Validity of the Foot and Ankle Ability Measure (FAAM) in Diabetes Mellitus

2009 ◽  
Vol 30 (4) ◽  
pp. 297-302 ◽  
Author(s):  
RobRoy L. Martin ◽  
Dennis M. Hutt ◽  
Dane K. Wukich
Keyword(s):  
Diabetes Mellitus ◽  
Foot And Ankle ◽  
Ability Measure

scholarly journals Impaired quality of life and diabetic foot disease in Saudi patients with type 2 diabetes: A cross-sectional analysis

2019 ◽  
Vol 7 ◽  
pp. 205031211983209 ◽  
Author(s):  
Sana A AlSadrah
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Foot And Ankle ◽  
Related Quality ◽  
Ability Measure

Objectives: This study aimed to assess the overall health-related quality of life in type 2 diabetes mellitus patients with diabetic foot disease compared to diabetic patients without diabetic foot and to identify the clinical utility of this assessment. Methods: A total of 250 consecutive patients with type 2 diabetes mellitus (100/150 with/without diabetic foot, respectively) were interviewed. The questionnaires of the 36-item short-form survey and region-specific foot and ankle ability measure were applied. Wagner–Meggitt wound classification was used for foot-ulcer evaluation. Follow-up of patients for 3–6 weeks was done to identify the potential clinical short outcomes of diabetic foot ulcers. Results: Type 2 diabetes mellitus patients with diabetic foot exhibited poor mental and physical health consequences. Females had more prevalence of forefoot lesions, larger ulcer size, advanced Wagner grade, and higher frequency of unhealed ulcers. Receiver operating characteristic curve analysis demonstrated high value of foot and ankle ability measure and 36-item short-form questionnaires to discriminate type 2 diabetes mellitus patients with and without diabetic foot at cutoff values of 66 and 49.6, respectively. Foot and ankle ability measure questionnaire also showed high performance for differentiating the clinical outcome of foot ulcer. Total foot and ankle ability measure subscale score above the cutoff value of 65.5 could discriminate patients with complete healing and unhealed ulcer lesions at a high sensitivity and specificity. Conclusion: The current findings confirm the impact of diabetic foot disease on type 2 diabetes mellitus overall health-related quality of life reflected in 36-item short-form questionnaire and foot and ankle ability measure questionnaire which showed high discriminative values for type 2 diabetes mellitus patient sub-grouping. Their application in routine clinical health assessment with continuous medical education programs is highly recommended to achieve a better health-related quality of life.

scholarly journals Dual-panel translation to Danish and Rasch validation of the Foot and Ankle Ability Measure (FAAM-DK)

2021 ◽  
Author(s):  
Kenneth Chukwuemeka Obionu ◽  
Michael Rindom Krogsgaard ◽  
Christian Fugl Hansen ◽  
Jonathan David Comins
Keyword(s):  
Foot And Ankle ◽  
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.

scholarly journals The Influence of Diabetes on Acute Achilles Tendon Rupture Repair

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0028
Author(s):  
Jonathan Kaplan ◽  
Jeffery Hillam ◽  
Amiethab Aiyer ◽  
Niall Smyth
Keyword(s):  
Diabetes Mellitus ◽  
Postoperative Complications ◽  
Achilles Tendon ◽  
Power Analysis ◽  
Tendon Rupture ◽  
Surgical Repair ◽  
Achilles Tendon Rupture ◽  
The United States ◽  
Foot And Ankle ◽  
Tendon Ruptures

Category: Sports Introduction/Purpose: Diabetes Mellitus (DM) is an epidemic affecting millions of individuals in the United States. Multiple studies have demonstrated an increase in complications in foot and ankle surgery in patients with DM, including wound healing complications, surgical site infections (SSI), or surgical failure. The goal of this study was to retrospectively review outcomes data from the National Surgical Quality Improvement Program (NSQIP) to determine the impact of DM on operative treatment of achilles tendon ruptures. Methods: Using the NSQIP from 2006-2015, patients were identified using common procedure terminology (CPT) for Achilles tendon ruptures. Diabetic and non-diabetic cohorts were evaluated to compare demographics, comorbidities, perioperative details and 30-day outcomes. Statistical evaluation included a power analysis for the primary outcome measure of wound disruption as well as univariate analysis was performed using chi-squared or Fisher’s exact and Wilcoxon signed-rank tests. Results: A total of 2,014 patients were identified having sustained an Achilles tendon rupture. There were 1,981 patients without DM and 33 patients with DM. There were no significant differences in postoperative complications, including SSI, medical complications, and 30-day outcomes between patients with DM and non-DM patients undergoing surgical repair of acute Achilles tendon ruptures. The power analysis for wound disruption showed a P=0.9 with an alpha of 0.05, sample size of n=2014, and Pearson correlation coefficient of r=0.0721 Conclusion: While DM has been shown to have an increase in complications in various foot and ankle procedures, this study demonstrates that there is no significant difference in postoperative complications and 30-day outcomes between patients with DM and non-DM patients undergoing surgical repair of acute Achilles tendon ruptures using the NSQIP database from 2006-2015. Based on this data, patients with diabetes mellitus can be considered adequate surgical candidates for acute Achilles tendon rupture repair.

scholarly journals FAKE (FOOT AND ANKLE EXERCISES) UNTUK PENCEGAHAN KOMPLIKASI PADA KAKI PENDERITA DIABETES MELLITUS DI SURABAYA

2019 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Ika Nur Pratiwi ◽  
Lailatun Ni'mah ◽  
Ika Yuni Widyawati ◽  
Lingga Curnia Dwi
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Foot And Ankle ◽  
Post Test ◽  
Diabetes Melitus

Pendahuluan: Salah satu komplikasi penyakit diabetes melitus (DM) yang sering dijumpai adalah kaki diabetik (diabetic foot), yang dapat ber- manifestasikan sebagai ulkus, infeksi dan gangren dan artropati Charcot. Ada dua tindakan dalam prinsip dasar pengelolaan diabetic foot yaitu tindakan pencegahan dan tindakan rehabilitasi. Tindakan pencegahan meliputi edukasi perawatan kaki, sepatu diabetes dan senam kaki (Yudhi, 2009). Fake (Foot and Ankle Exercises) atau dikenal juga dengan senam kaki merupakan latihan yang dilakukan bagi penderita DM atau bukan penderita untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki (Soebagio, 2011). Melakukan perawatan kaki secara teratur dapat mengurangi penyakit kaki diabetik sebesar 50-60%. Untuk meningkatkan vaskularisasi perawatan kaki dapat juga dilakukan dengan gerakan-gerakan kaki yang dikenal sebagai senam kaki diabetes (Black & Hawks, 2009; Smeltzer et al., 2010; Lewis et al., 2011). Puskesmas Klampis Ngasem memiliki jumlah kunjungan pasien dengan diabetes mellitus yang cukup tinggi di Surabaya. Berdasarakan data dari Puskesmas Klampis Ngasem dalam kurun waktu Januari-September 2017 jumlah kunjungan pasien dengan DM mencapai 2219 kasus.Metode: Wilayah Kerja Puskesmas yang akan menjadi tempat pengabdian masyarakat ini adalah Puskesmas Klampis Ngasem Surabaya. Metode yang digunakan melalui pendidikan dan pelatihan senam kaki “Fake” (Foot and Ankle Exercises) sebagai upaya pencegahan terhadap komplikasi pada kaki penderita Diabetes Mellitus Di Puskesmas Klampis Ngasem Surabaya sebanyak 30 orang pasien dengan DM. Peserta pengmas akan dilakukan kegiatan pre-test dan post-test dengan mengisi kuesioner pengetahuan dan kemampuan perawatan kaki pada penderita diabetes serta dilakukan pengukuran sirkulasi darah sebelum dan sesudah kegiatan menggunakan tensimeter di lengan dan kaki hingga diperoleh tekanan sistolik lengan dan kaki untuk pemeriksaan ankle brachial index (ABI).Hasil: Evaluasi Akhir Program Pengabdian Kepada Masyarakat diperoleh bahwa pengetahuan penderita DM terhadap perawatan kaki yang menunjukkan peningkatan nilai rerata post test menjadi 70 dari nilai rerata pada pre test 49 terhadap 30 peserta DM. Sementara itu, didapatkan 18 orang memiliki skor ABI dengan interpretasi borderline perfusion (0,6-0,8) dan sisanya berada dalam rentang normal. Sedangkan setelah dilakukan latihan jasmani berupa senam kaki didapatkan 6 orang masih memiliki skor ABI rentang 0,6-0,8 dengan interpretasi borderline perfusion dan 24 orang berada dalam rentang normal dengan skor ABI 0,9-1,3. Kesimpulan: Diharapkan informasi yang telah disampaikan dalam modul dapat dijadikan panduan dalam memantau penatalaksanaan perawatan kaki pada diabetes mellitus serta Kegiatan senam kaki ini dapat dilakukan secara teratur dirumah dan gerakannya disesuaikan dengan kemampuan tubuh.

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

2018 ◽  
Vol 40 (1) ◽  
pp. 56-64 ◽  
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.

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

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

Foot and Ankle Survey in Adults with Diabetes Mellitus

2001 ◽  
Vol 22 (9) ◽  
pp. 739-743 ◽  
Author(s):  
Gregory T. Reveal ◽  
Richard T. Laughlin ◽  
Piero Capecci ◽  
Fredrick M. Reeve
Keyword(s):  
Diabetes Mellitus ◽  
Foot And Ankle

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

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.

Sign in / Sign up

Export Citation Format

Share Document