Reliability and Validity of Korean Version Ankle Instability Instrument and Foot and Ankle Ability Measure

2016 ◽  
Vol 48 ◽  
pp. 783 ◽  
Author(s):  
Jin Ah Kim ◽  
Sangmin Ha ◽  
Taekyu Kang ◽  
Sae Yong Lee
Keyword(s):  
Ankle Instability ◽  
Reliability And Validity ◽  
Foot And Ankle ◽  
Korean Version ◽  
Ability Measure

Comparison of Two Rehabilitation Protocols on Patient- and Disease-Oriented Outcomes in Individuals With Chronic Ankle Instability

2017 ◽  
Vol 22 (3) ◽  
pp. 57-65 ◽  
Author(s):  
Kyle Kosik ◽  
Masafumi Treada ◽  
Ryan McCann ◽  
Samantha Boland ◽  
Phillip A. Gribble
Keyword(s):  
Ankle Instability ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Intervention Programs ◽  
Foot And Ankle ◽  
Balance Test ◽  
Randomized Controlled ◽  
Rehabilitation Protocols ◽  
Main Effect ◽  
Ability Measure

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.

Isometric Hip Strength and Patient-Reported Outcomes of Individuals With and Without Chronic Ankle Instability

2021 ◽  
pp. 1-7
Author(s):  
Katherine A. Bain ◽  
Paige A. Clawson ◽  
Stacey A. Slone ◽  
Phillip A. Gribble ◽  
Johanna M. Hoch ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Peak Torque ◽  
Group Differences ◽  
Foot And Ankle ◽  
Fear Avoidance ◽  
Hip Strength ◽  
Fear Avoidance Beliefs ◽  
Patient Reported ◽  
Ability Measure ◽  
Fear Avoidance Beliefs Questionnaire

Context: Strength deficits and decreased scores on generic, dimension-specific, and region-specific health-related quality of life (HRQL) PRO measures are commonly documented among individuals with chronic ankle instability (CAI). However, it is unknown if there is a relationship between hip strength and self-reported patient-reported outcome (PRO) scores. Objective: To compare isometric peak torque for hip-extension (H-EXT) and hip-abduction (H-ABD), as well as PRO scores between CAI, lateral ankle sprain copers (LAS copers), and uninjured controls (UC). The secondary purpose was to examine the relationship between isometric hip peak torque and PROs in participants with CAI. Design: Cross-sectional. Setting: Laboratory. Participants: Sixty-three individuals, 45 women (23.02 [3.83] y, 165.91 [7.55] cm, 67.28 [11.95] kg) and 18 men (26.28 [5.43] y, 179.28 [9.01] cm, 83.87 [13.26] kg), grouped as uninjured control (n = 26), LAS coper (n = 15), or CAI (n = 22). Main Outcome Measures: The Foot and Ankle Ability Measure was used to assess region-specific HRQL. The Fear Avoidance Beliefs Questionnaire was used to assess injury-related fear. The Disablement in Physically Active was used to assess global HRQL. Isometric peak torque was measured with a handheld dynamometer for H-EXT and H-ABD. Results: No group differences were observed for H-ABD (P = .34) or H-EXT (P = .35). The CAI group had significantly worse scores on all PROs compared with LAS coper (P < .001) and HC (P < .001). Moderate–weak correlations were found between H-ABD and Foot and Ankle Ability Measure—activities of daily living (P = .047; ρ = .392) and Foot and Ankle Ability Measure-Sport (P = .013; ρ = .482) and H- EXT and Fear Avoidance Beliefs Questionnaire-Work (P = .007; ρ = −.517). Conclusions: Individuals with CAI displayed lower HRQL based on worse scores on generic, dimension-specific, and region-specific PROs compared with LAS copers and uninjured controls. There were no significant between-group differences for H-EXT and H-ABD isometric peak torque production, but there was a moderate positive relationship between isometric H-ABD and self-reported ankle disability in individuals with CAI.

scholarly journals Predicting Manual Therapy Treatment Success in Patients With Chronic Ankle Instability: Improving Self-Reported Function

2017 ◽  
Vol 52 (4) ◽  
pp. 325-331 ◽  
Author(s):  
Erik A. Wikstrom ◽  
Patrick O. McKeon
Keyword(s):  
Ankle Instability ◽  
Weight Bearing ◽  
Treatment Success ◽  
Chronic Ankle Instability ◽  
Response Analysis ◽  
Controlled Clinical Trial ◽  
Foot And Ankle ◽  
Minimally Clinically Important Difference ◽  
Medicine Research ◽  
Ability Measure

Context:  Therapeutic modalities that stimulate sensory receptors around the foot-ankle complex improve chronic ankle instability (CAI)–associated impairments. However, not all patients have equal responses to these modalities. Identifying predictors of treatment success could improve clinician efficiency when treating patients with CAI. Objective:  To conduct a response analysis on existing data to identify predictors of improved self-reported function in patients with CAI. Design:  Secondary analysis of a randomized controlled clinical trial. Setting:  Sports medicine research laboratories. Patients or Other Participants:  Fifty-nine patients with CAI, which was defined in accordance with the International Ankle Consortium recommendations. Intervention(s):  Participants were randomized into 3 treatment groups (plantar massage [PM], ankle-joint mobilization [AJM], or calf stretching [CS]) that received six 5-minute treatments over 2 weeks. Main Outcome Measure(s):  Treatment success, defined as a patient exceeding the minimally clinically important difference of the Foot and Ankle Ability Measure–Sport (FAAM–S). Results:  Patients with ≤5 recurrent sprains and ≤82.73% on the Foot and Ankle Ability Measure had a 98% probability of having a meaningful FAAM–S improvement after AJM. As well, ≥5 balance errors demonstrated 98% probability of meaningful FAAM–S improvements from AJM. Patients &lt;22 years old and with ≤9.9 cm of dorsiflexion had a 99% probability of a meaningful FAAM–S improvement after PM. Also, those who made ≥2 single-limb–stance errors had a 98% probability of a meaningful FAAM–S improvement from PM. Patients with ≤53.1% on the FAAM–S had an 83% probability of a meaningful FAAM–S improvement after CS. Conclusions:  Each sensory-targeted ankle-rehabilitation strategy resulted in a unique combination of predictors of success for patients with CAI. Specific indicators of success with AJM were deficits in self-reported function, single-limb balance, and &lt;5 previous sprains. Age, weight-bearing–dorsiflexion restrictions, and single-limb balance deficits identified patients with CAI who will respond well to PM. Assessing self-reported sport-related function can identify CAI patients who will respond positively to CS.

scholarly journals A 4-Week Multimodal Intervention for Individuals With Chronic Ankle Instability: Examination of Disease-Oriented and Patient-Oriented Outcomes

2019 ◽  
Vol 54 (4) ◽  
pp. 384-396 ◽  
Author(s):  
Cameron J. Powden ◽  
Johanna M. Hoch ◽  
Beth E. Jamali ◽  
Matthew C. Hoch
Keyword(s):  
Effect Size ◽  
Size Range ◽  
Ankle Instability ◽  
Foot And Ankle ◽  
Fear Avoidance ◽  
Balance Test ◽  
Fear Avoidance Beliefs ◽  
Ability Measure ◽  
Fear Avoidance Beliefs Questionnaire

Context Individuals with chronic ankle instability (CAI) experience disease- and patient-oriented impairments that contribute to both immediate and long-term health detriments. Investigators have demonstrated the ability of targeted interventions to improve these impairments. However, the combined effects of a multimodal intervention on a multidimensional profile of health have not been evaluated. Objective To examine the effects of a 4-week rehabilitation program on disease- and patient-oriented impairments associated with CAI. Design Controlled laboratory study. Setting Laboratory. Patients or Other Participants Twenty adults (5 males, 15 females; age = 24.35 ± 6.95 years, height = 169.29 ± 10.10 cm, mass = 70.58 ± 12.90 kg) with self-reported CAI participated. Inclusion criteria were at least 1 previous ankle sprain, at least 2 episodes of “giving way” in the 3 months before the study, and a Cumberland Ankle Instability Tool score ≤24. Intervention(s) Individuals participated in 12 sessions over 4 weeks that consisted of ankle stretching and strengthening, balance training, and joint mobilizations. They also completed home ankle-strengthening and -stretching exercises daily. Main Outcome Measure(s) Dorsiflexion range of motion (weight-bearing–lunge test), isometric ankle strength (inversion, eversion, dorsiflexion, plantar flexion), isometric hip strength (abduction, adduction, flexion, extension), dynamic postural control (Y-Balance test), static postural control (eyes-open and -closed time to boundary in the anterior-posterior and medial-lateral directions), and patient-reported outcomes (Foot and Ankle Ability Measure–Activities of Daily Living and Foot and Ankle Ability Measure–Sport, modified Disablement in the Physically Active scale physical and mental summary components, and Fear-Avoidance Beliefs Questionnaire–Physical Activity and Fear-Avoidance Beliefs Questionnaire–Work) were assessed at 4 times (baseline, preintervention, postintervention, 2-week follow-up). Results Dorsiflexion range of motion, each direction of the Y-Balance test, 4-way ankle strength, hip-adduction and -extension strength, the Foot and Ankle Ability Measure–Activities of Daily Living score, the modified Disablement in the Physically Active scale–physical summary component score, and the Fear-Avoidance Beliefs Questionnaire–Physical Activity score were improved at postintervention (P &lt; .001; effect-size range = 0.72–1.73) and at the 2-week follow-up (P &lt; .001; effect-size range = 0.73–1.72) compared with preintervention. Hip-flexion strength was improved at postintervention compared with preintervention (P = .03; effect size = 0.61). Hip-abduction strength was improved at the 2-week follow-up compared with preintervention (P = .001; effect size = 0.96). Time to boundary in the anterior-posterior direction was increased at the 2-week follow-up compared with preintervention (P &lt; .04; effect-size range = 0.61–0.78) and postintervention (P &lt; .04) during the eyes-open condition. Conclusion A 4-week rehabilitation program improved a multidimensional profile of health in participants with CAI.

scholarly journals Instrumentos clínicos de avaliação funcional do tornozelo: revisão sistemática

2010 ◽  
Vol 17 (1) ◽  
pp. 88-93 ◽  
Author(s):  
Tarcísio Santos Moreira ◽  
George Schayer Sabino ◽  
Marcos Antônio de Resende
Keyword(s):  
Lower Extremity ◽  
Ankle Instability ◽  
Foot And Ankle ◽  
Functional Scale ◽  
American Orthopaedic ◽  
Ability Measure ◽  
Cumberland Ankle Instability Tool ◽  
Lower Extremity Functional Scale

A entorse lateral do tornozelo é umas das lesões mais comuns em atletas e adultos fisicamente ativos. A utilização de instrumentos de avaliação confiáveis e válidos é fundamental na determinação da intervenção terapêutica adequada e, portanto, do sucesso do tratamento. O objetivo deste trabalho foi fazer um levantamento crítico, por meio de uma análise sistemática da literatura, dos instrumentos de medida adequados (questionários e escalas funcionais) disponíveis para a avaliação dos indivíduos que sofreram entorse lateral do tornozelo. Após busca nos bancos de dados Medline e Scielo foram incluídos 11 questionários para avaliação funcional do tornozelo. A escala funcional de extremidade inferior LEFS (Lower extremity functional scale) e a medida funcional de pé e tornozelo FAAM (Foot and ankle ability measure) foram as que apresentaram melhor qualidade metodológica, além de mais informações sobre suas propriedades de medida e suas aplicações práticas - mas não foram traduzidas para o português. Foram encontrados dois questionários traduzidos e adaptados para a população brasileira, o instrumento de instabilidade de tornozelo CAIT (Cumberland Ankle Instability Tool) e a escala de tornozelo e retropé AOFAS (American Orthopaedic Foot and Ankle Society - ankle-hindfoot scale). A AOFAS apresentou uma análise mais completa de suas propriedades, sendo portanto o instrumento mais recomendado para avaliação funcional do complexo pé-tornozelo atualmente no Brasil.

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