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Table 1 Range of motion and strength measures

From: Children with idiopathic toe walking display differences in lower limb joint ranges and strength compared to peers: a case control study

Region of interest

Assessment Position

Limb position and assessment task or movement

Range of motion

 Hip external rotation

Seated, hip and knee flexed to 90°.

Turn the leg towards the middle,

 Hip internal rotation

Seated, hip and knee flexed to 90°.

Turn the leg out to the side,

 Hip flexion

Supine, knees extended, hips in neutral

Bring the knee towards the chest

 Knee extension

Supine, legs extended, hips in neutral

Straighten the knee

 Knee flexion

Supine, legs extended, hips in neutral

Bend the knee so the foot moves towards the buttock

 Ankle plantarflexion

Seated, knees and hips at 90°

Bend the ankle, pointing the toes to the ground

 Ankle dorsiflexion (Weight bearing)

Standing in lunge position facing wall (leg straight)

Keep foot and heel flat on the floor, foot straight and lean towards keeping leg straight centred knee over the midline of the foot

 Ankle dorsiflexion (Weight bearing)

Standing in lunge position facing wall (knee straight)

Keep foot and heel flat on the floor, foot straight and bend knee towards wall, centred over the midline of the foot

Strength

 Hip external rotators

Upright sitting

Hips and knees flexed at 90° and externally rotate

 Hip internal rotators

Upright sitting

Hips and knees flexed at 90° and internally rotate

 Hip abductors

Supine lying

Legs extended, hip in approximately 10°abduction and abduct

 Knee flexors

Upright sitting

Knee in 60° flexion and flex knee

 Knee extensors

Upright sitting

Knee in 60° flexion and extend knee

 Ankle dorsiflexors

Long sitting

Ankle in mid-range plantarflexion and dorsiflex

 Ankle plantarflexors

Long sitting

Ankle in plantarflexion and plantarflex