Health-Related Quality of Life Among Middle-Aged Adults With Chronic Ankle Instability, Copers, and Uninjured Controls

Abstract

Context People with chronic ankle instability (CAI) display a lower regional and global health-related quality of life (HRQoL). Examinations of HRQoL outcomes associated with CAI have addressed younger adults, restricting our understanding of the long-term consequences of CAI. Objective To compare ankle regional and global HRQoL in middle-aged participants with and those without CAI. Design Cross-sectional study. Setting Laboratory. Patients or Other Participants A total of 59 middle-aged volunteers, consisting of 18 with CAI (age = 50.2 ± 9.3 years), 17 who were ankle-sprain copers (age = 54.5 ± 8.7 years), and 24 uninjured controls (age = 56.7 ± 10.0 years). Main Outcome Measure(s) Participants completed the Foot and Ankle Disability Index (FADI) and the Patient-Reported Outcomes Measurement Information System Adult Profile. Regional HRQoL was assessed using the FADI Activities of Daily Living and Sport subscales. Global HRQoL was measured using the 43-item Patient-Reported Outcomes Measurement Information System Adult Profile, which contains 7 short forms—Physical Function, Pain Interference, Fatigue, Sleep Disturbance, Anxiety, Depression, and Ability to Participate in Social Roles and Activities. Separate Kruskal-Wallis tests were used to determine between-groups differences. Results Middle-aged participants with CAI had lower scores on both subscales of the FADI than the coper and control groups (all P values <.001). Participants with CAI scored lower on the Physical Function (U = 116.0, z = −2.78, P = .005) and Ability to Participate in Social Roles and Activities (U = 96.0, z = −3.09, P = .002) subscales but higher on the Pain Interference (U = 144.0, z = −2.36, P = .02), Fatigue (U = 110.0, z = −2.72, P = .006), and Depression (U = 110.5, z = −2.91, P = .004), subscales than the control group. Participants with CAI also scored lower on the Physical Function (U = 74.5, z = −2.79, P = .005) and Ability to Participate in Social Roles and Activities (U = 55.0, z = −3.29, P = .001) subscales but higher on the Fatigue (U = 90.0, z = −2.09, P = .04) and Depression (U = 96.5, z = −1.97, P = .048) subscales than the coper group. Conclusions Middle-aged participants with CAI displayed worse ankle regional and global HRQoL than their age-matched healthy counterparts and copers. These results demonstrated that CAI can affect HRQoL outcomes in middle-aged adults.

Impact of kinesiophobia on physical function and quality of life in functional ankle instability individuals: an observational study

“…Foot and Ankle Disability Index (FADI) Activities of Daily Living and Sport subscales and Patient-Reported Outcomes Measurement Information System Adult Profile were used to assess regional and global health-related quality of life. It was observed that chronic ankle instability subjects had reduced regional and global quality of life than their age-matched healthy counterparts and copers [32].…”

Validation of the Indonesian Version of the Foot and Ankle Outcome Score in Patients with Chronic Lateral Ankle Instability

“…Among the ve subscales of the FAOS, the ADLs and FAQL had the highest proportions of ceiling values, indicating that a substantial proportion of participants might not have experienced any restriction in their daily activities, and they may also have a satisfactory social life. Previous studies showed that young adults with CLAI maintained su cient performance of their daily activities and an adequate quality of life [23], whereas older CLAI patients had poorer daily activities and quality of life compared to healthy older people [24]. Our study sample may have contributed to the high ceiling values in the FAOS's ADL and FAQL in that young patients have faster physical and mental recovery from neuromuscular dysfunction, as well as a faster return to routine ADLs and sports, compared to older patients [25].…”

Validation of the Indonesian version of the foot and ankle score in patients with chronic lateral ankle instability

“…Among the five subscales of the FAOS, the ADLs and FAQL had the highest proportions of ceiling values, indicating that a substantial proportion of participants might not have experienced any restriction in their daily activities, and they may also have a satisfactory social life. Previous studies showed that young adults with CLAI maintained sufficient performance of their daily activities and an adequate quality of life [ 28 ], whereas older CLAI patients had poorer daily activities and quality of life compared to healthy older people [ 29 ]. Our study sample may have contributed to the high ceiling values in the FAOS’s ADL and FAQL in that young patients have faster physical and mental recovery from neuromuscular dysfunction, as well as a faster return to routine ADLs and sports, compared to older patients [ 30 ].…”