PMID- 21550796
OWN - NLM
STAT- MEDLINE
DCOM- 20111201
LR  - 20220408
IS  - 1532-2963 (Electronic)
IS  - 0958-2592 (Linking)
VI  - 21
IP  - 2
DP  - 2011 Jun
TI  - Responsiveness of the foot and ankle ability measure (FAAM) in individuals with 
      diabetes.
PG  - 84-7
LID - 10.1016/j.foot.2011.04.004 [doi]
AB  - BACKGROUND: The impact of diabetes on physical function pose a challenge in 
      assessing clinical outcomes. OBJECTIVE: The purpose of this study was to provide 
      evidence of responsiveness for the foot and ankle ability measures (FAAM) in 
      individuals with diabetes mellitus. METHODS: The two most recent FAAM scores of 
      155 diabetic patients treated for foot/ankle pathology were analyzed. Based on 
      physical component summary (PCS) scores of the SF-36, subjects were categorized 
      as improved (>7-point positive change), worsened (>7-point negative change), or 
      unchanged (<7-point change). Analyses of the worsened and improved groups were 
      compared to the unchanged group using two-way repeated measures ANOVAs and ROC 
      curve analyses. RESULTS: The ANOVAs demonstrated a significant difference between 
      groups (P = 0.001). ROC curves analysis for detecting an improvement or decline 
      in status were 0.73 (95% CI 0.62-0.84) and 0.70 (95% CI 0.59-0.81), respectively. 
      An increase in FAAM score of 9 points represented the minimal clinically 
      important difference (MCID) with 0.64 sensitivity and 0.78 specificity. A 
      decrease in FAAM score of 2 points represented a MCID with 0.65 sensitivity and 
      0.61 specificity. CONCLUSIONS: The FAAM demonstrated responsiveness to change in 
      individuals with orthopedic foot and ankle dysfunction complicated by diabetes 
      and can be used to measure patient outcomes over a 6-month period.
CI  - Copyright (c) 2011 Elsevier Ltd. All rights reserved.
FAU - Kivlan, Benjamin R
AU  - Kivlan BR
AD  - John G. Rangos Sr., School of Health Sciences, Duquesne University, Pittsburgh, 
      PA 15282, USA. bkivlan@zoominternet.net
FAU - Martin, RobRoy L
AU  - Martin RL
FAU - Wukich, Dane K
AU  - Wukich DK
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20110507
PL  - Scotland
TA  - Foot (Edinb)
JT  - Foot (Edinburgh, Scotland)
JID - 9109564
SB  - IM
MH  - *Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Ankle Injuries/complications/*physiopathology
MH  - Ankle Joint/*physiopathology
MH  - Arthropathy, Neurogenic/complications/physiopathology
MH  - Diabetic Foot/complications/*physiopathology
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Status Indicators
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Motor Activity/*physiology
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - Surveys and Questionnaires
MH  - Young Adult
EDAT- 2011/05/10 06:00
MHDA- 2011/12/13 00:00
CRDT- 2011/05/10 06:00
PHST- 2011/03/04 00:00 [received]
PHST- 2011/04/09 00:00 [revised]
PHST- 2011/04/11 00:00 [accepted]
PHST- 2011/05/10 06:00 [entrez]
PHST- 2011/05/10 06:00 [pubmed]
PHST- 2011/12/13 00:00 [medline]
AID - S0958-2592(11)00039-3 [pii]
AID - 10.1016/j.foot.2011.04.004 [doi]
PST - ppublish
SO  - Foot (Edinb). 2011 Jun;21(2):84-7. doi: 10.1016/j.foot.2011.04.004. Epub 2011 May 
      7.