Health-related quality of life is decreased in middle-aged adults with chronic ankle instability

Objective: To conduct a systematic review with meta-analysis assessing the effectiveness of conservative rehabilitation programs for improving health-related quality of life (HRQL) in individuals with chronic ankle instability (CAI). Data Sources: PubMed, MEDLINE, CINAHL, and SPORTDiscus were searched from inception to January 2016. Study Selection: Studies were included if the researchers examined the effects of a conservative rehabilitation protocol in individuals with CAI, used validated patient-reported outcomes (PROs) to quantify participant-perceived HRQL, and provided adequate data to calculate the effect sizes (ESs) and 95% confidence intervals (CIs). Studies were excluded if the authors evaluated surgical interventions, prophylactic taping, or bracing applications or examined only the immediate effects of 1 treatment session. Data Extraction: Two investigators independently assessed methodologic quality using the Physiotherapy Evidence Database (PEDro) Scale. Studies were considered low quality if fewer than 60% of the criteria were met. Level of evidence was assessed using the Strength of Recommendation Taxonomy. Preintervention and postintervention sample sizes, means, and standard deviations of PROs were extracted. Data Synthesis: A total of 15 studies provided 24 participant groups that were included in the analysis. Seven high-quality studies with a median PEDro score of 50% (range = 10%−80%) and a median level of evidence of 2 (range = 1−2) were identified. The magnitudes of preintervention to postintervention PRO differences were examined using bias-corrected Hedges g ESs. Random-effects meta-analysis was performed to synthesize PRO changes across all participant groups. Positive ES values indicated better PRO scores at postintervention than at preintervention. The α level was set at .05. Meta-analysis revealed a strong ES with a nonoverlapping 95% CI (ES = 1.20, CI = 0.80, 1.60; P < .001), indicating HRQL improved after conservative rehabilitation. Conclusions: Based on the quality of the evidence and the results of the meta-analysis, grade A evidence showed that conservative rehabilitation produces large improvements in HRQL for people with CAI.

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Alterations of lower extremity function, health-related quality of life, and spatiotemporal gait parameters among individuals with chronic ankle instability

Physical Therapy in Sport ◽

10.1016/j.ptsp.2021.06.006 ◽

2021 ◽

Author(s):

Inje Lee ◽

Sae Yong Lee ◽

Sunghe Ha

Keyword(s):

Quality Of Life ◽

Lower Extremity ◽

Ankle Instability ◽

Chronic Ankle Instability ◽

Health Related Quality ◽

Lower Extremity Function ◽

Gait Parameters ◽

Related Quality ◽

Health Related

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Influencing Factors on Health-Related Quality of Life in Middle-Aged Adults With Hypertension

International Journal of E-Health and Medical Communications ◽

10.4018/ijehmc.2018100105 ◽

2018 ◽

Vol 9 (4) ◽

pp. 40-49

Author(s):

Eunjoo Lee

Keyword(s):

Quality Of Life ◽

Health Status ◽

Subjective Health ◽

Health Related Quality ◽

Middle Aged ◽

Subjective Health Status ◽

Related Quality ◽

Health Related ◽

Middle Aged Adults

This article aims to examine the influencing factors on health-related quality of life (HRQOL) in middle-aged adults with hypertension. HRQOL was assessed using EQ-5D from 263 middle-aged adults (40-60 years) with hypertension who participated in the 6th Korean National Health and Nutrition Examination Survey (2014). There were statistically significant differences in health-related quality of life according to income, education, subjective health status, experience of discomfort, activity limitation, stress, and aerobic physical activity. Factors influencing on health-related quality of life in middle-aged adults with hypertension were subjective health status, experience of discomfort, activity limitation, depression, and stress, which explained about 50% of total variance. These factors should be included in the nursing intervention, and psychological aspects such as depression should be emphasized.

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Comparison of Health-Related Quality of Life in Different Types of Chronic Ankle Instability

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin ◽

10.1055/a-1128-6424 ◽

2020 ◽

Vol 30 (04) ◽

pp. 230-236

Author(s):

Mohammad Hadadi ◽

Farzaneh Heghighat ◽

Iman Hossein

Keyword(s):

Quality Of Life ◽

Ankle Instability ◽

Chronic Ankle Instability ◽

Health Related Quality ◽

Sf 36 ◽

Sport Activities ◽

Related Quality ◽

Health Related ◽

Healthy Participants

Abstract Introduction People with chronic ankle instability (CAI) have decreased health-related quality of life (HRQOL), but the differences in HRQOL status between subgroups of CAI have not been determined. This observational, cross-sectional study aimed to evaluate and compare physical, social and psychological aspects of HRQOL in subgroups of patients with CAI. Methods Ninety patients with CAI and 30 healthy participants were included. The patients were assigned to 3 subgroups with functional ankle instability (FAI), mechanical ankle instability (MAI), or mixed functional and mechanical instability (MIX), based on the talar tilt test, anterior drawer test, and Cumberland Ankle Instability Tool score. Participants completed the self-assessed Foot and Ankle Ability Measure (FAAM), Tampa Scale of Kinesophobia-11 (TSK-11), Fear-Avoidance Beliefs Questionnaire (FABQ), and Short-Form Health Survey (SF‑36). Results Significant differences were observed between healthy participants and each CAI subgroup in regional (FAAM), psychological (TSK-11 and FABQ) and global (SF-36) measures (p<0,05). The MIX subgroup had a significantly lower score on the FAAM-sport component, and a higher score on the TSK-11 and FABQ (p<0,05), than the FAI subgroup. There were no diffirences between other CAI subgroups in quality of life measures. Conclusions Patients with MAI and FAI had similar functional deficits in activities of daily living and sport activities, and greater fear of re-injury. The MIX subgroup had greater deficits in sport activities and greater fear of re-injury than the FAI subgroup.

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