Dawson J, Boller I, Doll H, Lavis G, Sharp R, Cooke P, Jenkinson C
The Department of Public Health, University of Oxford, Old Road Campus, Roosevelt Drive, Headington, Oxford OX3 7LF, United Kingdom.
Foot (Edinb). 2011 Jun;21(2):92-102. doi: 10.1016/j.foot.2011.02.002. Epub 2011 May 23.
Previously validated for hallux valgus surgery, the Manchester-Oxford Foot Questionnaire (MOXFQ) is here evaluated for use with different regions of the foot and ankle. The study recruited 671 consecutive patients (87.8% of those eligible), mean age 52.8 years, 64% female, who completed the MOXFQ and SF-36 general health survey before foot or ankle surgery. Surgeons completed the American Orthopaedic Foot & Ankle Society (AOFAS) scales and indicated that the patients' main regions for surgery were: Hallux 210 (31.3%), Lesser toes 119 (17.7%), Mid foot 22 (3.3%), Ankle/hind foot 311 (46.3%), Multiple/whole foot 9 (1.3%). Individual MOXFQ items were assessed in terms of response rate and floor/ceiling effects, with the validity of the three MOXFQ scales (Walking/standing, Pain, and Social interaction) being assessed in terms of item-total correlations, internal and test-retest reliability, and construct validity. MOXFQ item response rates were high (all >98%). Cronbach's alphas of >0.7 confirmed internal consistency of all three scales. Test-retest ICCs were all ≥0.89. Correlations of >0.4 obtained with related SF-36 and AOFAS scales supported a priori hypotheses. Good measurement properties are confirmed for the MOXFQ in the context of baseline assessment of patients receiving surgery for a variety of foot or ankle problems.
曼彻斯特-牛津足部问卷（MOXFQ）先前已在拇外翻手术中得到验证，本文对其在足踝不同部位的应用进行了评估。该研究连续招募了671名患者（占符合条件者的87.8%），平均年龄52.8岁，女性占64%，这些患者在接受足踝手术前完成了MOXFQ和SF-36一般健康调查。外科医生完成了美国矫形足踝协会（AOFAS）量表，并指出患者的主要手术部位为：拇趾210例（31.3%），小趾119例（17.7%），中足22例（3.3%），踝/后足311例（46.3%），多部位/全足9例（1.3%）。对MOXFQ各个项目的应答率和地板/天花板效应进行了评估，对MOXFQ三个量表（行走/站立、疼痛和社交互动）的效度通过项目-总分相关性、内部一致性和重测信度以及结构效度进行了评估。MOXFQ项目的应答率很高（均>98%）。克朗巴哈系数>0.7证实了所有三个量表的内部一致性。重测组内相关系数均≥0.89。与相关的SF-36和AOFAS量表的相关性>0.4支持了先验假设。在对各种足踝问题接受手术的患者进行基线评估的背景下，MOXFQ具有良好的测量属性得到了证实。
