Caring for the affected leg

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In each panel please select/click on the amount of difficulty that you or your carer/caregiver have experienced in doing the activity, over the last 7 days.

Advice for completing the assessment
Left leg
Right leg

This assessment helps you evaluate how the affected leg or legs are cared for during everyday activities.

Each question relates to a specific task and asks you to rate the level of difficulty experienced in performing that activity over the last 7 days — either by the person themselves or by a carer/caregiver.

Part 1 asks about caring for the affected leg(s) — this may be done by the person themselves using their unaffected leg, by a carer/caregiver, or through a combination of both.
The section does not ask about using the affected leg(s) to complete any of the tasks.
Be as accurate as possible. Consider how the activity feels most of the time, rather than on a particularly good or bad day.
Base your answers on usual performance, not on what you think could be achieved with extra help or effort.
Select one option per activity — from No difficulty to Unable to do activity.
If an activity is not done or not applicable (for example, using a hoist or wearing a splint), please select “No difficulty.”
There are no right or wrong answers. The aim is to identify where additional support or treatment may be needed and to track progress over time.
Once all items have been rated, a total score will be automatically generated. This score helps guide the next stage of treatment planning.

After completing the assessment, you will move on to Part 2 – Treatment Planning, where you can set goals and select appropriate interventions for each area (ankle and foot, knee, and hip).

To begin:

Click on the relevant tab – Left Leg or Right Leg – to complete the assessment for each leg separately.

Phone Number*

Part 1 | Assessment

1. Cleaning and washing the area between your legs

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

2. Putting on a splint

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

If never done select "No difficulty"

3. Positioning legs in a wheelchair

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

If never done select "No difficulty"

4. Putting your leg(s) through a trouser leg(s)

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

If never done select "No difficulty"

5. Transfer using a hoist, including positioning sling

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

If never done select "No difficulty"

6. Putting on underwear or continence pads

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

7. Positioning your leg(s) in bed using a positioning aid or pillow

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

If never done select "No difficulty"

8. Cleaning behind your knee (knees)

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

9. Putting on your footwear

No difficulty

Mild difficulty

Moderate difficulty

Severe difficulty

Unable to do activity

Total assessment score:

Progress to treatment planning

Part 2 - Your treatment planning

You are asked to consider what goals should be set prior to treatment.
Goals will need tailoring to specific clinical needs and this can be done in the goals selection box.

You can populate the following boxes by typing in or using your device's native speech-to-text functionality to fill in the tailored goal options for your patient.

Caring for the ankle foot

Consider from the potential goal categories below what your goals for intervention might be:

Select as many as appropriate:

Passive function

Pain

Associated Reaction

Contracture Prevention

Passive function (or care) treatment goal options

To put-on the ankle and foot splint independently for 6-8 hours per day within 3 weeks.
To enable a carer to put-on the ankle and foot splint with you for 6-8 hours per day within 3 weeks.
To put your foot on the wheelchair footplate for 6-8 hours per day within 3 weeks.
To enable a carer to put your foot on the wheelchair footplate with you for 6-8 hours per day within 3 weeks.
Enable you to put on a shoe or slipper independently within 6 weeks.
Enable a carer to put on a shoe or slipper with you within 6 weeks.

Pain

Reduce pain in your foot from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
To reduce stiffness related pain in your foot from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
Reduce pain in the foot and ankle from 7 to 6-4 on a 10-point numeric scale, during transferring from your bed to your chair.
Reduce pain in the foot and ankle from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Associated Reaction

To improve the position of your foot during walking decreasing the difficulty from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Contracture Prevention

Maintain current range of movement at the ankle at neutral with able to get your foot flat of the floor (plantigrade) for 4 months.
Maintain current range of movement in for the left ankle at neutral for 4 months.

What treatments should be considered for this person?

Preparatory stretch

Positioning

Splinting

Preparatory stretch

Active Assisted or Passive stretch of fingers and wrist (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as splint or cast or orthotic application or positioning).

1. Dorsiflexion of ankle

Set a dose or amount of stretch

Positioning

	*1. Positioning foot on wheelchair footplate*
	*2. Resting splint application in bed*
	*3. Resting splint application in a wheelchair*

Positioning options

Consistent positioning programme with ankle at neutral on a wheelchair footplate

Consistent positioning of foot supported by a foam wedge (or sleep system) in bed

Consistent positioning programme with ankle at neutral on a wheelchair footplate

Set a dose or amount of stretch

Consistent positioning of foot supported by a foam wedge (or sleep system) in bed

Set a dose or amount of stretch

Splinting (or casting with careful case selection and appropriate clinical skills within the team)

Splinting options

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Provision of an Ankle Foot Orthosis as a resting splint.

Consider prefabricated or custom-made splint manufacture with appropriate fit to the person.

Set a dose or amount of stretch

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Serial casting or circumferential resting splint to maintain (or in selected cases) increase range of movement.

Set a dose or amount of stretch

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Provision of an Ankle Foot Orthosis as a resting splint.

Set a dose or amount of stretch

Dose of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Additional advice and information to support treatment

Caring for the knee

Consider from the potential goal categories below what your goals for intervention might be:

Select as many as appropriate:

Passive function

Pain

Associated Reaction

Contracture Prevention

Passive function (or care) treatment goal options

To put-on the knee splint independently for 6-8 hours per day within 3 weeks.
To enable a carer to put-on the knee splint with you for 6-8 hours per day within 3 weeks.
To decrease the difficulty of you cleaning behind your knee from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
To decrease the difficulty of a carer cleaning behind your knee from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Patient goals

Please add in the patient goal based on the advice above

Pain goal options/examples

Reduce pain in the knee from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a transfer from a bed to a wheelchair in 6 weeks.
To reduce stiffness related pain in the knee from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
Reduce pain in the knee from 7 to 6-4 on a 10-point numeric scale, during washing.
Reduce pain in the knee from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Patient goals

Please select (copy-paste) the closest goal option and amend it to your selected goal

Associated Reaction goal options/examples

To improve the position of your leg during stepping to decrease difficulty when walking from 9 to between 8-5, on a 10-point numeric scale in 12 weeks.

Patient goals

Please select (copy-paste) the closest goal option and amend it to your selected goal

Contracture Prevention goal options/examples

Maintain current range of movement in the right knee at -20 degrees from full extension for 4 months.
Maintain current range of movement in the knee for the left degrees from at -45 neutral for 4 months.

Patient goals

Please select (copy-paste) the closest goal option and amend it to your selected goal

What treatments should be considered for this person?

Active Assisted or Passive stretch

Positioning

Active Assisted or Passive stretch

Active Assisted or Passive stretch of the knee (dependent on motor control ability) to prepare muscles and joints for a stretch of an appropriate duration (such as with splint or cast application or positioning).

1. . Extension of the knee

Set a dose or amount of stretch

Positioning

Consistent positioning programme with knee in extension on a stool or leg support.

Consistent positioning with leg in extension in bed.

Consistent positioning programme with knee in extension on a stool or leg support

	*1. Extension of the leg on a pillow*
	*2. Support of the leg in a wheelchair*
	*3. Resting splint in extension/resting position of knee*
	*4. Knee wrap splint*

Set a dose or amount of stretch

For consistent positioning programme with elbow in extension on a wheelchair tray table or arm support. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Consistent positioning with leg in extension in bed

	*1. Positioning in wheelchair (e.g. adductor pad or pommel)*
	*2. T-Roll*

Set a dose or amount of stretch

For consistent positioning with elbow in extension in bed. Dose and consistency of stretch is critical to any maintenance of range of movement, aim for 6-8 hours as a minimum over a 24-hour period.

Additional advice and information to support treatment

Caring for the hip

Consider from the potential goal categories below what your goals for intervention might be:

Select as many as appropriate:

Passive function

Pain

Associated Reaction

Contracture Prevention

Passive function (or care) treatment goal options

To put-on the hip support independently for 6-8 hours per day within 3 weeks.
To enable a carer to put-on thehip support with you for 6-8 hours per day within 3 weeks.
To decrease the difficulty of you cleaning your perineum (between your legs) from 9 to between 8-5, on a 10-point numeric scale, in 5 weeks.
To decrease the difficulty of a carer cleaning your perineum (between your legs) from 9 to between 8 and 5, on a 10-point numeric scale, in 5 weeks.

Patient goals

Please select (copy-paste) the closest goal option and amend it to your selected goal

Pain

Reduce hip pain from 9 to between 8 to 3 on a 10-point numeric rating scale, when completing a bicep curl, holding the bar with both hands, at the gym in 6 weeks.
To reduce stiffness related pain in the hip from 7 to 6-5, on a 10-point numeric scale, within 4 weeks.
Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during washing.
Reduce pain in the hip from 7 to 6-4 on a 10-point numeric scale, during resting splint application.

Patient goals

Please select (copy-paste) the closest goal option and amend it to your selected goal