Maryland Foot Score (MFS)

The Maryland Foot Score (MFS) can be used to evaluate a patient with a foot injury and to monitor the effectiveness of interventions.

Parameters:

(1) pain

(2) function: gait, cosmesis and motion

Subparameters for gait:

(a) distance walked

(b) stability

(d) limp

(e) shoes

(f) stairs

(g) terrain

Parameter	Finding	Points
pain	none, including sports	45
	slight; no change in activities of daily living (ADL) or work ability	40
	mild; minimal change in ADLs or work	35
	moderate; significant decrease in ADLs	30
	marked; during minimal ADLs	10
	disabled; unable to work or shop	5
distance walked	unlimited	10
	slight limitation	8
	moderate limitation (2 or 3 blocks)	5
	severe limitation (1 block)	2
	indoors only	0
stability	normal	4
	weak feeling; no true giving way	3
	occasional giving way (1-2 months)	2
	frequent giving way	1
	orthotic device used	0
support (walking aid)	none	4
	cane	3
	crutches	1
	wheelchair	0
limp	none	4
	slight	3
	moderate	2
	severe	1
	unable to walk	0
shoes	any type	10
	minor concessions	9
	flat, laced	7
	with orthotics	5
	space shoes	2
	unable to wear shoes	0
stairs	normally	4
	with bannister	3
	any method	2
	unable	0
terrain	no problem with any surface	4
	problems on stones or hills	2
	problems on flat surfaces	0
cosmesis	normal	10
	mild deformity	8
	moderate deformity	6
	severe deformity	0
	multiple deformities	0
motion (ankle, subtalar, metatarsophalangeal, midfoot)	normal	5
	slightly decreased	4
	markedly decreased	2
	ankylosed	0

foot score =

= SUM(points for all of the parameters)

Interpretation:

• minimum total score: 5

• maximum total score: 100

• The higher the score the better the patient's status.

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