Structural and Construct Validity of the Foot and Ankle Ability Measure (FAAM) with an Emphasis on Pain and Functionality After Foot Surgery: A Multicenter Study

Proximal neuromuscular alterations are hypothesized to contribute to the patient- and disease-oriented deficits observed in CAI individuals. The objective was to compare the efficacy of two 4-week intervention programs with or without proximal joint exercises. Twenty-three individuals with CAI completed this single-blinded randomized controlled trial. Outcome measures included the Star Excursion Balance Test (SEBT) and the Foot and Ankle Ability Measure (FAAM). A time main effect was observed for the FAAM-ADL (p = .013), FAAM-Sport (p = .012), and posteromedial (p = .04) and posterolateral (p = .003) SEBT reach directions. No group main effect or time by group interaction was found. Four weeks of supervised rehabilitation improved self-reported function and dynamic balance in people with CAI.

Download Full-text

Responsiveness of the PROMIS and FAAM Instruments in Foot and Ankle Orthopedic Population

Foot & Ankle International ◽

10.1177/1071100718799758 ◽

2018 ◽

Vol 40 (1) ◽

pp. 56-64 ◽

Cited By ~ 9

Author(s):

Man Hung ◽

Judith F. Baumhauer ◽

Frank W. Licari ◽

Jerry Bounsanga ◽

Maren W. Voss ◽

...

Keyword(s):

T Test ◽

Measurement Information ◽

Foot And Ankle ◽

Level Of Evidence ◽

Paired Samples ◽

Level Ii ◽

Patient Reported ◽

Prospective Comparative Study ◽

Ability Measure

Background: Investigating the responsiveness of an instrument is important in order to provide meaningful interpretation of clinical outcomes. This study examined the responsiveness of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), the PROMIS Pain Interference (PI), and the Foot and Ankle Ability Measure (FAAM) Sports subscale in an orthopedic sample with foot and ankle ailments. Methods: Patients presenting to an orthopedic foot and ankle clinic during the years 2014–2017 responded to the PROMIS and FAAM instruments prior to their clinical appointments. The responsiveness of the PROMIS PF v1.2, PROMIS PI v1.1, and FAAM Sports were assessed using paired samples t test, effect size (ES), and standardized response mean (SRM) at 4 different follow-up points. A total of 785 patients with an average age of 52 years (SD = 17) were included. Results: The PROMIS PF had ESs of 0.95 to 1.22 across the 4 time points (3, >3, 6, and <6 months) and SRMs of 1.04 to 1.43. The PROMIS PI had ESs of 1.04 to 1.63 and SRMs of 1.17 to 1.23. For the FAAM Sports, the ESs were 1.25 to 1.31 and SRMs were 1.07 to 1.20. The ability to detect changes via paired samples t test provided mixed results. But in general, the patients with improvement had statistically significant improved scores, and the worsening patients had statistically significant worse scores. Conclusion: The PROMIS PF, PROMIS PI, and FAAM Sports were sensitive and responsive to changes in patient-reported health. Level of Evidence: Level II, prospective comparative study.

Download Full-text

Foot and ankle ability measure: validación de la versión española de 29 ítems en el área de rehabilitación

Rehabilitación ◽

10.1016/j.rh.2021.09.007 ◽

2021 ◽

Author(s):

M.D. Membrilla-Mesa ◽

P. Aranda-Villalobos ◽

R. Pozuelo-Calvo ◽

A.I. Cuesta-Vargas ◽

M. Arroyo-Morales

Keyword(s):

Foot And Ankle ◽

Ability Measure

Download Full-text

Validation of Electronic Foot Function Index in Patients with Foot and Ankle Disease: A Randomized, Prospective Multicenter Study

Journal of Korean Foot and Ankle Society ◽

10.14193/jkfas.2019.23.1.24 ◽

2019 ◽

Vol 23 (1) ◽

pp. 24

Author(s):

Dong Yeon Lee ◽

Yu Mi Kim ◽

Jun Hyung Lee ◽

Jin Kim ◽

Ji-Beom Kim ◽

...

Keyword(s):

Multicenter Study ◽

Foot And Ankle ◽

Prospective Multicenter Study ◽

Foot Function Index ◽

Function Index ◽

Foot Function

Download Full-text

Application of Computerized Adaptive Testing to the Foot and Ankle Ability Measure

Foot & Ankle International ◽

10.1177/1071100720972663 ◽

2020 ◽

pp. 107110072097266

Author(s):

Joseph T. O’Neil ◽

Otho R. Plummer ◽

Steven M. Raikin

Keyword(s):

Computerized Adaptive Testing ◽

Case Series ◽

Adaptive Testing ◽

Mean Difference ◽

Foot And Ankle ◽

Level Of Evidence ◽

Patient Reported ◽

The Mean ◽

Ability Measure ◽

The Impact

Background: Patient-reported outcome measures are an increasingly important tool for assessing the impact of treatments orthopedic surgeons render. Despite their importance, they can present a burden. We examined the validity and utility of a computerized adaptive testing (CAT) method to reduce the number of questions on the Foot and Ankle Ability Measure (FAAM), a validated anatomy-specific outcome measure. Methods: A previously developed FAAM CAT system was applied to the responses of patients undergoing foot and ankle evaluation and treatment over a 3-year period (2017-2019). A total of 15 902 responses for the Activities of Daily Living (ADL) subscale and a total of 14 344 responses for the Sports subscale were analyzed. The accuracy of the CAT to replicate the full-form score was assessed. Results: The CAT system required 11 questions to be answered for the ADL subscale in 85.1% of cases (range, 11-12). The number of questions answered on the Sports subscale was 6 (range, 5-6) in 66.4% of cases. The mean difference between the full FAAM ADL subscale and CAT was 0.63 of a point. The mean difference between the FAAM Sports subscale and CAT was 0.65 of a point. Conclusion: The FAAM CAT was able to reduce the number of responses a patient would need to answer by nearly 50%, while still providing a valid outcome score. This measure can therefore be directly correlated with previously obtained full FAAM scores in addition to providing a foot/ankle-specific measure, which previously reported CAT systems are not able to do. Level of Evidence: Level IV, case series.

Download Full-text