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Phys Ther Sport. 2015 May;16(2):169-75. doi: 10.1016/j.ptsp.2014.10.006. Epub 2014 Oct 29.

Clinical and laboratory measures associated with health-related quality of life in individuals with chronic ankle instability.

Author information

1
Arizona School of Health Sciences, A.T. Still University, Mesa, AZ, USA. Electronic address: mnhouston@atsu.edu.
2
School of Physical Therapy & Athletic Training, Old Dominion University, Norfolk, VA, USA. Electronic address: jhoch@odu.edu.
3
The Steadman Clinic, Vail, CO, USA. Electronic address: mgabriner@thesteadmanclinic.com.
4
School of Physical Education, Sport, and Exercise Science, Ball State University, Muncie, IN, USA. Electronic address: jlkirby@bsu.edu.
5
School of Physical Therapy & Athletic Training, Old Dominion University, Norfolk, VA, USA. Electronic address: mhoch@odu.edu.

Abstract

OBJECTIVE:

To identify clinician and laboratory-oriented measures of function capable of explaining health-related quality of life in individuals with chronic ankle instability.

DESIGN:

Cross-sectional.

SETTING:

Laboratory.

PARTICIPANTS:

Forty physically active individuals with chronic ankle instability attended a single testing session.

MAIN OUTCOME MEASURES:

Participants completed health-related quality of life, postural control, strength, sensory, and mechanical assessments. Health-related quality of life assessments included the Short Form-12 Physical and Mental Summary Components, Disablement in the Physically Active Scale, Fear-Avoidance Beliefs Questionnaire, and the Foot and Ankle Ability Measure.

RESULTS:

A combination of mechanical and functional impairments accounted for 18-35% of the variance associated with health-related quality of life related to physical function and fear. Although physical impairments accounted for 7% of the variance associated with mental health-related quality of life, the overall model was associated with a weak effect size.

CONCLUSION:

Measures of postural control, dorsiflexion range of motion, plantar cutaneous sensation, and ankle arthrometry contributed to a significant proportion of the variance associated with health-related quality of life in those with chronic ankle instability. Other variables should be examined to address mental components of health-related quality of life.

KEYWORDS:

Chronic ankle instability; Health-related quality of life; Patient-reported outcomes

PMID:
25500148
DOI:
10.1016/j.ptsp.2014.10.006
[Indexed for MEDLINE]
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