Reliability,minimal detectable change,and responsiveness of the Quick-FAAM |
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| Affiliation: | 1. 206A Charles Wethington Building, University of Kentucky, 900 South Limestone Street, Lexington, KY 40536, United States;2. Room A10, Indiana State University, 567 N 5th Street, Terre Haute, IN 47809, United States;3. 206B Charles Wethington Building, University of Kentucky, 900 South Limestone Street, Lexington, KY 40536, United States;1. Department of Movement, Human and Health Sciences University of Rome “Foro Italico”, Rome, Italy;2. Villa Stuart Sport Clinic-FIFA Medical Centre of Excellence, Rome, Italy;1. Department of Healthcare Epidemiology, Graduate School of Medicine and Public Health, Kyoto University, Kyoto, Japan;2. Department of Urology, Juntendo University School of Medicine, Tokyo, Japan;3. Department of Urology, Teikyo University School of Medicine, Tokyo, Japan;4. Department of Orthopedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan;5. Institute for Health Outcomes and Process Evaluation Research (i-Hope International), Kyoto, Japan;6. Department of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Center, Osaka, Japan;7. Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, Kobe, Japan;8. Center for Innovative Research in Clinical Evaluative Science (CiRCLE), Fukushima Medical University, Fukushima, Japan;1. University of Brasilia, Division of Physical Therapy, Campus UnB Ceilândia, QNN 14, Ceilândia Sul, Brasilia, DF, 72220-140, Brazil;2. Department of Physical Therapy, Secretaria do Estado de Saúde do Distrito Federal, University of Brasilia, Campus Universitário Darcy Ribeiro, Brasilia, DF, 70904-970, Brazil;3. College of Physical Education, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Brasilia, DF, 70904-970, Brazil;4. Brasilia University Hospital, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Brasilia, DF, 70904-970, Brazil;5. College of Physical Education and Dance, Universidade Federal de Goiás, Goiânia, Goiás, Brazil |
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| Abstract: | ObjectiveTo determine the test-retest reliability, minimal detectable change (MDC) and responsiveness of the Quick-FAAM in people with chronic ankle instability (CAI).Design10-week controlled laboratory study.SettingLaboratory.ParticipantsA total of 20 adults with self-reported CAI.Main outcome measuresParticipants completed a supervised 4-week intervention. The Quick-FAAM was assessed 4-weeks before the intervention (T1), prior to the first intervention (T2), 24-h post-intervention (T3), and 2-weeks after the intervention (T4). The Quick-FAAM is a 12-item region specific PRO scored on 5-point Likert scale, often reported as a percentage, and a lower percentage indicates decreased ankle function. Test-retest reliability was determined using Intraclass-correlation coefficients (ICC2,1) and standard error of measure (SEM). The MDC was calculated using the equation: SEM*√2. Hedges g effect sizes and associated 95% confidence intervals (95%CI) were calculated as a measure of group responsiveness.ResultsThe test-retest reliability was clinically acceptable (ICC2,1 = 0.82, SEM = 4.56). The MDC was 6.5% and pre-post intervention effect sizes were large between T2-T3 (ES = 1.27, 95%CI:0.59–1.95) and T2-T4 (ES = 1.49, 95%CI:0.79–2.19).ConclusionThe Quick-FAAM demonstrated clinically acceptable reliability and was responsive to treatment. Future research should examine these properties in patients with acute ankle and foot conditions, determine patient acceptability, and clinician feasibility. |
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| Keywords: | Ankle injuries Rehabilitation Patient outcomes assessment |
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