Alexandre Élio, Monteiro Diogo, SottoMayor Ricardo, Jacinto Miguel, Silva Fernanda M, Cid Luis, Duarte-Mendes Pedro
ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal.
Research Center in Sport, Health, and Human Development (CIDESD), 5001-801 Vila Real, Portugal.
Healthcare (Basel). 2024 Aug 30;12(17):1733. doi: 10.3390/healthcare12171733.
Functional Ankle Instability (FAI) is the subject of extensive research in sports and other environments. Given the importance of accurately measuring this latent construct, it is imperative to carry out a careful assessment of the available tools. In this context, the aim of this review was to take an in-depth look at the six most cited measurement tools to assess FAI, with a specific focus on patient-reported outcome measures related to ankle and foot. Four electronic databases (Web of Science, Scopus, Pubmed, and SportDiscus) were searched (up to November 2022) to identify the six most cited questionnaires for assessing FAI. Our analysis showed that the most cited questionnaires are the following: the Lower Extremity Functional Scale (LEFS), the Foot Function Index (FFI), the Foot and Ankle Ability Measure (FAAM), the Foot and Ankle Outcome Score (FAOS), the Olerud and Molander Ankle Score (OMAS), and the Cumberland Ankle Instability Tool (CAIT). Each questionnaire was thoroughly assessed and discussed in three sections: Development, Reliability, and Summaries. In addition, bibliometric data were calculated to analyze the relevance of each questionnaire. Despite variations in terms of validity and reliability, conceptualization, structure, and usefulness, the six questionnaires proved to be robust from a psychometric point of view, being widely supported in the literature. The bibliometric analyses suggested that the FAOS ranks first and the FFI ranks sixth in the weighted average of the impact factors of their original publications.
功能性踝关节不稳（FAI）是体育及其他环境中广泛研究的课题。鉴于准确测量这一潜在结构的重要性，必须对现有工具进行仔细评估。在此背景下，本综述的目的是深入研究六种被引用最多的用于评估FAI的测量工具，特别关注与踝足相关的患者报告结局指标。检索了四个电子数据库（科学网、Scopus、PubMed和SportDiscus）（截至2022年11月），以确定六种被引用最多的用于评估FAI的问卷。我们的分析表明，被引用最多的问卷如下：下肢功能量表（LEFS）、足部功能指数（FFI）、足踝能力测量量表（FAAM）、足踝结局评分（FAOS）、奥勒鲁德和莫兰德踝关节评分（OMAS）以及坎伯兰踝关节不稳工具（CAIT）。每份问卷都在三个部分进行了全面评估和讨论：编制、信度和总结。此外，还计算了文献计量数据以分析每份问卷的相关性。尽管在效度、信度、概念化、结构和实用性方面存在差异，但从心理测量学角度来看，这六种问卷都很可靠，在文献中得到了广泛支持。文献计量分析表明，在其原始出版物影响因子的加权平均值中，FAOS排名第一，FFI排名第六。
