Foot-and-Ankle-Ability-Measure-(FAAM)脚和脚踝的能力的度量(FA

FootandAnkleAbilityMeasure(FAAM)ActivitiesofDailyLivingSubscalePleaseAnswereveryquestionwithoneresponsethatmostcloselydescribesyourconditionwithinthepastweek.Iftheactivityinquestionislimitedbysomethingotherthanyourfootoranklemark“NotApplicable”(N/A).NoSlightModerateExtremeUnableN/ADifficultyDifficultyDifficultyDifficultytodoStandingWalkingonevenGroundWalkingonevengroundwithoutshoesWalkinguphillsWalkingdownhillsGoingupstairsGoingdownstairsWalkingonunevengroundSteppingupanddowncurbsSquattingCominguponyourtoesWalkinginitiallyWalking5minutesorlessWalkingapproximately10minutesWalking15minutesorgreaterFootandAnkleAbilityMeasure(FAAM)ActivitiesofDailyLivingSubscalePage2Becauseofyourfootandanklehowmuchdifficultydoyouhavewith:NoSlightModerateExtremeUnableN/ADifficultyDifficultyDifficultyDifficultytodoatallHomeresponsibilitiesActivitiesofdailylivingPersonalcareLighttomoderatework(standing,walking)Heavywork(push/pulling,climbing,carrying)RecreationalactivitiesHowwouldyourateyourcurrentleveloffunctionduringyouusualactivitiesofdailylivingfrom0to100with100beingyourleveloffunctionpriortoyourfootorankleproblemand0beingtheinabilitytoperformanyofyourusualdailyactivities.______.0%Martin,R;Irrgang,J;Burdett,R;Conti,S;VanSwearingen,J:EvidenceofValidityfortheFootandAnkleAbilityMeasure.FootandAnkleInternational.Vol.26,No.11:968-983,2005.FootandAnkleAbilityMeasure(FAAM)SportsSubscaleBecauseofyourfootandanklehowmuchdifficultydoyouhavewith:NoSlightModerateExtremeUnableN/ADifficultyDifficultyDifficultyDifficultytodoatallRunningJumpingLandingStartingandstoppingquicklyCutting/lateralMovementsAbilitytoperformActivitywithyourNormaltechniqueAbilitytoparticipateInyourdesiredsportAslongasyoulikeHowwouldyourateyourcurrentleveloffunctionduringyoursportsrelatedactivitiesfrom0to100with100beingyourleveloffunctionpriortoyourfootorankleproblemand0beingtheinabilitytoperformanyofyourusualdailyactivities?______.0%Overall,howwouldyourateyourcurrentleveloffunction?NormalNearlyNormalAbnormalSeverelyAbnormalMartin,R;Irrgang,J;Burdett,R;Conti,S;VanSwearingen,J:EvidenceofValidityfortheFootandAnkleAbilityMeasure.FootandAnkleInternational.Vol.26,No.11:968-983,2005.