foot and ankle ability measure (faam)脚和脚踝的能力的度量（faam）

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1、FootandAnkleAbilityMeasure(FAAM)ActivitiesofDailyLivingSubscalePleaseAnswereveryquestionwithoneresponsethatmostcloselydescribesyourconditionwithinthepastweek.Iftheactivityinquestionislimitedbysomethingotherthanyourfootoranklemark“NotApplicable”(N/A).NoSlightModerateExtremeUnableN/ADifficultyDif

2、ficultyDifficultyDifficultytodoStandingWalkingonevenGroundWalkingonevengroundwithoutshoesWalkinguphillsWalkingdownhillsGoingupstairsGoingdownstairsWalkingonunevengroundSteppingupanddowncurbsSquattingCominguponyourtoesWalkinginitiallyWalking5minutesorlessWalkingapproximately10minutesWalking15min

3、utesorgreaterFootandAnkleAbilityMeasure(FAAM)ActivitiesofDailyLivingSubscalePage2Becauseofyourfootandanklehowmuchdifficultydoyouhavewith:NoSlightModerateExtremeUnableN/ADifficultyDifficultyDifficultyDifficultytodoatallHomeresponsibilitiesActivitiesofdailylivingPersonalcareLighttomoderatework(st

4、anding,walking)Heavywork(push/pulling,climbing,carrying)RecreationalactivitiesHowwouldyourateyourcurrentleveloffunctionduringyouusualactivitiesofdailylivingfrom0to100with100beingyourleveloffunctionpriortoyourfootorankleproblemand0beingtheinabilitytoperformanyofyourusualdailyactivities.______.0%

5、Martin,R;Irrgang,J;Burdett,R;Conti,S;VanSwearingen,J:EvidenceofValidityfortheFootandAnkleAbilityMeasure.FootandAnkleInternational.Vol.26,No.11:968-983,2005.FootandAnkleAbilityMeasure(FAAM)SportsSubscaleBecauseofyourfootandanklehowmuchdifficultydoyouhavewith:NoSlightModerateExtremeUnableN/ADiffi

6、cultyDifficultyDifficultyDifficultytodoatallRunningJumpingLandingStartingandstoppingquicklyCutting/lateralMovementsAbilitytoperformActivitywithyourNormaltechniqueAbilitytoparticipateInyourdesiredsportAslongasyoulikeHowwouldyourateyourcurrentleveloffunctionduringyoursportsrelatedactivitiesfrom0t

7、o100with100beingyourleveloffunctionpriortoyourfootorankleproblemand0beingtheinabilitytoperformanyofyourusualdailyactivities?______.0%Overall,howwouldyourateyourcurrentleveloffunction?NormalNearlyNormalAbnormalSeverelyAbnormalMarti