Research Article| Volume 58, ISSUE 1, P38-41, January 2019

Reliability and Validity of the Turkish Version of Foot and Ankle Ability Measure for Patients With Chronic Ankle Disability

  • Bahar Anaforoglu Kulunkoglu
    Address correspondence to: Bahar Anaforoglu Kulunkoglu, PT, PhD, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yildirim Beyazit University, Milli İrade Kampüsü Ayvali Mah. Gazze Cad. 06010 Kecioren, Ankara, Turkey.
    Assistant Professor, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yildirim Beyazit University, Ankara, Turkey
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  • Derya Celik
    Associate Professor, Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University, Istanbul, Turkey
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Published:November 15, 2018DOI:


      The Foot and Ankle Ability Measure is a valid, reliable, and widely used self-reported questionnaire for the foot. It has been adapted and validated for a Turkish-speaking population. The purpose of this study was to provide evidence for validity and reliability of the Turkish version of the Foot and Ankle Measure (FAAM-T) in patients with chronic ankle instability (CAI). A total of 316 patients with CAI were enrolled. The internal consistency and test–retest reliability were evaluated. Validity was examined using correlations with the Short Form Health Survey version 2.0 (SF-36v2) questionnaire. Cronbach's alpha scores were 0.94 and 0.96 for the the FAAM-T ADL (Activities of Daily Living) and FAAM-T Sports subscales, respectively, indicating high internal consistency. For the second administration, Cronbach's alpha was found to be 0.96 for both subscales of the FAAM-T. The test–retest reliability of the FAAM-T was very high for both subscales with an intraclass correlation coefficient of 0.97 and 0.94, respectively (p < .001). The standard error of the mean and minimal detectable change were determined to be 2.5 and 6.7 for the FAAM-T ADL and 6.9 and 18.5 for the FAAM-T Sport. The FAAM-T ADL and Sport subscales were strongly correlated with the SF-36v2 PF (physical functioning; r = 0.51, r = 0.40, respectively; p = .001) and SF-36v2 PCS (physical component scale; r = 0.64, r = 0.55, respectively; p = .001). The weakest associations between the FAAM-T ADL and Sport and the SF-36v2 were noted for the mental health subscale (r = 0.08 and r = 0.03) and the SF-36v2 MCS (mental component scale; r = .05 and r = .006, respectively). This study provides evidence for validity, internal consistency, and test–retest reliability for the FAAM-T to evaluate patients with CAI.

      Level of Clinical Evidence: 2


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        • Fong DT-P
        • Hong Y
        • Chan L-K
        • Yung PS-H
        • Chan K-M
        A systematic review on ankle injury and ankle sprain in sports.
        Sports Med. 2007; 37: 73-94
        • Kirk T
        • Saha S
        • Bowman LS
        A new ankle laxity tester and its use in the measurement of the effectiveness of taping.
        Med Eng Phys. 2000; 22: 723-731
        • Guillo S
        • Bauer T
        • Lee J
        • Takao M
        • Kong S
        • Stone J
        • Mangone P
        • Molloy A
        • Perera A
        • Pearce C
        Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy.
        Orthop Traumatol Surg Res. 2013; 99: S411-S419
        • Carcia CR
        • Martin RL
        • Drouin JM
        Validity of the Foot and Ankle Ability Measure in athletes with chronic ankle instability.
        J Athl Train. 2008; 43: 179-183
        • Nauck T
        • Lohrer H
        Translation, cross-cultural adaption and validation of the German version of the Foot and Ankle Ability Measure for patients with chronic ankle instability.
        Br J Sports Med. 2011; 45: 785-790
        • Borloz S
        • Crevoisier X
        • Deriaz O
        • Ballabeni P
        • Martin RL
        • Luthi F
        Evidence for validity and reliability of a French version of the FAAM.
        BMC Musculoskel Disord. 2011; 12: 40
        • Martin RL
        • Irrgang JJ
        A survey of self-reported outcome instruments for the foot and ankle.
        J Orthop Sports Phys Ther. 2007; 37: 72-84
        • Eechaute C
        • Vaes P
        • Van Aerschot L
        • Asman S
        • Duquet W
        The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review.
        BMC Musculoskel Disord. 2007; 8: 6
        • Martin RL
        • Irrgang JJ
        • Burdett RG
        • Conti SF
        • Swearingen JMV
        Evidence of validity for the Foot and Ankle Ability Measure (FAAM).
        Foot Ankle Int. 2005; 26: 968-983
        • Martin RL
        • Hutt DM
        • Wukich DK
        Validity of the Foot and Ankle Ability Measure (FAAM) in diabetes mellitus.
        Foot Ankle Int. 2009; 30: 297-302
        • Mazaheri M
        • Salavati M
        • Negahban H
        • Sohani S
        • Taghizadeh F
        • Feizi A
        • Karimi A
        • Parnianpour M
        Reliability and validity of the Persian version of Foot and Ankle Ability Measure (FAAM) to measure functional limitations in patients with foot and ankle disorders.
        Osteoarthritis Cartilage. 2010; 18: 755-759
        • Weel H
        • Zwiers R
        • Azim D
        • Sierevelt IN
        • Haverkamp D
        • van Dijk CN
        • Kerkhoffs GM
        Validity and reliability of a Dutch version of the Foot and Ankle Ability Measure.
        Knee Surg Sports Traumatol Arthrosc. 2016; 24: 1348-1354
        • Sartorio F
        • Vercelli S
        • Bravini E
        • Bargeri S
        • Moroso M
        • Plebani G
        • Ferriero G
        Foot and ankle ability measure: cross-cultural translation and validation of the Italian version of the ADL module (FAAM-I/ADL).
        Med Lav. 2013; 105 ([in Italian]): 357
        • Uematsu D
        • Suzuki H
        • Sasaki S
        • Nagano Y
        • Shinozuka N
        • Sunagawa N
        • Fukubayashi T
        Evidence of validity for the Japanese version of the foot and ankle ability measure.
        J Athl Train. 2015; 50: 65-70
        • Arunakul M
        • Arunakul P
        • Suesiritumrong C
        • Angthong C
        • Chernchujit B
        Validity and reliability of Thai version of the Foot and Ankle Ability Measure (FAAM) Subjective Form.
        J Med Assoc Thai. 2015; 98: 561-567
        • Çelik D
        • Malkoç M
        • Martin R
        Evidence for reliability, validity and responsiveness of Turkish Foot and Ankle Ability Measure (FAAM).
        Rheumatol Int. 2016; 36: 1469-1476
        • Moreira TS
        • Magalhães Lde C
        • Silva RD
        • Martin RL
        • Resende MA
        Translation, cross-cultural adaptation and validity of the Brazilian version of the Foot and Ankle Ability Measure questionnaire.
        Disabil Rehabil. 2016; 38: 2479-2490
        • González-Sánchez M
        • Li GZ
        • Ruiz Muñoz M
        • Cuesta-Vargas AI
        Foot and ankle ability measure to measure functional limitations in patients with foot and ankle disorders: a Chinese cross-cultural adaptation and validation.
        Disabil Rehabil. 2017; 39: 2182-2189
        • Cervera-Garvi P
        • Ortega-Avila AB
        • Morales-Asencio JM
        • Cervera-Marin JA
        • Martin RR
        • Gijon-Nogueron G
        Cross-cultural adaptation and validation of Spanish version of the Foot and Ankle Ability Measures (FAAM-Sp).
        J Foot Ankle Res. 2017; 10: 39
        • Çelik D
        • Çoban Ö
        Short Form Health Survey version-2.0 Turkish (SF-36v2) is an efficient outcome parameter in musculoskeletal research.
        Acta Orthop Traumatol Turc. 2016; 50: 558-561
        • Nunnally J
        • Bernstein I
        Psychometric Theory.
        3rd ed. McGraw-Hill, New York1994
        • de Vet HC
        • Terwee CB
        • Bouter LM
        Current challenges in clinimetrics.
        J Clin Epidemiol. 2003; 56: 1137-1141
        • Kane R
        Outcome measures.
        Understanding Health Care Outcomes Research. Aspen, Gaithersburg, MD1997 (25–49)
        • Good C
        • Jones M
        • Livingstone B
        Reconstruction of the lateral ligament of the ankle.
        Injury. 1975; 7: 63-65