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The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review

BACKGROUND: The assessment of outcomes from the patient's perspective becomes more recognized in health care. Also in patients with chronic ankle instability, the degree of present impairments, disabilities and participation problems should be documented from the perspective of the patient. The...

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Autores principales: Eechaute, Christophe, Vaes, Peter, Van Aerschot, Lieve, Asman, Sara, Duquet, William
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797175/
https://www.ncbi.nlm.nih.gov/pubmed/17233912
http://dx.doi.org/10.1186/1471-2474-8-6
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author Eechaute, Christophe
Vaes, Peter
Van Aerschot, Lieve
Asman, Sara
Duquet, William
author_facet Eechaute, Christophe
Vaes, Peter
Van Aerschot, Lieve
Asman, Sara
Duquet, William
author_sort Eechaute, Christophe
collection PubMed
description BACKGROUND: The assessment of outcomes from the patient's perspective becomes more recognized in health care. Also in patients with chronic ankle instability, the degree of present impairments, disabilities and participation problems should be documented from the perspective of the patient. The decision about which patient-assessed instrument is most appropriate for clinical practice should be based upon systematic reviews. Only rating scales constructed for patients with acute ligament injuries were systematically reviewed in the past. The aim of this study was to review systematically the clinimetric qualities of patient-assessed instruments designed for patients with chronic ankle instability. METHODS: A computerized literature search of Medline, Embase, Cinahl, Web of Science, Sport Discus and the Cochrane Controlled Trial Register was performed to identify eligible instruments. Two reviewers independently evaluated the clinimetric qualities of the selected instruments using a criteria list. The inter-observer reliability of both the selection procedure and the clinimetric evaluation was calculated using modified kappa coefficients. RESULTS: The inter-observer reliability of the selection procedure was excellent (k = .86). Four instruments met the eligibility criteria: the Ankle Joint Functional Assessment Tool (AJFAT), the Functional Ankle Outcome Score (FAOS), the Foot and Ankle Disability Index (FADI) and the Functional Ankle Ability Measure (FAAM). The inter-observer reliability of the quality assessment was substantial to excellent (k between .64 and .88). Test-retest reliability was demonstrated for the FAOS, the FADI and the FAAM but not for the AJFAT. The FAOS and the FAAM met the criteria for content validity and construct validity. For none of the studied instruments, the internal consistency was sufficiently demonstrated. The presence of floor- and ceiling effects was assessed for the FAOS but ceiling effects were present for all subscales. Responsiveness was demonstrated for the AJFAT, FADI and the FAAM. Only for the FAAM, a minimal clinical important difference (MCID) was presented. CONCLUSION: The FADI and the FAAM can be considered as the most appropriate, patient-assessed tools to quantify functional disabilities in patients with chronic ankle instability. The clinimetric qualities of the FAAM need to be further demonstrated in a specific population of patients with chronic ankle instability.
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spelling pubmed-17971752007-02-14 The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review Eechaute, Christophe Vaes, Peter Van Aerschot, Lieve Asman, Sara Duquet, William BMC Musculoskelet Disord Research Article BACKGROUND: The assessment of outcomes from the patient's perspective becomes more recognized in health care. Also in patients with chronic ankle instability, the degree of present impairments, disabilities and participation problems should be documented from the perspective of the patient. The decision about which patient-assessed instrument is most appropriate for clinical practice should be based upon systematic reviews. Only rating scales constructed for patients with acute ligament injuries were systematically reviewed in the past. The aim of this study was to review systematically the clinimetric qualities of patient-assessed instruments designed for patients with chronic ankle instability. METHODS: A computerized literature search of Medline, Embase, Cinahl, Web of Science, Sport Discus and the Cochrane Controlled Trial Register was performed to identify eligible instruments. Two reviewers independently evaluated the clinimetric qualities of the selected instruments using a criteria list. The inter-observer reliability of both the selection procedure and the clinimetric evaluation was calculated using modified kappa coefficients. RESULTS: The inter-observer reliability of the selection procedure was excellent (k = .86). Four instruments met the eligibility criteria: the Ankle Joint Functional Assessment Tool (AJFAT), the Functional Ankle Outcome Score (FAOS), the Foot and Ankle Disability Index (FADI) and the Functional Ankle Ability Measure (FAAM). The inter-observer reliability of the quality assessment was substantial to excellent (k between .64 and .88). Test-retest reliability was demonstrated for the FAOS, the FADI and the FAAM but not for the AJFAT. The FAOS and the FAAM met the criteria for content validity and construct validity. For none of the studied instruments, the internal consistency was sufficiently demonstrated. The presence of floor- and ceiling effects was assessed for the FAOS but ceiling effects were present for all subscales. Responsiveness was demonstrated for the AJFAT, FADI and the FAAM. Only for the FAAM, a minimal clinical important difference (MCID) was presented. CONCLUSION: The FADI and the FAAM can be considered as the most appropriate, patient-assessed tools to quantify functional disabilities in patients with chronic ankle instability. The clinimetric qualities of the FAAM need to be further demonstrated in a specific population of patients with chronic ankle instability. BioMed Central 2007-01-18 /pmc/articles/PMC1797175/ /pubmed/17233912 http://dx.doi.org/10.1186/1471-2474-8-6 Text en Copyright © 2007 Eechaute et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Eechaute, Christophe
Vaes, Peter
Van Aerschot, Lieve
Asman, Sara
Duquet, William
The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review
title The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review
title_full The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review
title_fullStr The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review
title_full_unstemmed The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review
title_short The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: A systematic review
title_sort clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797175/
https://www.ncbi.nlm.nih.gov/pubmed/17233912
http://dx.doi.org/10.1186/1471-2474-8-6
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