Pediatric Orthopedics Symptom Assessment Test

1

Does your child show noticeable inward walking, outward walking, or an unbalanced gait while walking?

No Sometimes Yes

2

Do you notice bow legs, knock knees, or any curvature in your child’s legs?

No Mild level Clearly noticeable

3

Does your child have inward turning, shape differences, or walking pattern problems in the feet that may suggest congenital foot problems?

No Not Sure Yes

4

Does your child often fall, stumble, or have difficulty running while walking?

No Sometimes Frequently

5

Does one of your child’s feet or legs look different compared to the other?

No Slight difference Clearly noticeable difference

6

Have you noticed any congenital deformity in your child’s toes, such as overlapping or inward curling?

No Slightly Yes

7

Do you think your child has a leg length difference, limping, or a noticeable side difference while walking?

No Sometimes Yes

8

Does your child have a walking disorder related to Cerebral Palsy, muscle stiffness, or neurological involvement?

No Under follow-up Yes, and it affects their movements

9

Do your child’s shoes wear unevenly on one side, show unbalanced pressure marks on the sole, or appear to have a different foot posture?

No Sometimes Yes

10

Do your child’s orthopedic complaints affect their daily movements, play activities, or long walks?

No Partially Yes