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    The Foot & Ankle Disability Index (FADI) Score

    Uploaded by

    Kashish Maggu
    The document is a Foot & Ankle Disability Index (FADI) score sheet for a patient. It contains 26 questions about level of difficulty with various activities of daily living and levels of foot/ankle pain over the past week. The patient is asked to select the response that most closely describes their condition for each question, with response options ranging from no difficulty/pain to extreme difficulty/unable or unbearable pain. The score sheet is used by a clinician to assess the patient's foot/ankle disability and pain levels.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    The Foot & Ankle Disability Index (FADI) Score

    Uploaded by

    Kashish Maggu
    395 views1 page
    The document is a Foot & Ankle Disability Index (FADI) score sheet for a patient. It contains 26 questions about level of difficulty with various activities of daily living and levels of foot/ankle pain over the past week. The patient is asked to select the response that most closely describes their condition for each question, with response options ranging from no difficulty/pain to extreme difficulty/unable or unbearable pain. The score sheet is used by a clinician to assess the patient's foot/ankle disability and pain levels.

    Original Description:

    Foot and ankle disabilty index

    Original Title

    FADI.pdf

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    The document is a Foot & Ankle Disability Index (FADI) score sheet for a patient. It contains 26 questions about level of difficulty with various activities of daily living and levels of foot/ankle pain over the past week. The patient is asked to select the response that most closely describes their condition for each question, with response options ranging from no difficulty/pain to extreme difficulty/unable or unbearable pain. The score sheet is used by a clinician to assess the patient's foot/ankle disability and pain levels.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    395 views1 page

    The Foot & Ankle Disability Index (FADI) Score

    Uploaded by

    Kashish Maggu
    The document is a Foot & Ankle Disability Index (FADI) score sheet for a patient. It contains 26 questions about level of difficulty with various activities of daily living and levels of foot/ankle pain over the past week. The patient is asked to select the response that most closely describes their condition for each question, with response options ranging from no difficulty/pain to extreme difficulty/unable or unbearable pain. The score sheet is used by a clinician to assess the patient's foot/ankle disability and pain levels.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    The Foot & Ankle Disability Index(FADI) Score

    Patient's Name__________________________ Clinician's Name_____________________________


    Date:___________
    Please answer every question with one response that most closely describes your condition within the past week.
    If the ativity in question is limited by something other than your foot or ankle, write N/A.
    No difficulty Slight Moderate Extreme Unable
    at all(4) difficulty(3) difficulty(2) difficulty(1) to do(0)
    1. Standing O O O O O
    2. Walking on even ground O O O O O
    3. Walking on even ground without shoes O O O O O
    4. Walking up hills O O O O O
    5. Walking down hills O O O O O
    6. Going up stairs O O O O O
    7. Going down stairs O O O O O
    8. Walking on uneven ground O O O O O
    9. Stepping up and down curbs O O O O O
    10. Squatting O O O O O
    11. Sleeping O O O O O
    12. Coming up to your toes O O O O O
    13. Walking initially O O O O O
    14. Walking 5 minutes or less O O O O O
    15. Walking approximately 10 minutes O O O O O
    16. Walking 15 minutes or greater O O O O O
    17. Home responsibilities O O O O O
    18. Activities of daily living O O O O O
    19. Personal care O O O O O
    20. Light to moderate work (standing, walking) O O O O O
    21. Heavy work (push/pulling, climbing, carrying) O O O O O
    22. Recreational activities O O O O O

    No Pain Mild Moderate Severe Unbearable


    23. General level of pain O O O O O
    24. Pain at rest O O O O O
    25. Pain during normal activity O O O O O
    26. Pain first thing in the morning O O O O O

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