Foot and Ankle Disability Index: Difference between revisions

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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox">
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'''Original Editors '''- [[User:Marlies Schils|Marlies Schils]]  
'''Original Editors '''- [[User:Marlies Schils|Marlies Schils]]  


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;  
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== Search Strategy  ==
 
Key words: FADI, Foot and Ankle Disability Index, Validity <br>Main information: VUB (Free University of Brussels) library: Pubmed, Web of knowledge (RCT’s), PEDro evidence <br><br>
 
== Intended Population<br>  ==
== Intended Population<br>  ==


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The FADI is a former version of the [http://www.physio-pedia.com/index.php5?title=Foot_and_Ankle_Ability_Measure FAAM]. The 2 instruments are identical except for an additional 5 items found on the FADI. Four of these items assess pain, and the fifth item evaluates an individual’s ability to sleep.&nbsp;These 5 items were subsequently removed from the ADL subscale to improve psychometric properties of the instrument.&nbsp;The sports subscale remained unchanged, resulting in a new instrument, the FAAM.  
The FADI is a former version of the [http://www.physio-pedia.com/index.php5?title=Foot_and_Ankle_Ability_Measure FAAM]. The 2 instruments are identical except for an additional 5 items found on the FADI. Four of these items assess pain, and the fifth item evaluates an individual’s ability to sleep.&nbsp;These 5 items were subsequently removed from the ADL subscale to improve psychometric properties of the instrument.&nbsp;The sports subscale remained unchanged, resulting in a new instrument, the FAAM.  


The foot and ankle disability index was designed to assess functional limitations related to foot and ankle conditions. Hale and Hertel <ref name="1" />&nbsp;advocate the use of the FADI and FADI Sport self-report instruments in clinical care and research applications in young adults with [http://www.physio-pedia.com/index.php5?title=Chronic_Ankle_Instability CAI]. <br>Eechaute et al <ref name="2" />&nbsp;concluded that the FADI and FAAM were the most appropriate evaluative instruments to quantify functional disabilities in athletes with chronic ankle instability. An advantage of the FADI and FAAM is that they both have a sports subscale in addition to an activities of daily living subscale. The sports subscale may be particularly useful when addressing the limitations of athletes with CAI.<br>
The foot and ankle disability index was designed to assess functional limitations related to foot and ankle conditions. Hale and Hertel <ref name="1" />&nbsp;advocate the use of the FADI and FADI Sport self-report instruments in clinical care and research applications in young adults with [http://www.physio-pedia.com/index.php5?title=Chronic_Ankle_Instability CAI]. <br>Eechaute et al <ref name="2" />&nbsp;concluded that the FADI and FAAM were the most appropriate evaluative instruments to quantify functional disabilities in athletes with chronic ankle instability. An advantage of the FADI and FAAM is that they both have a sports subscale in addition to an activities of daily living subscale. The sports subscale may be particularly useful when addressing the limitations of athletes with CAI.<br>  


== Method of Use  ==
== Method of Use  ==


Each of the 34 items is scored on a 5-point Likert scale from 0 to 4. The FADI has a total point value of 104 points, whereas the FADI Sport has a total point value of 32 points. The FADI and FADI Sport are scored separately and then transformed into percentages.&nbsp;<ref name="1" /><ref name="2" /><ref name="3" />
Each of the 34 items is scored on a 5-point Likert scale from 0 to 4. The FADI has a total point value of 104 points, whereas the FADI Sport has a total point value of 32 points. The FADI and FADI Sport are scored separately and then transformed into percentages.&nbsp;<ref name="1" /><ref name="2" /><ref name="3" />  


== Reference<br> ==
== Reference<br> ==


== Evidence  ==
== Evidence  ==
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FADI Sport; Significant difference after 6 weeks of training: pre training score = 78.4% (± 12,9)post training score = 89.5% (± 11,3) ES = 0.71 (n = 16)  
FADI Sport; Significant difference after 6 weeks of training: pre training score = 78.4% (± 12,9)post training score = 89.5% (± 11,3) ES = 0.71 (n = 16)  
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== Links  ==


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
== References  ==


References will automatically be added here, see [[Adding References|adding references tutorial]].  
References will automatically be added here, see [[Adding References|adding references tutorial]].  


<references />&nbsp;<br>
<references />&nbsp;<br>  


[[Category:Vrije_Universiteit_Brussel_Project|Template:VUB]]
[[Category:Vrije_Universiteit_Brussel_Project]][[Category:Outcome_Measures]]

Revision as of 16:18, 13 March 2014

Intended Population
[edit | edit source]

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleThe Foot and Ankle Disability Index (FADI) is a region-specific self-report of function. The FADI was first described in 1999 by Martin et al. The Foot and Ankle Disability Index is a 34-item questionnaire divided into two subscales: the Foot and Ankle Disability Index and the Foot and Ankle Disability Index Sport. The FADI has 26 items, and the FADI Sport has 8. The FADI contains 4 pain related items and 22 activity related items. The FADI Sport contains 8 activity related items. It assesses more difficult tasks that are essential to sport. The FADI Sport is unique in that it is a population-specific subscale designed for athletes. It is designed to address this need by detecting deficits in higher functioning subjects.

Each of the 34 items is scored on a 5-point Likert scale from 0 (unable to do) to 4 (no difficulty at all). The 4 pain items of the FADI are scored 0 (none) to 4 (unbearable). The FADI has a total point value of 104 points, whereas the FADI Sport has a total point value of 32 points. The FADI and FADI Sport are scored separately as percentages, with 100% representing no dysfunction. 

The FADI is a former version of the FAAM. The 2 instruments are identical except for an additional 5 items found on the FADI. Four of these items assess pain, and the fifth item evaluates an individual’s ability to sleep. These 5 items were subsequently removed from the ADL subscale to improve psychometric properties of the instrument. The sports subscale remained unchanged, resulting in a new instrument, the FAAM.

The foot and ankle disability index was designed to assess functional limitations related to foot and ankle conditions. Hale and Hertel Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title advocate the use of the FADI and FADI Sport self-report instruments in clinical care and research applications in young adults with CAI.
Eechaute et al Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title concluded that the FADI and FAAM were the most appropriate evaluative instruments to quantify functional disabilities in athletes with chronic ankle instability. An advantage of the FADI and FAAM is that they both have a sports subscale in addition to an activities of daily living subscale. The sports subscale may be particularly useful when addressing the limitations of athletes with CAI.

Method of Use[edit | edit source]

Each of the 34 items is scored on a 5-point Likert scale from 0 to 4. The FADI has a total point value of 104 points, whereas the FADI Sport has a total point value of 32 points. The FADI and FADI Sport are scored separately and then transformed into percentages. Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title

Reference
[edit | edit source]

Evidence[edit | edit source]

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleHale and Hertel Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title found that the FADI has evidence of content validity, construct validity, reliability, and responsiveness for individuals with CAI.
They found the FADI and FADI Sport to be (1) reliable in detecting functional limitations in subjects with CAI, (2) sensitive to differences between healthy subjects and subjects with CAI, and (3) responsive to improvements in function after rehabilitation in subjects with CAI.

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Reliability[edit | edit source]

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleTreatment group during 1 week:
- ADL subscale ICC 0.89
- Sports subscale ICC 0.84
Nontreatment group during 6weeks:
- ADL subscale ICC 0.93
- Sports subscale ICC 0.92

Validity[edit | edit source]

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Construct validity: Significantly lower scores on the involved versus uninvolved side (p<0.001)

Responsiveness [edit | edit source]

Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Significantly increased scores after 4 weeks of rehabilitation (p<0.007)

FADI; Significant difference after 6 weeks of training: pre training score =87.1% (± 12,1) post training score = 94.4% (± 6,1) ES = 0.52 (n =16)

FADI Sport; Significant difference after 6 weeks of training: pre training score = 78.4% (± 12,9)post training score = 89.5% (± 11,3) ES = 0.71 (n = 16)

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

References will automatically be added here, see adding references tutorial.