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自我报告的功能性踝关节不稳测量方法的批判性综述:一项随访研究。

Critical review of self-reported functional ankle instability measures: a follow up.

作者信息

Simon Janet, Donahue Matthew, Docherty Carrie L

机构信息

Department of Kinesiology, Indiana University, 1025 E. 7th Street, Bloomington, IN, USA.

Department of Health Promotion and Human Performance, Weber State University, Ogden, UT, USA.

出版信息

Phys Ther Sport. 2014 May;15(2):97-100. doi: 10.1016/j.ptsp.2013.03.005. Epub 2013 Jul 25.

DOI:10.1016/j.ptsp.2013.03.005
PMID:23890746
Abstract

OBJECTIVE

Determine which ankle instability questionnaire predicts subject's ankle instability status based on a minimum accepted criteria for FAI (MC_FAI).

DESIGN

Cross-sectional study.

SETTING

Large Midwestern University.

PARTICIPANTS

College aged subjects (n = 1127 19.6 ± 2.1 years) from a university population were recruited for this study. Any volunteer, regardless of ankle injury history was included in the study.

MAIN OUTCOME MEASURES

The independent variables were the score on three self-report ankle instability questionnaires: Ankle Instability Instrument, Cumberland Ankle Instability Tool, and Identification of Functional Ankle Instability. Subjects completed the questionnaires for their dominant limb during a single testing session. The dependent variable was created based on the previously established MC_FAI. This was established as at least one ankle sprain and at least one episode of giving way. Data were modeled using a chi-square and multinomial logistic regression. 95% confidence intervals were calculated for the resulting odds ratios.

RESULTS

A test of the full model with all three predictors against MC_FAI revealed that only the IdFAI (X² = 457.09, p = .001) had a significant relationship with the outcome variable. The IdFAI had an overall prediction rate of 87.8%.

CONCLUSIONS

This analysis illustrates that IdFAI is a good overall option for predicting ankle stability status by self-reported questionnaire.

摘要

目的

根据髋关节撞击症的最低公认标准(MC_FAI),确定哪种踝关节不稳定问卷能够预测受试者的踝关节不稳定状态。

设计

横断面研究。

地点

中西部大型大学。

参与者

从大学人群中招募了大学年龄的受试者(n = 1127,19.6 ± 2.1岁)。本研究纳入了任何志愿者,无论其踝关节损伤史如何。

主要观察指标

自变量为三份自我报告的踝关节不稳定问卷的得分:踝关节不稳定量表、坎伯兰踝关节不稳定工具和功能性踝关节不稳定识别问卷。受试者在一次测试中完成了其优势肢体的问卷。因变量是根据先前建立的MC_FAI创建的。其定义为至少一次踝关节扭伤和至少一次打软腿发作。数据采用卡方检验和多项逻辑回归进行建模。计算了所得比值比的95%置信区间。

结果

对包含所有三个预测因子的完整模型与MC_FAI进行的检验显示,只有功能性踝关节不稳定识别问卷(IdFAI)(X² = 457.09,p = .001)与结果变量有显著关系。IdFAI的总体预测率为87.8%。

结论

该分析表明,通过自我报告问卷,IdFAI是预测踝关节稳定状态的一个很好的总体选择。

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