Validity of the Foot and Ankle Ability Measure in Athletes With Chronic Ankle Instability

Carcia, Christopher R.; Martin, RobRoy L.; Drouin, Joshua M.

doi:10.4085/1062-6050-43.2.179

Cited by 282 publications

(218 citation statements)

References 15 publications

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“…7 A higher score represents a higher level of foot and ankle function. 14 The FAAM-S has demonstrated excellent test-retest reliability (ICC ¼ 0.87) and internal consistency (a ¼ .98). 7 Knee Osteoarthritis Outcomes Score.…”

Section: Instrumentationmentioning

confidence: 99%

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Hoch

Druvenga

Ferguson

et al. 2015

Journal of Athletic Training

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Context: Clinicians are urged to document patient-based outcomes during rehabilitation to measure health-related quality of life (HRQOL) from the patient's perspective. It is unclear how scores on patient-reported outcome instruments (PROs) vary over the course of an athletic season because of normal athletic participation.Objective: Our primary purpose was to evaluate the effect of administration time point on HRQOL during an athletic season. Secondary purposes were to determine test-retest reliability and minimal detectable change scores of 3 PROs commonly used in clinical practice and if a relationship exists between generic and region-specific outcome instruments.Design: Cross-sectional study. Setting: Athletic facility.Patients or Other Participants: Twenty-three collegiate soccer athletes (11 men, 12 women).Main Outcome Measure(s): At 5 time points over a spring season, we administered the Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure-Sport, and Knee Injury and Osteoarthritis Outcome Score (KOOS).Results: Time effects were observed for the DPA (P ¼ .011) and KOOS Quality of Life subscale (P ¼ .027). However, the differences between individual time points did not surpass the minimal detectable change for the DPA, and no post hoc analyses were significant for the KOOS-Quality of Life subscale. Test-retest reliability was moderate for the KOOS-Pain subscale (intraclass correlation coefficient ¼ 0.71) and good for the remaining KOOS subscales, DPA, and Foot and Ankle Ability Measure-Sport (intraclass correlation coefficients . 0.79). The DPA and KOOS-Sport subscale demonstrated a significant moderate relationship (P ¼ .018).Conclusions: Athletic participation during a nontraditional, spring soccer season did not affect HRQOL. All 3 PROs were reliable and could be used clinically to monitor changes in health status throughout an athletic season. Our results demonstrate that significant deviations in scores were related to factors other than participation, such as injury. Finally, both generic and region-specific instruments should be used in clinical practice.Key Words: health-related quality of life, patient-centered outcomes, injury history, evidence-based practice Key PointsThe Disablement in the Physically Active Scale, Foot and Ankle Ability Measure-Sport, and Knee Injury and Osteoarthritis Outcome Score scales are reliable instruments that have been used clinically to assess activity limitations and participation restrictions in collegiate athletes. Significant changes in health-related quality of life are likely to be associated with an injury that restricts athletic participation or another factor rather than participation itself. To capture all dimensions of health-related quality of life, clinicians should use both a generic and a region-specific instrument.

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Section: Instrumentationmentioning

confidence: 99%

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Hoch

Druvenga

Ferguson

et al. 2015

Journal of Athletic Training

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“…In all these indications, the FAAM has been shown to be a valid subjective measurement tool 70,159,274 . There is, however, no specific information in the literature on psychometric properties for talar OCD.…”

Section: Th E Foot and Ankle Outcome Scorementioning

confidence: 99%

Treatment of osteochondral defects of the talus

Bergen

Leeuw

Dijk

2008

Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Mo

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“…On the first day of testing, participants were screened and completed a general medical history form, the Godin Leisure Time Exercise Questionnaire, 34 the FAAM Activities of Daily Living scale, and the FAAM Sport scale. 35,36 All participants provided informed consent, and the study was approved by the university's Institutional Review Board for Health Sciences Research.…”

Section: Participantsmentioning

confidence: 99%

Lower Extremity Muscle Activation in Patients With or Without Chronic Ankle Instability During Walking

Feger

Donovan

Hart

et al. 2015

Journal of Athletic Training

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Context: Ankle sprains are among the most common musculoskeletal injuries, and many individuals with ankle sprains develop chronic ankle instability (CAI). Individuals with CAI exhibit proprioceptive and postural-control deficits, as well as altered osteokinematics, during gait. Neuromuscular activity is theorized to play a pivotal role in CAI, but deficits during walking are unclear.Objective: To compare motor-recruitment patterns as demonstrated by surface electromyography amplitudes between participants with CAI and healthy control participants during walking.Design: Descriptive laboratory study. Setting: Laboratory.Patients or Other Participants: Fifteen adults with CAI (5 men, 10 women; age ¼ 23 6 4.2 years, height ¼ 173 6 10.8 cm, mass ¼ 72.4 6 14 kg) and 15 matched healthy control adults (5 men, 10 women; age ¼ 22.9 6 3.4 years, height ¼ 173 6 9.4 cm, mass ¼ 70.8 6 18 kg).Intervention(s): Participants walked shod on a treadmill while surface electromyography signals were recorded from the anterior tibialis, peroneus longus, lateral gastrocnemius, rectus femoris, biceps femoris, and gluteus medius muscles.Main Outcome Measure(s): Preinitial contact amplitude, postinitial contact amplitude, time of activation relative to initial contact, and percentage of activation time across the stride cycle were calculated for each muscle.Results: Time of activation for all muscles tested occurred earlier in the CAI group than in the control group. The peroneus longus was activated for a longer duration across the entire stride cycle in the CAI group (36.0% 6 10.3%) than the control group (23.3% 6 22.2%; P ¼ .05). No differences were noted between groups for measures of electromyographic amplitude at either preinitial or postinitial contact (P . .05).Conclusions: We identified differences between the CAI and control groups in the timing of muscle activation relative to heel strike in multiple lower extremity muscles and in the percentage of activation time across the entire stride cycle in the peroneus longus muscle. Individuals with CAI demonstrated neuromuscular-activation strategies throughout the lower extremity that were different from those of healthy control participants. Targeted therapeutic interventions for CAI may need to be focused on restoring normal neuromuscular function during gait.

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Validity of the Foot and Ankle Ability Measure in Athletes With Chronic Ankle Instability

Cited by 282 publications

References 15 publications

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Patient-Reported Outcomes in Male and Female Collegiate Soccer Players During an Athletic Season

Treatment of osteochondral defects of the talus

Lower Extremity Muscle Activation in Patients With or Without Chronic Ankle Instability During Walking

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