The reliability and validity of a digital version of the Cumberland Ankle Instability Tool

Rosen, Adam B.; Johnston, Madison; Chung, Sunghoon; Burcal, Christopher J.

doi:10.1080/09638288.2019.1671504

Cited by 6 publications

(8 citation statements)

References 19 publications

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“…Anthropometric data assessed included height, body mass, and calculated body-mass index (BMI). Height and body-mass were measured directly in some of the studies 19,20,22,23,25,26,29,30,32 , while some were self-reported 21,23,24,27,28,31 by participants. Self-reported function was assessed using the FAAM-ADL, FAAM-Sport, and CAIT.…”

Section: Methodsmentioning

confidence: 99%

“…Data were pooled from 14 different studies previously collected by the Chronic Ankle Instability Outcomes Network (COALITION). [19][20][21][22][23][24][25][26][27][28][29][30][31][32] The COALITION is an alliance of researchers with the goal of advancing the investigation of CAI knowledge through data collaborations. Each of the included data sets [19][20][21][22][23][24][25][26][27][28][29][30][31][32] investigated participants with a history of lateral ankle sprain, however, utilized a variety of inclusion criteria.…”

Section: Patients or Participantsmentioning

confidence: 99%

“…[19][20][21][22][23][24][25][26][27][28][29][30][31][32] The COALITION is an alliance of researchers with the goal of advancing the investigation of CAI knowledge through data collaborations. Each of the included data sets [19][20][21][22][23][24][25][26][27][28][29][30][31][32] investigated participants with a history of lateral ankle sprain, however, utilized a variety of inclusion criteria. Each individual study was previously approved by their respective institutional ethics review board prior to the initiation of the study.…”

Section: Patients or Participantsmentioning

confidence: 99%

“…Participants without a history of ankle sprain were excluded. Many of the included studies' inclusion criteria and operationalized definition of an ankle sprain slightly differed, with the majority [20][21][22]25,26,31 adopting the International Ankle Consortium's (IAC) recommendation 33 of an ankle sprain that; 1) occurred greater than 12 months prior to study enrollment 2) demonstrated symptoms of inflammation such as pain or swelling 3) the sprain disrupted at least 1 day of physical activity, a few studies' definition was "a history of a moderate to severe lateral ankle sprain including inflammatory symptoms (pain, swelling, and/or discoloration) with a disruption of desired physical activity" that occurred 12-months prior to study enrollment 19,30,32 , one author group required participants to have an inversion mechanism with pain/swelling and activity modification for at least 24 hours 23,24,27,28 , another study's definition was "a history of mild to moderate ankle sprain at least 12 months before the study that required immobilization or non-weight bearing for at least 3 days" 29 , while another was "an ankle sprain was defined as an incident in which the rearfoot was inverted or supinated and resulted in a combination of swelling, pain, and modification of activities of daily living for 1 day." 24 Having participants self-report ankle sprain is commonly used in research investigations, and patients have been found to be relatively accurate at self-reporting of the relative timing and injury (including ankle sprains).…”

Section: Patients or Participantsmentioning

confidence: 99%

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Association of Ankle Sprain Frequency With Body Mass and Self-Reported Function: A Pooled Multisite Analysis

Rosen

Jaffri

Mitchell

et al. 2022

Journal of Sport Rehabilitation

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Context: Ankle sprains result in pain and disability. While factors such as body mass and prior injury contribute to subsequent injury, the association of the number of ankle sprains on body anthropometrics and self-reported function are unclear in this population. Therefore, the purpose of this investigation was to assess differences in anthropometric measurements and self-reported function between the number of ankle sprains utilizing a large, pooled data set. Design: Cross-sectional. Methods: Data were pooled from 14 studies (total N = 412) collected by the Chronic Ankle Instability Outcomes Network. Participants were categorized by the number of self-reported sprains. Anthropometric data and self-reported function were compared between those who reported a single versus >1 ankle sprain as well as among groups of those who had 1, 2, 3, 4, and ≥5 ankle sprains, respectively. Results: Those who had >1 ankle sprain had higher mass (P = .001, d = 0.33) and body mass index (P = .002, d = 0.32) and lower Foot and Ankle Ability Measure-Activities of Daily Living (P < .001, r = .22), Foot and Ankle Ability Measure-Sport (P < .001, r = .33), and Cumberland Ankle Instability Tool (P < .001, r = .34) scores compared to the single ankle sprain group. Those who had a single ankle sprain weighed less than those who reported ≥5 sprains (P = .008, d = 0.42) and had a lower body mass index than those who reported 2 sprains (P = .031, d = 0.45). Conclusions: Some individuals with a history of multiple ankle sprains had higher body mass and self-reported disability compared to those with a single sprain, factors that are likely interrelated. Due to the potential for long-term health concerns associated with ankle sprains, clinicians should incorporate patient education and interventions that promote physical activity, healthy dietary intake, and optimize function as part of comprehensive patient-centered care.

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Section: Methodsmentioning

confidence: 99%

Section: Patients or Participantsmentioning

confidence: 99%

Section: Patients or Participantsmentioning

confidence: 99%

Section: Patients or Participantsmentioning

confidence: 99%

See 2 more Smart Citations

Association of Ankle Sprain Frequency With Body Mass and Self-Reported Function: A Pooled Multisite Analysis

Rosen

Jaffri

Mitchell

et al. 2022

Journal of Sport Rehabilitation

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“…); (3) Positive physical examination of anterior drawer test (ADT); (4) Identified with lateral ligament injuries using MRI, B-ultrasound and ankle arthroscopy); (5): Cumberland Ankle Instability Tool (CAIT) score <24. 18 Patients would be included as FAI under the following conditions: (1): A history of the previously injured ankle joint "giving away," and/or recurrent sprain and/or "feeling of instability"; (2) Associated with inflammatory symptoms (pain, swelling, etc); (3) Negative physical examination of ADT; (4) Identified with no obvious lateral ligament injuries using MRI, B-ultrasound and ankle arthroscopy; (5): Identification of functional ankle instability (idFAI) score >11. 19 The control group consisted of 60 healthy volunteers (32 female and 28 male) who had undergone MRI scan in our center.…”

Section: Methodsmentioning

confidence: 99%

The fibula and talus position difference in functional and mechanical ankle instability: MRI findings

Yuan

Zhu

Wang

et al. 2021

J Orthop Surg (Hong Kong)

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Purpose: This study aimed to use MRI to evaluate the fibula and talus position difference in functional and mechanical ankle stability patients. Methods: 61 and 68 patients with functional and mechanical instability, and 60 healthy volunteers were involved. Based on the axial MRI images, the rotation of the talus was identified through the Malleolar Talus Index (MTI). The position relative to the talus (Axial Malleolar Index, AMI) and medial malleolus (Intermalleolar Index, IMI) were used to evaluated the displacement of the fibula. Results: Post hoc analysis showed that the values of malleolar talus index was significantly larger among mechanical instability (89.18° ± 2.31°) than that in functional instability patients (86.55° ±61.65°, P < 0.001) and healthy volunteers (85.59° ± 2.42°, P < 0.001). The axial malleolar index of the mechanical instability patients (11.39° ± 1.41°) were significantly larger than healthy volunteers (7.91° ± 0.83°) (P < 0.0001). There were no statistically significant differences in the above three indexes between the functional instability patients and healthy volunteers. Conclusion: The functional instability patients didn’t have a posteriorly positioned fibula and an internally rotated talus. The malleolar talus index was significantly larger among mechanical instability patients than that in functional instability patients. Increased malleolar talus index may become a new indirect MRI sign for identifying functional and mechanical instability patients.

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Systematic review of the methodological quality of patient-reported outcome measure for patients with chronic ankle instability

et al. 2023

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Objetive Chronic ankle instability is generally associated with ankle sprain. Its consequences can be measured by means of patient-reported outcome measures (PROMs). The aim of this review is to identify the PROMs specifically available for chronic ankle instability and to evaluate their methodological quality and that of the cross-cultural adaptations made. Data Sources Papers were retrieved from PubMed, Embase, Scopus and Google Scholar databases, with no time limit applied, based on the following inclusion criteria: (1) type of participants: patients with chronic ankle instability, over 18 years of age; (2)type of study: those specifically focused on this pathology, using PROMs specific to chronic ankle instability and published in English; (3) type of outcome: measurement properties based on COSMIN criteria in patient-reported outcomes associated with chronic ankle instability. Methods This systematic review, following the COSMIN checklist, was conducted to determine the methodological quality of PROMs specific to foot and ankle pathologies, for patients presenting chronic ankle instability. Results Of the 576 studies identified in the initial search, 34 were included in the final analysis of measurement properties. Four – the Ankle Instability Instrument, the Chronic Ankle Instability Scale, the Cumberland Ankle Instability Tool and the Identification of Functional Ankle Instability – were original questionnaires, and the remaining 30 were cross-cultural adaptations. Conclusion The Cumberland Ankle Instability Tool and the Identification of Functional Ankle Instability questionnaires can be useful instruments for evaluating chronic ankle instability, both in patients with this condition and also in non-pathological patients.

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The reliability and validity of a digital version of the Cumberland Ankle Instability Tool

Cited by 6 publications

References 19 publications

Association of Ankle Sprain Frequency With Body Mass and Self-Reported Function: A Pooled Multisite Analysis

Association of Ankle Sprain Frequency With Body Mass and Self-Reported Function: A Pooled Multisite Analysis

The fibula and talus position difference in functional and mechanical ankle instability: MRI findings

Systematic review of the methodological quality of patient-reported outcome measure for patients with chronic ankle instability

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