Dataset Information

Validation of Foot and Ankle Ability Measure (FAAM) and the Foot and Ankle Outcome Score (FAOS) in individuals with chronic ankle instability: a cross-sectional observational study.

ABSTRACT:

Background

Ankle sprain is the most common lower limb injury in physically active individuals. Loss of function, decreased postural control (PC), strength deficit, and reduced range of motion (ROM) are common after acute lateral ankle sprains. Some patients experienced long lasting symptoms, with recurrent sprains, and episodes of giving-way: a condition known as chronic ankle instability (CAI). Evaluating the function in patients with CAI in the clinical environment is important to identify the severity of the condition, in addition to allowing to assess the effectiveness of a given treatment. The aim of this study was to investigate the validation of the Foot and Ankle Ability Measure (FAAM) and the Foot and Ankle Outcome Score (FAOS) in terms of muscle strength, PC and ROM in adults with CAI.

Methods

This is a cross-sectional study. Individuals with CAI aged between 18 and 45 years were eligible. Individuals with CAI were identified using the Identification of Functional Ankle Instability (IdFAI). All patients filled in the FAAM and FAOS scores. Muscle strength was assessed by manual dynamometry, ROM by the Lunge test, PC by computerized posturography, modified Star Excursion Balance Test (mSEBT) and modified Balance Error Score System (mBESS).

Results

50 participants were enrolled in the present study. The mean age of the patients was 27.2 ± 6.3 years, and the mean body mass index was 26.4 ± 4.8 kg/m². 58% (29 of 50) were men and 42% (21 of 50) women. 18 individuals had unilateral (36%) and 32 bilateral (64%) CAI. The results of FAAM were associated with MCT, mSEBT, invertor muscles strength, plantar flexor muscles strength, dorsiflexor muscles strength, and external hip rotator muscles strength (P < 0.05). The results of FAOS were associated with mSEBT, invertor muscles strength, plantar flexor muscles strength, dorsiflexor muscles strength, evertor muscles strength, and external hip rotator muscles strength, and mBEES (P < 0.05).

Conclusion

Both the FAAM and FAOS demonstrated validity to evaluate postural control and muscle strength in patients with CAI, while no association was found in relation to ankle dorsiflexion.

SUBMITTER: Goulart Neto AM

PROVIDER: S-EPMC8781557 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundPatient-reported outcome measures serve as an invaluable tool in both the clinical and research setting to monitor a patient's condition and efficacy of treatments over time. We aim to validate the Single Assessment Numeric Evaluation (SANE) score for disorders of the lower extremity using the revised-Foot Function Index (rFFI) as a reference. The SANE score is a 1-question survey that may improve efficiency of outcome data collection in the clinical setting.MethodsPatient age, sex, visit diagnosis by ICD-10 code, SANE score, and rFFI score were collected retrospectively from 218 initial patient encounters between January 2015 through July 2017. Patients were included if they were 18 years or older and were excluded if they had incomplete SANE or rFFI data. Results of the two scores were compared using the Pearson or Spearman correlation coefficients, with correlation defined as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (0.2-0.39). Diagnoses were categorized into 9 subgroups that were analyzed, including forefoot, plantar fasciitis, arthritis, deformity, fracture, tendinitis, osteochondral defect (OCD) of the talus, acute soft tissue trauma, and "other."ResultsThe SANE score had good correlation with the overall rFFI score (r = 0.51, P < .01). When comparing the SANE score to the rFFI subscores, there was good correlation with pain (r = 0.42, P < .01), good correlation with stiffness (r = 0.44, P < .01), poor correlation with activity (r = 0.36, P <.01), good correlation with difficulty (r = 0.52, P < .01), and poor correlation with social issues (r = 0.39, P < .01). Subanalysis showed an excellent-good correlation between SANE and rFFI score for forefoot pathology (r = 0.67, P < .01) and plantar fasciitis (r = 0.63, P < .02), good correlation for arthritis (r = 0.49, P < .04), deformity (r = 0.60, P < .01), fracture (r = 0.50, P < .01), and tendinitis (r = 0.47, P < .02), and no significant correlation for OCD of the talus (r = 0.56, P < .15) and acute soft tissue trauma (r = 0.19, P < .32).ConclusionThe SANE score demonstrates excellent-good correlation with the rFFI for specific pathology including the forefoot and plantar fasciitis and has limited correlation with other pathology.