ArticleJournal of children's orthopaedics2019
The PBS Score - a clinical assessment tool for the ambulatory and recurrent clubfoot.
Article in Journal of children's orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Association between video-based Pirani Böhm Sinclair score and treatment recommendations in recurrent clubfoot in walking-age children.Journal of orthopaedic surgery and research · 2026Observational
- Effectiveness of a digital-based gradual exercise training program for preventing relapse in congenital clubfoot: a protocol for a randomized controlled clinical trial.BMC pediatrics · 2025Article
- Duration and outcome of orthotic treatment in children with clubfoot - a four-year follow-up national register study of Swedish children born between 2015 and 2017.BMC musculoskeletal disorders · 2024Article
- Ultrasound measurements in clubfoot treated with the Ponseti method and risk factors for recurrence: A retrospective study.Journal of children's orthopaedics · 2022Article
- The outcomes of idiopathic congenital talipes equinovarus : a core outcome set for research and treatment.Bone & joint open · 2022Article
- A systematic review of reported outcomes following Ponseti correction of idiopathic club foot.Bone & joint open · 2020Article
- Special symposium issue: Clubfoot.Journal of children's orthopaedics · 2019Article
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe signs for clubfoot relapse are poorly defined in the literature and there is a lack of a scoring system that allows assessment of clubfeet in ambulatory children. The aim of this study is to develop an easy to use, reliable and validated evaluation tool for ambulatory children with a history of clubfoot.
methodsA total of 52 feet (26 children, 41 clubfeet, 11 unaffected feet) were assessed. Three surgeons used the seven-item PBS Score to rate hindfoot varus, standing and walking supination, early heel rise, active/passive ankle dorsiflexion and subtalar abduction blinded to the other examiners. All parents answered the modified Roye score questionnaire prior to the clinical assessment. Correlation between the mean PBS Score and the Roye score was evaluated using Spearman's rank correlation coefficient. Interobserver reliability was tested using weighted and unweighted Cohen's Kappa coefficients.
resultsThe Spearman's rank correlation coefficient for correlation between mean PBS Score and Roye score was 0.73 (moderate to good correlation).The interobserver agreement for the total PBS Score resulted in an intraclass correlation coefficient of 0.93 (almost perfect agreement).
conclusionThe PBS score is an easy to use, clinical assessment tool for walking age children with clubfoot deformity. It includes passive and active criteria with a very good interobserver reliability and moderate to good validity. LEVEL OF EVIDENCE: Level I - Diagnostic study.
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