Carcia Christopher R, Martin RobRoy L, Drouin Joshua M
Department of Physical Therapy, Duquesne University Pittsburgh, PA 15282, USA.
J Athl Train. 2008 Apr-Jun;43(2):179-83. doi: 10.4085/1062-6050-43.2.179.
The Foot and Ankle Ability Measure (FAAM) is a region-specific, non-disease-specific outcome instrument that possesses many of the clinimetric qualities recommended for an outcome instrument. Evidence of validity to support the use of the FAAM is available in individuals with a wide array of ankle and foot disorders. However, additional evidence to support the use of the FAAM for those with chronic ankle instability (CAI) is needed.
To provide evidence of construct validity for the FAAM based on hypothesis testing in athletes with CAI.
Between-groups comparison.
Athletic training room.
Thirty National Collegiate Athletic Association Division II athletes (16 men, 14 women) from one university.
MAIN OUTCOME MEASURE(S): The FAAM including activities of daily living (ADL) and sports subscales and the global and categorical ratings of function.
For both the ADL and sports subscales, FAAM scores were greater in healthy participants (100 +/- 0.0 and 99 +/- 3.5, respectively) than in subjects with CAI (88 +/- 7.7 and 76 +/- 12.7, respectively; P < .001). Similarly, for both ADL and sports subscales, FAAM scores were greater in athletes who indicated that their ankles were normal (98 +/- 6.3 and 96 +/- 6.9, respectively) than in those who classified their ankles as either nearly normal or abnormal (87 +/- 6.6 and 71 +/- 11.1, respectively; P < .001). We found relationships between FAAM scores and self-reported global ratings of function for both ADL and sports subscales. Relationships were stronger when all athletes, rather than just those with CAI, were included in the analyses.
The FAAM may be used to detect self-reported functional deficits related to CAI.
足踝功能测量量表（FAAM）是一种针对特定部位、非特定疾病的结局指标工具，具备许多结局指标所推荐的临床测量学特质。对于患有多种足踝疾病的个体，已有支持使用FAAM的效度证据。然而，仍需要更多证据来支持将FAAM用于慢性踝关节不稳（CAI）患者。
基于对患有CAI的运动员进行假设检验，为FAAM提供结构效度的证据。
组间比较。
运动训练室。
来自一所大学的30名美国国家大学体育协会二级运动员（16名男性，14名女性）。
FAAM，包括日常生活活动（ADL）和运动分量表以及功能的总体和分类评分。
对于ADL和运动分量表，健康参与者的FAAM得分（分别为100±0.0和99±3.5）高于患有CAI的受试者（分别为88±7.7和76±12.7；P<.001）。同样，对于ADL和运动分量表，表明其踝关节正常的运动员的FAAM得分（分别为98±6.3和96±6.9）高于将其踝关节分类为接近正常或异常的运动员（分别为87±6.6和71±11.1；P<.001）。我们发现ADL和运动分量表的FAAM得分与自我报告的功能总体评分之间存在关联。当分析中纳入所有运动员而非仅患有CAI的运动员时，这种关联更强。
FAAM可用于检测与CAI相关的自我报告功能缺陷。
