2026-05-30T04:05:15Zhttps://riuma.uma.es/rest/oai/request

oai:riuma.uma.es:10630/320282026-02-03T11:32:53Zcom_10630_2254col_10630_37953

00925njm 22002777a 4500 dc Martínez-Sebastián, Carlos author Gijón-Noguerón, Gabriel author Ramos-Petersen, Laura author Morales-Asencio, José Miguel author Molina-García, Cristina author Evans, Angela M. author 2024-05-22 Aim To develop a new tool for identifying joint hypermobility of the paediatric foot and ankle, based on a dichotomous scoring system utilising the Lower Limb Assessment Score (LLAS), to separate the foot and ankle items. Material and methods A total of 205 children, aged between 5 and 10 years, participated in a cross-sectional study. The new tool Foot and Ankle Flexibility Index (FAFI) was predicated upon the last 7 items of LLAS, which are specific to the foot and ankle. The internal consistency was measured with Cronbach's test. Kappa statistics with 95% CI were calculated to verify the level of inter-rater and intra-rater agreement for the FAFI. Results Cronbach's alpha returned 0.82. The correlations between items returned a mean of 0.59 (range: 0.43–0.74). The discrimination score on the ROC curve (4 points) showed that the model can be used to identify children with joint hypermobility of the foot and ankle. Inter-rater reliability was largely good (ICC = 0.89). Excellent intra-rater reliability was found (ICC = 0.96) Conclusions This study identified high reliability between evaluators, and high sensitivity and specificity, for a new reliable and valid tool for the identification of foot and ankle joint hypermobility. Carlos Martínez-Sebastián, Gabriel Gijon-Nogueron, Laura Ramos-Petersen, José Miguel Morales-Asencio, Cristina Molina-García, Angela M. Evans, Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI), Journal of Tissue Viability, Volume 33, Issue 3, 2024, Pages 458-464, ISSN 0965-206X https://hdl.handle.net/10630/32028 10.1016/j.jtv.2024.05.010 Pies Tobillos Articulaciones -- Enfermedades Pediatría Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI)