This assessment is a specialised review of the lower limb and how it functions, it can provide key information on some of the causes of foot and leg pain or be secondary to other conditions. Although the Assessment has a structure it is tailored to the patient and their need. It involves looking at the leg and foot alignment but also how these function dynamically.
6 Stage Assessment Process.
History. A thorough history is essential to gain an understanding of you, & provides essential background history. It involves taking a history of activities, occupation & past medical history.
Then onto a finding out about your presenting problem, focusing on nature, location, duration, onset, causation, past treatments, etc..
Identification of Painful Structures. Time is taken to look and assess the painful structures for any changes including swelling, bruising, heat, etc.…
3Static Assessment. This involves examination of the lower limb joints and muscles to feel for the range of motion, to look at the symmetry of the legs and feet. A standing assessment is then completed to assess the alignment of the legs and feet, along with the foot posture index.
4Dynamic Tests. This is to look at muscle testing and strength, also including proprioceptive tests. This may include simple assessment of rising up on tip toes to more complex balance type assessment.
5Dynamic Gait Analysis. This is where your walking and running is assessed using video gait analysis software (Dartfish), this is completed with and without shoes.
6Treatment Planning. The final stage is treatment planning, the findings of the assessment are discussed & short and long term treatment plan is compiled.