 

1

44–50. Knee position (patella, flexion/extension/hyperextension, internal, frontal, external, genu varum/valgum, Q angle)

94

 

1

 

51–55. Heel contact (initial contact, motion, timing, heel lift, rear-foot position)

82

 

1

 

55. Mid-stance (mid-foot position)

76

 

1

 

56–58. Toe off (Forefoot position during propulsion, symmetry, duration)

88

 

1

 

59–61. Other gait observations (Trendelenberg, limp, circumduction or abductory twist etc.)

76

 

1

 

62. Head and neck position

70

 

1

 

63. Trunk/torso position and/or alignment

 

71

2

 

64. Angle of gait (foot progression angle)

 

94

2

 

65. Base of gait

 

82

2