|
Foot & Ankle Disability Index
|
|
|
1. Standing
|
14. Walking 5 minutes or less
|
|
2. Walking on even ground
|
15. Walking approximately 10 minutes
|
|
3. Walking on even ground without shoes
|
16. Walking 15 minutes or greater
|
|
4. Walking up hills
|
17. Home responsibilities
|
|
5. Walking down hills
|
18. Activities of daily living
|
|
6. Going up stairs
|
19. Personal care
|
|
7. Going down stairs
|
20. Light to moderate work (standing, walking)
|
|
8. Walking on uneven ground
|
21. Heavy work (push/pulling, climbing, carrying)
|
|
9. Stepping up and down curves
|
22. Recreational activities
|
|
10. Squatting
|
23. Recreational activities
|
|
11. Sleeping
|
24. Pain at rest
|
|
12. Coming up to your toes
|
25. Pain during your normal activity
|
|
13. Walking initially
|
26. Pain first thing in the morning
|
|
Subtotal 1 through 13:
|
Subtotal 12 through 26:
|
|
FADI Comments
|
FADI Score (Total 1-26, without Sports Module)
|
|
CLICK HERE FOR SCORING DIRECTIONS
|
Higher scores correlate with better function
|
|
|
|
|
SPORTS MODULE (Optional)
|
|
|
27. Running
|
31. Cutting, lateral movements
|
|
28. Jumping
|
32. Low-impact activities
|
|
29. Landing
|
33. Ability to perform activity with your normal technique
|
|
30. Squatting and stopping quickly
|
34. Ability to participate in your desired sport as long as you would like
|
|
Subtotal 27 through 30:
|
Subtotal 31 through 34:
|
|
CLICK HERE FOR SCORING DIRECTIONS
|
FADI Score (Total 1-34, including Sports Module)
|
|
|
Higher scores correlate with better function
|
