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With the child undressed it is possible to screen gait effectively by watching the child walk across the room and back. Look out for any suggestion of limping, look at the rhythm of gait, look for difficulty in turning around, and ask the child about any discomfort. Look for any expression of pain as the child walks. Check for the normal pattern of heel strike, stance phase, and then toeing off as the child walks. You can also look for evidence of flat feet and excessive pronation when walking as this is a feature of hypermobility. Then ask the child to walk on their heels, and then on their tiptoes.