Department of Human Movement Science, Federal University of Sao Paulo, Santos, Brazil.
Physiother Theory Pract. 2022 Nov;38(13):3045-3054. doi: 10.1080/09593985.2021.1975336. Epub 2021 Oct 12.
PURPOSE: This study aimed to determine the responsiveness of the Brazilian version of the Identification of Functional Ankle Instability (IdFAI) questionnaire in students who received an eight-week treatment for chronic ankle instability (CAI). METHODS: Twenty-five college students (aged 23.12 ± 2.80 years) with CAI, as identified by the IdFAI questionnaire, were recruited. We used distribution and anchor-based methods to assess the responsiveness of the questionnaire, and its ability to determine clinical changes in participants. Eleven anchors were used: Visual Analog Scale for instability (VAS-i); Cumberland Ankle Instability Tool (CAIT); Isometric dorsiflexion, plantar flexion, inversion, and eversion muscle strength measured using a manual dynamometer; Dynamic balance as assessed through the Star Excursion Balance Test (SEBT-Y); Active ankle dorsiflexion range of motion as measured using the weight-bearing lunge test; and Functional performance assessment using three hop tests: single hop, triple crossover hop, and side hop. The distribution-based method used effect size (ES) and standardized response mean (SRM), whereas the anchor-based method used paired -tests. Both methods allowed the calculation of the minimal important difference (MID). RESULTS: The Brazilian IdFAI showed high responsiveness, with a large magnitude of change (ES = 1.34) and a high responsiveness index (SRM = 1.28) when assessed after a treatment for CAI. The IdFAI total score ( < .001) and all the 11 anchors [VAS-i ( < .001); CAIT ( < .001); Isometric dorsiflexion ( < .001), plantar flexion ( < .001), inversion ( < .001), and eversion ( < .001) muscle strength; SEBT-Y ( < .001); Lunge test ( = .002); Single hop ( < .001); triple crossover hop ( < .001); and side hop tests ( < .001)] showed significant differences. The anchor and distribution-based methods demonstrated MID values of 3.72 and 1.49-2.27, respectively. CONCLUSION: The Brazilian IdFAI questionnaire is a patient-reported outcome measure sensitive to clinical changes in individuals with CAI. It can be used as an identification of patients with CAI, and as a parameter to verify clinical changes of clinical trials or therapeutic interventions in the population with CAI.
目的:本研究旨在确定经过 8 周慢性踝关节不稳定(CAI)治疗后,巴西版踝关节功能不稳定识别问卷(IdFAI)在学生中的反应能力。 方法:共招募了 25 名患有 CAI 的大学生(年龄 23.12±2.80 岁),通过 IdFAI 问卷进行鉴定。我们使用分布和锚定方法来评估问卷的反应能力及其确定参与者临床变化的能力。使用 11 个锚定物:不稳定性视觉模拟量表(VAS-i);坎伯兰踝关节不稳定工具(CAIT);使用手动测力计测量的等距背屈、跖屈、内翻和外翻肌肉力量;通过星形伸展平衡测试(SEBT-Y)评估动态平衡;使用负重弓步测试测量主动踝关节背屈活动范围;以及使用三项跳跃测试进行功能表现评估:单足跳跃、三重交叉跳跃和侧跳。基于分布的方法使用效应大小(ES)和标准化反应均值(SRM),而基于锚定的方法使用配对检验。这两种方法都可以计算最小重要差异(MID)。 结果:巴西版 IdFAI 在治疗 CAI 后表现出高度的反应能力,变化幅度较大(ES=1.34),反应指数较高(SRM=1.28)。IdFAI 总分(<.001)和所有 11 个锚定物[VAS-i(<.001);CAIT(<.001);等距背屈(<.001),跖屈(<.001),内翻(<.001)和外翻(<.001)肌肉力量;SEBT-Y(<.001);弓步测试(=0.002);单足跳跃(<.001);三重交叉跳跃(<.001);和侧跳测试(<.001)]均有显著差异。锚定和基于分布的方法分别显示 MID 值为 3.72 和 1.49-2.27。 结论:巴西版 IdFAI 问卷是一种对 CAI 患者临床变化敏感的患者报告结局测量工具。它可以作为 CAI 患者的鉴定工具,以及作为临床试验或治疗干预人群中 CAI 临床变化的验证参数。
Physiother Theory Pract. 2022-11
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