While there are many different scoring systems available for foot and ankle specialists to use to assess or demonstrate the effectiveness of treatments , the AOFAS , while it is an unvali date d scoring system , is the most commonly used scoring system in this review .
This review presents data about commonly used patient reported outcomes systems in foot and ankle surgery .
The goal of this systematic review is to determine the most commonly used outcome measurement tools used by foot and ankle specialists and determine their limitations , such as whether they are vali date d , have floor/ceiling effects , and so on .
Responsiveness of Self‐Reported and Objective Measures of Disease Severity in Carpal Tunnel Syndrome
Responsiveness , the ability to detect meaningful clinical change , is a critical attribute of instruments used to evaluate outcomes of treatments . The authors hypothesized that self-administered symptom severity and functional status question naires are more responsive to clinical improvement after carpal tunnel release than traditional physical examination measures of strength and sensibility . Data were obtained from a r and omized clinical trial of  endoscopic versus open carpal tunnel release  conducted in four university medical centers . Patients were evaluated before surgery and 3 months after surgery . Seventy-four patients indicating that they were more than 80 % satisfied with the results of surgery were assumed to have clinical ly meaningful improvement and were the focus of the analysis . Evaluations included question naires assessing symptom severity , functional status , and activities of daily living as well as measurement of grip , pinch , and abductor pollicus brevis strength , and 2-point discrimination and Semmes-Weinstein pressure sensibility . Responsiveness was calculated with the st and ardized response mean ( mean change/st and ard deviation of change ) as well as the effect size ( mean change/st and ard deviation of baseline values ) . The symptom severity scale was four times as responsive , and the functional status and activities of daily living scales were twice as responsive , as the measures of strength and sensibility . Self-administered symptom severity and functional status scales are much more responsive to clinical improvement than measures of neuromuscular impairment and should serve as primary outcomes in clinical studies of therapy for carpal tunnel syndrome
While there are many different scoring systems available for foot and ankle specialists to use to assess or demonstrate the effectiveness of treatments , the AOFAS , while it is an unvali date d scoring system , is the most commonly used scoring system in this review .
This review presents data about commonly used patient reported outcomes systems in foot and ankle surgery .
The goal of this systematic review is to determine the most commonly used outcome measurement tools used by foot and ankle specialists and determine their limitations , such as whether they are vali date d , have floor/ceiling effects , and so on .