Foot And Ankle Research Priority: Report from the Research Council of the American Orthopaedic Foot and Ankle Society

Saltzman, Charles L.; Domsic, Robyn T.; Baumhauer, Judith F.; Deland, Jonathan T.; Gill, Lowell H.; Hurwitz, Shepard R.; Kitaoka, Harold B.; McClouskey, Leland C.; Porter, David A.

doi:10.1177/107110079701800714

Cited by 37 publications

(24 citation statements)

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“…this is clearly demonstrated by the explosion, in the literature, of patient-reported outcome measures, i.e. questionnaires completed by patients to measure their perceptions of their own functional status and wellbeing (5)(6)(7). objective and subjective parameters used to evaluate treatment modalities for AtR are variably reported in the literature -as isolated measures or grouped into different multi-item scoring systems (Tab.…”

Section: J Ointsmentioning

confidence: 99%

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Spennacchio

Vascellari²,

Cucchi

et al. 2016

Joints

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The optimal treatment and the best rehabilitation protocol after an acute Achilles tendon rupture (ATR) remain a matter of controversy in orthopaedic and sports medicine. The use of validated injury-specific outcome instruments is the only way to clarify these issues, in order to ensure that patients receive the best possible treatment. This article describes the most commonly reported outcome measures used to assess patients treated for ATR. On the basis of the available evidence, the Achilles tendon Total Rupture Score (ATRS) is the most appropriate outcome measure for evaluating the management of acute ATR.

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Section: J Ointsmentioning

confidence: 99%

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Spennacchio

Vascellari²,

Cucchi

et al. 2016

Joints

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“…The majority of articles broadly described how identified priorities were refined (n=32, 65%),12 15–17 19 20 22–28 31 32 34–36 39 40 43–46 48 49 52–54 57 59 60 12 of which (24%) included a thematic analysis 12 16 20 23–25 28 35 36 39 44 54. While most priority-setting exercises resulted in a ranked list of priorities, only two articles described priority weighting (by giving participants’ top three preferences across all categories double weighting,44 or by allocating 100 points across their choices) 59. Only four groups or organisations updated or repeated their priority-setting exercise (The National Association of Orthopaedic Nurses,26 60 The Chartered Society of Physiotherapy14 23 The International Forum for Primary Care Research on Low Back Pain)46 53 and the Research Council of the American Orthopaedic Foot and Ankle Society 47 59.…”

Section: Resultsmentioning

confidence: 99%

Scoping review of priority setting of research topics for musculoskeletal conditions

et al. 2018

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ObjectiveDescribe research methods used in priority-setting exercises for musculoskeletal conditions and synthesise the priorities identified.DesignScoping review.Setting and populationStudies that elicited the research priorities of patients/consumers, clinicians, researchers, policy-makers and/or funders for any musculoskeletal condition were included.Methods and analysisWe searched MEDLINE and EMBASE from inception to November 2017 and the James Lind Alliance top 10 priorities, Cochrane Priority Setting Methods Group, and Cochrane Musculoskeletal and Back Groups review priority lists. The reported methods and research topics/questions identified were extracted, and a descriptive synthesis conducted.ResultsForty-nine articles fulfilled our inclusion criteria. Methodologies and stakeholders varied widely (26 included a mix of clinicians, consumers and others, 16 included only clinicians, 6 included only consumers or patients and in 1 participants were unclear). Only two (4%) reported any explicit inclusion criteria for priorities. We identified 294 broad research priorities from 37 articles and 246 specific research questions from 17 articles, although only four (24%) of the latter listed questions in an actionable format. Research priorities for osteoarthritis were identified most often (n=7), followed by rheumatoid arthritis (n=4), osteoporosis (n=4) and back pain (n=4). Nearly half of both broad and specific research priorities were focused on treatment interventions (n=116 and 111, respectively), while few were economic (n=8, 2.7% broad and n=1, 0.4% specific), implementation (n=6, 2% broad and n=4, 1.6% specific) or health services and systems research (n=15, 5.1% broad and n=9, 3.7% specific) priorities.ConclusionsWhile many research priority-setting studies in the musculoskeletal field have been performed, methodological limitations and lack of actionable research questions limit their usefulness. Future studies should ensure they conform to good priority-setting practice to ensure that the generated priorities are of maximum value.PROSPERO registration numberCRD42017059250.

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“…12 While foot and ankle movement have been evaluated in different ways in the past, we used the Ad Hoc Committee of Terminology of the Japanese Society for Surgery of the Foot and Ankle to describe movement of the ankle and foot. 13-16 Joint movements are expressed in three planes: transverse (horizontal), sagittal and frontal (coronal). The neutral zero starting position is the position standing with the long axis of both feet parallel each other.…”

Section: Methodsmentioning

confidence: 99%

Plantar flexion, dorsiflexion, range of movement and hindfoot deviation are important determinants of foot function in children

Alves

Lysenko

Tomlinson

et al. 2019

Journal of Children's Orthopaedics

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PurposePaediatric foot surgery is often performed to restore anatomical shape or range of movement (ROM). The purpose of this study was to determine how foot morphology and ROM are associated with foot function in children aged five to 16 years of age.MethodsParticipants included 89 patients with foot disorders and 58 healthy controls. In addition to measuring children’s foot alignment and ankle ROM, children and parents completed the Oxford Ankle and Foot Questionnaire (OxAFQ).ResultsMean age was 10.3 years for patients and 10.6 years for controls; 53 of 89 patients had clubfoot. All foot measurements and scores on the OxAFQ significantly differed (p < 0.001) between patients and controls. Patients and their parents significantly differed on the physical (p = 0.03) and emotional (p = 0.02) domains of the OxAFQ, with parents’ ratings being lower than their children. Moderate correlations (r = 0.54 to 0.059; p < 0.001) were found between physical domain (reported by parents on the OxAFQ) and dorsiflexion-knee flexed, and foot- arc-of-movement. Moderate correlations were found between physical domain (reported by children on OxAFQ) and foot-arc-of-movement (r = 0.56; p < 0.001). Patients in the surgical group showed moderate correlations (r = 0.57;, p < 0.001) between physical domain (reported by children on OxAFQ) and plantar flexion, and foot arc-of-movement. The control group and the patients in non-surgical subgroup showed no significant correlations.ConclusionPlantar flexion, arc of ankle ROM and hindfoot alignment impact foot function in children with foot deformities. Parents report significantly lower scores on the OxAFQ when judging foot functioning.Level of evidenceLevel II. Prognostic Studies

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Foot And Ankle Research Priority: Report from the Research Council of the American Orthopaedic Foot and Ankle Society

Cited by 37 publications

References 0 publications

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Outcome evaluation after Achilles tendon ruptures. A review of the literature

Scoping review of priority setting of research topics for musculoskeletal conditions

Plantar flexion, dorsiflexion, range of movement and hindfoot deviation are important determinants of foot function in children

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