1 Before you use it
What it is
The default ankle PROM. Two subscales — a 21-item activities of daily living scale and an 8-item sport scale — plus two global ratings of function as a percentage of normal.
When to reach for it
Every ankle presentation — lateral sprain, chronic instability, syndesmotic injury, midfoot sprain, peroneal tendinopathy — at baseline, at loading progressions and at return to sport.
2 Giving it
Scoring
Report the two subscales separately as percentages. Items marked not applicable are excluded and the score pro-rated. Higher is better.
Always report the sport subscale in an athlete. The ADL scale ceilings within weeks of an ankle sprain while the athlete is nowhere near ready.
What it doesn’t measure
Instability specifically — use CAIT. Balance and dynamic control — measure those (single-leg stance, SEBT).
And it doesn't screen for fracture. Ottawa rules come first.
Repeat it
3 Reading the score
Interpreting it
Interpret against baseline.
The two global percentage ratings are the fastest thing on the form and behave like a region-specific SANE.
Is the change real?
On placement
Lateral ankle sprain in a netballer, week 4. FAAM ADL 71% → 93%; Sports 45% → 58%.
Read it as ADL rose 22 points — over both its 5.7-point MDC and 8-point MCID (measured in foot and ankle disorders) — and is now near ceiling. Sports rose 13, over the 9-point MCID but only just past its 12.3-point MDC. The ADL scale has stopped being useful; the Sports scale is the measure from here.
Do report Sports on its own from now, progress the cutting and landing work, and don't clear return to play on the ADL number.
Student trap. Reporting only the ADL subscale on an athlete. It ceilings fast and tells you nothing about readiness.
Official source: null. We don't host the form.
This is a learning tool. It does not diagnose patients and does not replace your clinical educator.
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