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Victorian Institute of Sports Assessment - Achilles score (VISA-A) Clinical Workflow

Victorian Institute of Sports Assessment - Achilles score flow

Introduction

The Victorian Institute of Sport Assessment-Achilles (VISA-A) serves as a disease-specific questionnaire for measurement of Achilles tendinopathy severity. The questionnaire is meant to be self-administered, uncomplicated, and relatively quick for both subjects and healthcare professionals[1,2].

The Victorian Institute of Sports Assessment - Achilles score flow contains the Victorian Institute of Sports Assessment – Achilles score (VISA-A) questionnaire and associated calculation. After form submission, the Victorian Institute of Sports Assessment - Achilles score calculation is executed automatically. It's easy to extend this flow with conditional logic based on the interpretation of the Victorian Institute of Sports Assessment - Achilles score calculation.

Victorian Institute of Sports Assessment – Achilles score (VISA-A) questionnaire

Questions and Scoring

The VISA-A contains 8 questions about achilles tendon tendinosis:

  • 6 of 8 questions are scored on a VAS from 0-10 (10 is optimal health)
  • Question 7 has 4 categories that can be scored at 0, 4, 7 or 10
  • Question 8 is dependent on patient’s current pain level and scored based on how long they can train
  • Max score for asymptomatic individual is 100; theoretical minimum is 0

Click here for English version of the VISA-A
Click here for Dutch version of the VISA-A

Interpretation

The higher the score, the more asymptomatic (i.e. lower score = worse).

References

[1] Robinson JM, Cook JL, Purdam C, Visentini PJ, Ross J, Maffulli N, Taunton JE, Khan KM; Victorian Institute Of Sport Tendon Study Group. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med. 2001 Oct;35(5):335-41. doi: 10.1136/bjsm.35.5.335. PMID: 11579069; PMCID: PMC1724384.
[2] https://www.sralab.org/rehabilitation-measures/victorian-institute-sports-assessment-achilles

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