Comparison of Health-Related Quality of Life in Different Types of Chronic Ankle Instability

Abstract

Introduction People with chronic ankle instability (CAI) have decreased health-related quality of life (HRQOL), but the differences in HRQOL status between subgroups of CAI have not been determined. This observational, cross-sectional study aimed to evaluate and compare physical, social and psychological aspects of HRQOL in subgroups of patients with CAI.

Methods Ninety patients with CAI and 30 healthy participants were included. The patients were assigned to 3 subgroups with functional ankle instability (FAI), mechanical ankle instability (MAI), or mixed functional and mechanical instability (MIX), based on the talar tilt test, anterior drawer test, and Cumberland Ankle Instability Tool score. Participants completed the self-assessed Foot and Ankle Ability Measure (FAAM), Tampa Scale of Kinesophobia-11 (TSK-11), Fear-Avoidance Beliefs Questionnaire (FABQ), and Short-Form Health Survey (SF‑36).

Results Significant differences were observed between healthy participants and each CAI subgroup in regional (FAAM), psychological (TSK-11 and FABQ) and global (SF-36) measures (p<0,05). The MIX subgroup had a significantly lower score on the FAAM-sport component, and a higher score on the TSK-11 and FABQ (p<0,05), than the FAI subgroup. There were no diffirences between other CAI subgroups in quality of life measures.

Conclusions Patients with MAI and FAI had similar functional deficits in activities of daily living and sport activities, and greater fear of re-injury. The MIX subgroup had greater deficits in sport activities and greater fear of re-injury than the FAI subgroup.

Zusammenfassung

Einführung Menschen mit chronischer Sprunggelenkinstabilität (CAI) haben die gesundheitsbezogene Lebensqualität (HRQOL) verringert, die Unterschiede im HRQOL-Status zwischen den Untergruppen der CAI wurden jedoch nicht festgestellt. Diese beobachtende Querschnittsstudie zielte darauf ab, physische, soziale und psychologische Aspekte von HRQOL in Untergruppen von Patienten mit CAI zu bewerten und zu vergleichen.

Methoden Neunzig Patienten mit CAI und 30 gesunden Teilnehmern wurden eingeschlossen. Die Patienten wurden drei Untergruppen mit funktioneller Knöchelinstabilität (FAI), mechanischer Knöchelinstabilität (MAI) oder gemischter funktioneller und mechanischer Instabilität (MIX) zugeordnet, basierend auf dem Talar-Tilt-Test, dem vorderen Schubladentest und dem Cumberland-Knöchelinstabilitäts Tool Score. Messung der Leistungsfähigkeit von Fuß und Sprunggelenk (FAAM), De Tampa schaal voor Kinesiofobie-11 (TSK-11), de Fear Avoidance Beliefs Questionnaire (FABQ) und Der Short-Form-36 Health Survey (SF-36).

Ergebnisse Signifikante Unterschiede zwischen gesunden Teilnehmern und jeder CAI-Untergruppe wurden in regionalen (FAAM), psychologischen (TSK-11 und FABQ) und globalen (SF-36) Bewertungsskalen beobachtet (p<0,05). Die MIX-Untergruppe hatte einen signifikant niedrigeren Wert für die FAAM-Sport-Komponente und einen höheren Wert für die TSK-11 und FABQ (p<0,05) als die FAI-Untergruppe. Es gab keine Unterschiede zwischen anderen CAI-Untergruppen in Bezug auf die Lebensqualität.

Schlussfolgerungen Patienten mit MAI und FAI hatten ähnliche funktionelle Defizite bei Aktivitäten des täglichen Lebens und bei sportlichen Aktivitäten und größere Angst vor einer erneuten Verletzung. Die MIX-Untergruppe wies größere Defizite bei sportlichen Aktivitäten und größere Angst vor erneuten Verletzungen auf als die FAI-Untergruppe.

Key words

Chronic ankle instability - Mechanical ankle instability - Functional ankle instability - Health-related quality of life

Schlüsselwörter

Chronische Sprunggelenksinstabilität - Mechanische Sprunggelenksinstabilität - Funktionelle Sprunggelenksinstabilität, Gesundheitsbezogene Lebensqualität

Publication History

Received: 30 October 2019

Accepted: 28 February 2020

Article published online:
19 March 2020

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