Patients Experience Significant and Meaningful Changes in Self-Report of Function During the First 2 Weeks After an Ankle Sprain Injury: A Report From the Athletic Training Practice-Based Research Network.

Autor:	Lam, Kenneth C., Marshall, Ashley N., Holland, Brandon, Bay, R. Curtis, Wikstrom, Erik A., Snyder Valier, Alison R.
Předmět:	ANKLE injury treatment STATISTICS SELF-evaluation TIME SPRAINS PHYSICAL training & conditioning RETROSPECTIVE studies ACQUISITION of data ACTIVITIES of daily living HEALTH outcome assessment FUNCTIONAL assessment MEDICAL records DESCRIPTIVE statistics RESEARCH funding ATHLETIC ability ELECTRONIC health records DATA analysis software DATA analysis
Zdroj:	Journal of Sport Rehabilitation; Feb2023, Vol. 32 Issue 2, p117-123, 7p, 4 Diagrams, 1 Chart
Abstrakt:	Context: Ankle sprains are common during sport participation and associated with long-term deficits in self-report of function. However, little is known of short-term changes in self-report of function following injury. The authors aimed to assess statistical and clinically meaningful changes in self-report of function, as measured by the Foot and Ankle Ability Measure (FAAM), during the first 2 weeks after an ankle sprain injury. Design: A retrospective analysis of electronic medical records. Methods: Eighty-eight patients, who were diagnosed with an ankle sprain injury by an athletic trainer, received usual care from an athletic trainer, and completed the FAAM during treatment at weeks 1 and 2 postinjury. The authors calculated the percentage of patients who reported clinically meaningful changes and used Wilcoxon signed-rank tests to compare differences in FAAM scores between time points. Results: Between weeks 1 and 2, significant differences were noted for the FAAM Activities of Daily Living (FAAM-ADL) (P <.001) and FAAM Sport (FAAM-Sport) (P <.001). At the patient level, 86.5% (64/74) and 85.2% (69/81) of patients reported changes that exceeded the minimal clinically important difference value for the FAAM-ADL and FAAM-Sport, respectively, between weeks 1 and 2. At week 2, 31.8% (28/88) and 47.7% (42/88) of patients reported a score below 90% on the FAAM-ADL and below 80% on the FAAM-Sport subscale, respectively. Also, 36.4% (32/88) and 25.0% (22/88) of patients reported a score of 100% on the FAAM-ADL and FAAM-Sport subscales, respectively, at week 2. Conclusions: Patients report statistically significant and meaningful improvements in self-report of function during the first 2 weeks following ankle sprain injury. However, almost half of patients still report deficits in sport function at 2 weeks postinjury. Patient-reported outcome measures such as the FAAM, can help capture the patient's perception of function and inform patient care decisions. Research efforts should explore individual response patterns to treatment. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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