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Responsiveness of the Brazilian IdFAI questionnaire in patients with chronic ankle instability.
Martinez, Bruna; Sauers, Andrea; da Conceição Souza, Vitória; de Oliveira, Juliana; Yi, Liu Chiao.
Afiliação
  • Martinez B; Department of Human Movement Science, Federal University of Sao Paulo, Santos, Brazil.
  • Sauers A; Department of Human Movement Science, Federal University of Sao Paulo, Santos, Brazil.
  • da Conceição Souza V; Department of Human Movement Science, Federal University of Sao Paulo, Santos, Brazil.
  • de Oliveira J; Department of Human Movement Science, Federal University of Sao Paulo, Santos, Brazil.
  • Yi LC; Department of Human Movement Science, Federal University of Sao Paulo, Santos, Brazil.
Physiother Theory Pract ; 38(13): 3045-3054, 2022 Nov.
Article em En | MEDLINE | ID: mdl-34637678
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 t-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 (p < .001) and all the 11 anchors [VAS-i (p < .001); CAIT (p < .001); Isometric dorsiflexion (p < .001), plantar flexion (p < .001), inversion (p < .001), and eversion (p < .001) muscle strength; SEBT-Y (p < .001); Lunge test (p = .002); Single hop (p < .001); triple crossover hop (p < .001); and side hop tests (p < .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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos do Tornozelo / Instabilidade Articular Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Physiother Theory Pract Assunto da revista: MEDICINA FISICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos do Tornozelo / Instabilidade Articular Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Physiother Theory Pract Assunto da revista: MEDICINA FISICA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido