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Ankle&Gait Tests
Ankle&Gait Tests
Ankle&Gait Tests
Timepoint:________________________ AFO/AD:___________________
Ankle MAS
Grade: 0 1 1+ 2 3 4
Ankle DF MMT
Grade: 0 1 2 3 4 5
Active DF
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
Active PF
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
Passive DF
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
Passive PF
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
Notes: ________________________________________________________________________
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Trial 1:__________
Notes: ________________________________________________________________________
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Gait Biomechanics
PSW(deg)
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
AIC(deg)
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
Heel-First Contacts(%)
Trial 1:__________ Trial 2:__________ Trial 3:__________ Avg:__________
Notes: ________________________________________________________________________
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