Reliability of the identification of functional ankle instability (Idfai) scale across different age groups in adults

Gurav, Reshma; Ganu, Sneha Sameer; Panhale, Vrushali

doi:10.4103/1947-2714.143283

Cited by 31 publications

(13 citation statements)

References 9 publications

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“…The prevalence of CAI was determined by having the participants complete the Identification of Functional Ankle Instability (IdFAI). This validated instrument asks respondents to complete 1 question regarding their total previous ankle sprains, scored numerically, and 9 Likert-scale questions that focus on symptoms such as the ankle “giving way” or “feeling unstable.” 6,17,42 Participants who have a total ankle score of ≥11 are considered to have CAI in that limb. CAI prevalence was calculated by taking the number of participants who reported an IdFAI score of ≥11 for at least 1 ankle and dividing that number by the total number of participants.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Impact of Chronic Ankle Instability in Adolescent Athletes

Donovan

Hetzel

Laufenberg

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: The prevalence and impact of chronic ankle instability (CAI) in adolescent athletes are unknown. To better develop and justify prevention strategies of lateral ankle sprains and CAI, it is important to understand the origin and associated long-term impact of CAI within populations other than adults. Purpose/Hypothesis: The purpose of this study was to determine the prevalence and impact of CAI on ankle function, health-related quality of life (HRQoL), and physical activity in adolescent athletes. The hypothesis was that the presence of CAI will be commonly reported among adolescent athletes and that participants with CAI will have lower self-reported ankle function, HRQoL, and physical activity when compared with participants without CAI. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A cohort of 1002 healthy (able to fully participate) adolescent athletes (50.4% female; mean age, 15.6 ± 1.6 years) across 8 club sport facilities and high schools completed paper-and-pencil surveys to establish the presence of CAI (Identification of Functional Ankle Instability [IdFAI]) and estimate perceived ankle function (Foot and Ankle Ability Measure [FAAM]–Activities of Daily Living and FAAM-Sport), HRQoL (Pediatric Quality of Life Inventory 4.0 [PedsQL]), and physical activity (Hospital for Special Surgery Pediatric Functional Activity Brief Scale [HSS Pedi-FABS]). Results: The overall prevalence of CAI was 20.0%. Participants with unilateral CAI reported significantly lower ( P < .001) ankle function (FAAM-Sport: 87.0 ± 14.8) and HRQoL (total PedsQL: 89.8 ± 9.8) than participants who did not have CAI (FAAM-Sport: 97.7 ± 6.0; total PedsQL: 93.5 ± 9.1). Physical activity was not different between participants with and without CAI. Conclusion: The prevalence of CAI was high among adolescent athletes. The presence of CAI negatively affected ankle function and HRQoL in adolescent athletes. Given the high prevalence and negative impact of CAI in an adolescent population, strategies to prevent ankle injuries and maintain physical activity are needed to alleviate future long-term consequences associated with developing CAI. These strategies should be implemented as soon as sport participation begins, as it appears that the origin of CAI may occur before adulthood.

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Section: Methodsmentioning

confidence: 99%

Prevalence and Impact of Chronic Ankle Instability in Adolescent Athletes

Donovan

Hetzel

Laufenberg

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…Additionally, reliability of the IdFAI has been established across several adult age groups. 166 Likewise, the AII has been translated into Chinese, 273 French, 286 and Persian, 316 with evidence to support their use. One systematic review questioned the use of validated instruments translated and cross-culturally adapted for Brazilian Portuguese after critical analysis of their psychometric properties.…”

Section: IIImentioning

confidence: 99%

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

Martin¹,

Davenport²,

Fraser³

et al. 2021

Journal of Orthopaedic & Sports Physical Therapy

100

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B Clinicians should include patient age, body mass index, pain coping strategies, report of instability, history of previous sprain, ability to bear weight, pain with weight bearing, ankle dorsiflexion range of motion (ROM), medial jointline tenderness, balance, and ability to jump and land (as safely tolerated) in their initial assessment, because of their role in influencing the clinical course and estimation of time to accomplish the goals of an individual with an acute lateral ankle sprain (LAS). CLINICAL COURSE -CHRONIC ANKLE INSTABILITYC Clinicians may include previous treatment, number of sprains, pain level, and self-report of function in their evaluation, as well as an assessment of the sensorimotor movement systems of the foot, ankle, knee, and hip during dynamic postural control and functional movements, because of their role in influencing the clinical course and estimation of time to accomplish the goals of an individual with chronic ankle instability (CAI). DIAGNOSIS/CLASSIFICATION -ACUTE LATERAL ANKLE SPRAINB Clinicians should use special tests, including the reverse anterolateral drawer test and anterolateral talar palpation in addition to the traditional anterior drawer test, and a thorough history and physical examination to aid in the diagnosis of a LAS. DIAGNOSIS/CLASSIFICATION -CHRONIC ANKLE INSTABILITYB When determining whether an individual has CAI, clinicians should use a reliable and valid discriminative instrument, such as the Cumberland Ankle Instability Tool or the Identification of Functional Ankle Instability, as well as a battery of functional performance tests that have established validity to differentiate between healthy controls and individuals with CAI. EXAMINATION -OUTCOME MEASURESA Clinicians should use validated patient-reported outcome measures, such as the Patient-Reported Outcomes Measurement Information System physical function and pain interference scales, the Foot and Ankle Ability Measure, and the Lower Extremity Functional Scale, as part of a standard clinical examination. Clinicians should utilize these before and 1 or more times after the application of interventions intended to alleviate the impairments of body function and structure, activity limitations, and participation restrictions associated with an acute LAS or CAI.C Clinicians may use the Pain Self-Efficacy Questionnaire in the acute and postacute periods after a LAS to assess effective coping strategies for pain, and the 11-item Tampa Scale of Kinesiophobia and the Fear-Avoidance Beliefs Questionnaire to assess fear of movement and reinjury and fear-avoidance beliefs in those with CAI. EXAMINATION -PHYSICAL IMPAIRMENT MEASURESA Clinicians should assess and document ankle swelling, ROM, talar translation, talar inversion, and single-leg balance in patients with an acute LAS, postacute LAS, or CAI at baseline and 2 or more times over an episode of care. Clinicians should specifically include measures of dorsiflexion, using the weight-bearing lunge test, static single-limb balance on a firm surface with eyes...

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“…A total score of 10 or lower indicates that the participant is unlikely to have functional instability, whereas a total score of 11 or higher indicates that the participant is likely to have functional instability [31]. High accuracy (89.6 % [31], 87.8 % [32]), test-retest reliability (ICC[1, 2]) = 0.978 in the 20-30 year age group) [33], and discriminability (area under curve = 0.91, sensitivity = 0.83, specificity = 0.94, positive likelihood ratio = 13.83, and negative likelihood ratio = 0.18 [31]) have been reported for the IdFAI.…”

Section: Identification Of Functional Ankle Instability (Idfai)mentioning

confidence: 99%

Fear Avoidance Beliefs in College Athletes with a History of Ankle Sprain

2020

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Ankle sprains are the most prevalent injuries, and elevated fear avoidance beliefs after ankle sprain episodes could inhibit athletic performance and contribute to residual symptoms, such as functional and/or mechanical instability. However, it remains unclear how fear avoidance beliefs differ according to conditions of posttraumatic sequelae. The purpose of this study was to determine whether fear of movement/reinjury differed between individuals with and without functional ankle instability (FI, NFI) and healthy controls (CON) and to examine the relationship between fear and ankle joint laxity by sex. Participants (115 male athletes, 105 female athletes) completed the Identification of Functional Ankle Instability, Athlete Fear Avoidance Questionnaire (AFAQ), Tampa Scale for Kinesiophobia (TSK), and ankle joint laxity test. Total 168 athletes (79 males, 89 females) data were eligible for analysis. The results demonstrated that fear of movement/reinjury was lower in individuals in the absence of functional ankle instability although they experienced ankle sprain (FI; TSK=38.6±4.5, AFAQ=27.4±6.2, NFI; TSK=35.7±5.6, AFAQ=24.5±6.6). The fear of movement/reinjury had correlation with ankle joint laxity only in female athletes (TSK; r=0.285, p=0.013, AFAQ; r 0=0.322, p=0.045).

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Reliability of the identification of functional ankle instability (Idfai) scale across different age groups in adults

Cited by 31 publications

References 9 publications

Prevalence and Impact of Chronic Ankle Instability in Adolescent Athletes

Prevalence and Impact of Chronic Ankle Instability in Adolescent Athletes

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

Fear Avoidance Beliefs in College Athletes with a History of Ankle Sprain

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