The Foot and Ankle Flexibility Index (FAFI)

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The FAFI assesses the specific (hyper)mobility of the paediatric foot and ankle, and correlates with the LLAS, and the Beighton scale.

This is a new tool for identifying joint hypermobility of the paediatric foot and ankle, based on the Lower Limb Assessment Score (the last 7 items pertinent to foot and ankle).

FAFI consists of 6 foot and ankle items, and the demonstrated cut-off score ≥ 4/6 indicates foot and ankle joint hypermobility.
A significant correlation was found between FAFI, LLAS (r=0.923), and FAFI and the Beighton score (r=0.437).

FAFI is the first tool to identify foot and ankle hypermobility (sensitivity 95%, specificity 86%), and high reliability between examiners.

We should discard general hypermobility tests and focus on FAFI for research in the foot and ankle area.
Reference: https://www.sciencedirect.com/science/article/pii/S0965206X2400072X?via%3Dihub

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