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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 11, 1451-1456.
doi: 10.1302/0301-620X.90B11.21000  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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The Oxford ankle foot questionnaire for children

SCALING, RELIABILITY AND VALIDITY

C. Morris, MSc, DPhil, Principal Orthotist & MRC Training Fellow in Health Services Research1; H. A. Doll, MSc, DPhil, Medical Statistician1; A. Wainwright, FRCS(Trauma & Orth), Consultant Orthopaedic Surgeon2; T. Theologis, MD, PhD, FRCS, Consultant Orthopaedic Surgeon2; and R. Fitzpatrick, BSc, MSc, PhD, Professor of Public Health and Primary Care1

1 Department of Public Health
2 Department of Orthopaedic Surgery Nuffield Orthopaedic Centre, University of Oxford, Oxford OX3 7LF, UK.

Correspondence should be sent to Dr C. Morris; e-mail: christopher.morris{at}dphpc.ox.ac.uk

We developed the Oxford ankle foot questionnaire to assess the disability associated with foot and ankle problems in children aged from five to 16 years. A survey of 158 children and their parents was carried out to determine the content, scaling, reliability and validity of the instrument. Scores from the questionnaire can be calculated to measure the effect of foot or ankle problems on three domains of children’s lives: physical, school and play, and emotional. Scores for each domain were shown to be internally consistent, stable, and to vary little whether reported by child or parent. Satisfactory face, content and construct validity were demonstrated. The questionnaire is appropriate for children with a range of conditions and can provide clinically useful information to supplement other assessment methods. We are currently carrying out further work to assess the responsiveness of questionnaire scores to change over time and with treatment.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General