Roye Score

Original Editor - Rachael Lowe

Top Contributors - Rachael Lowe, Kim Jackson and Meaghan Rieke  

Objective

The Roye Score[1] is a 10-item disease-specific instrument to measure outcomes of treatment for clubfoot[2].

Intended Population

This scale is intended for use by mothers of children with idiopathic clubfoot[2] and is used in high income countries[3]. It can be used as an overall measure of clubfoot treatment outcomes with two distinct subscales: function and satisfaction[1].

Method of Use

This disease specific instrument consists of 10 items designed to measure treatment outcomes regarding overall satisfaction, appearance, pain, and physical limitations.

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Reference

Roye BD, Vitale MG, Gelijns AC, Roye DP Jr. Patient-based outcomes after clubfoot surgery. J Pediatr Orthop. 2001 Jan-Feb; 21(1):42-9.

Evidence

Dietz et al[2] supported the use of the Roye Score as an outcome measure for idiopathic clubfoot in young children by providing evidence of its reliability, validity, and discriminatory power. They also found the Roye score to be sensitive to differences in treatment technique or underlying severity of disease. A more recent study by Smythe et al, in 2018, comparing outcome measures after the Ponsetti method had good inter-observer agreement between the two expert physiotherapists. The study found that Roye Score had a sensitivity of 31.8% (95%CI: 13.9-54.9%) and a specificity of 100% (95%CI: 92-100%) in predicting the need for referral with positive and negative predictive values of 100 and 74.6% respectively[3]

References

  1. 1.0 1.1 Roye BD, Vitale MG, Gelijns AC, Roye DP Jr. Patient-based outcomes after clubfoot surgery. J Pediatr Orthop. 2001 Jan-Feb; 21(1):42-9.
  2. 2.0 2.1 2.2 Dietz FR, Tyler MC, Leary KS, Damiano PC. Evaluation of a disease-specific instrument for idiopathic clubfoot outcome. Clinical orthopaedics and related research. 2009 May 1;467(5):1256-62.
  3. 3.0 3.1 Smythe T, Gova M, Muzanuwi R, Foster A, Lavy C. A Comparison of outcome measures used to report clubfoot treatment with the Ponseti method: results from a cohort in Harare, Zimbabwe. BMC Musculoskeletal Disorders (2018) 19:450