Validity and reliability of a self-administered foot evaluation questionnaire (SAFE-Q)

Niki, Hisateru; Tatsunami, Shinobu; Haraguchi, Naotsugu; Aoki, Takafumi; Okuda, Ryuzo; Suda, Yasunori; Takao, Masato; Tanaka, Yasuhito

doi:10.1007/s00776-012-0337-2

Cited by 141 publications

(99 citation statements)

References 19 publications

(26 reference statements)

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“…SAFE-Q score was substantially improved after surgery, especially in the pain and functional categories ( Figure 5 ). SAFE-Q is a quality-of-life questionnaire instrument for use in evaluating pathological conditions related to the foot and ankle and was developed by the Japanese Society for Surgery of the Foot [ 1 ]. This instrument consists of 34 questionnaire items, providing five subscale scores ((1) pain and pain-related; (2) physical functioning and daily living; (3) social functioning; (4) shoe-related; and (5) general health and well-being).…”

Section: Discussionmentioning

confidence: 99%

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Reconstructive Osteotomy for Ankle Malunion Improves Patient Satisfaction and Function

Inori¹,

Tohyama²,

Yasuda³

et al. 2015

Case Reports in Orthopedics

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Treatment of chronic symptoms caused by a malunion is a difficult problem in orthopedic surgery. We encountered a case of ankle malunion at our hospital about 1 year after the first operation. The patient had been unable to walk with weight-bearing but regained the ability to walk after reconstructive osteotomy of the fibula. Functional scores for the foot and ankle were significantly improved after intervention. Reconstructive osteotomy appears to represent a good option for ankle malunion.

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Section: Discussionmentioning

confidence: 99%

“…We also evaluated preoperative foot function before reconstructive osteotomy using the self-administered foot evaluation questionnaire (SAFE-Q) ( Figure 5 ) [ 1 ]. Despite poor results, ankle range of motion was relatively well maintained from 10° of dorsiflexion to 30° of plantar flexion.…”

Section: Case Reportmentioning

confidence: 99%

Reconstructive Osteotomy for Ankle Malunion Improves Patient Satisfaction and Function

Inori¹,

Tohyama²,

Yasuda³

et al. 2015

Case Reports in Orthopedics

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“…The Japanese Society for Surgery of the Foot (JSSF) ankle-hindfoot scale (17,18) was used for objective evaluation, and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) (19) were used for subjective assessment prior to surgery and at the nal follow-up. The dorsi-exion and plantar-exion angles of the ankle were measured using a goniometer prior to the surgery and at the nal follow-up.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Clinical Outcomes Following Total Ankle Arthroplasty without Concomitant Osteotomy in Ankles with Severe Preoperative Varus Deformity: Comparison to Ankles with Preoperative Neutral Alignment

Yamashita¹,

Nagai²,

Kanzaki³

et al. 2020

Preprint

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Background:It remains controversial whether satisfactory outcomes can be obtained following total ankle arthroplasty (TAA) without osteotomy in patients with severe varus ankle deformities. The purpose of this study was to examine outcomes following TAA without concomitant osteotomies in patients with severe varus ankle alignment by comparing them with patients with neutral alignment. Methods: Fifty-three ankles of 51 patients (71.4 ± 5.6 years old) who underwent TAA using an insert with a medial wall (TNK ankle prosthesis)were examined (mean follow-up: 36.8±17.8 months). The patients were allocated into two groups according to the preoperative talar tilt (TT) angle: the neutral group (preoperative TT angle < 9°; n=37) andthe varus group (preoperative TT angle > 10°; n=16). Outcome measures, including the Japanese Society for Surgery of the Foot (JSSF) scale, Self-Administered Foot Evaluation Questionnaire (SAFE-Q), the ankle range of motion, and radiographic parameters, were assessed prior to the surgery and at the final follow-up.Results:Significant improvements were observed in clinical and radiographical outcomes in both groups after surgery. The postoperative JSSF scale and the subscalescores of pain and shoes in the SAFE-Q were not significantly different between the groups, while subscale scores of function, social, and health in the SAFE-Q were greater in the varus group compared to the neutral group at the final follow-up (P < 0.05). Radiographic parameters, including TT angle and tibial axis-medial malleolus (TMM) angle improved postoperatively and were not significantly differentbetween the neutral group (TT angle, 0.5 ±0.7°;TMM angle, 16.0 ± 4.6°) and the varus group (TT angle, 0.4 ± 0.7°;TMM angle, 17.0 ± 5.3°) at the final follow-up. To achieve neutral alignment, adjunctive procedures, such as deltoid ligament release, were required more often in the varus group, but no concomitant osteotomies were performed. Conclusions:Outcomes after TAA using the TNK ankle prosthesis were favorable in patients with severe varus ankle alignment and in those with neutral ankle alignment without concomitant osteotomy. Satisfactory outcomes could be achieved in patients with severe varus ankle alignment after TAA using the TNK ankle prosthesis without concomitant osteotomy.

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“…The questions from Q3 to Q6 were extracted from self-administered foot-evaluation questionnaire (SAFE-Q)[ 28 ]. In Q1, Q2 and Q6, patients answered with Yes or No.…”

Section: Appendix: Questionnairesmentioning

confidence: 99%

Features of patients with rheumatoid arthritis whose debut joint is a foot or ankle joint: A 5,479-case study from the IORRA cohort

et al. 2018

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BackgroundFoot and ankle joint disorders are serious issues for patients with rheumatoid arthritis (RA). We compared the differences between patients with RA whose first symptom involved a foot or ankle joint (FOOT group) versus other joints (non-FOOT group) within the Institute of Rheumatology, Rheumatoid Arthritis (IORRA) cohort in our institute.Patients and methodsIn the IORRA survey conducted in April 2016, patients were invited to complete six questionnaires about their first symptom at RA onset, current foot or ankle symptoms, daily living activities, and mental health. Disease activity, clinical laboratory variables, functional disability, quality of life, use and ratio of anti-inflammatory and antirheumatic drugs, daily living activities and mental health were compared between the two groups.ResultsAmong 5,637 Japanese patients with RA who participated in the IORRA survey on April 2016, 5,479 (97.2%) responded to the questionnaire regarding their debut joint. Of these patients, 2,402 (43.8%) reported that their first symptom of RA involved a foot or ankle joint. The FOOT group (n = 2,164) had higher disease activity, higher disabilities, lower quality of life, lower activities of daily living, and poorer mental health and used anti-inflammatory drugs at a higher rate and at higher doses compared with the non-FOOT group (n = 2,164). On the other hand, the use of medications to suppress the disease activity of RA was similar between the groups.ConclusionClinicians should pay more attention to foot and ankle joints in daily practice so as not to underestimate the disease activity of RA.

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Validity and reliability of a self-administered foot evaluation questionnaire (SAFE-Q)

Cited by 141 publications

References 19 publications

Reconstructive Osteotomy for Ankle Malunion Improves Patient Satisfaction and Function

Reconstructive Osteotomy for Ankle Malunion Improves Patient Satisfaction and Function

Clinical Outcomes Following Total Ankle Arthroplasty without Concomitant Osteotomy in Ankles with Severe Preoperative Varus Deformity: Comparison to Ankles with Preoperative Neutral Alignment

Features of patients with rheumatoid arthritis whose debut joint is a foot or ankle joint: A 5,479-case study from the IORRA cohort

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