CORE Physical Therapy & Sports Performance PC
17660 Wright St. 9/10/11
Omaha NE
402-933-4027
Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis
Cailbhe Doherty 1, Chris Bleakley 2, Eamonn Delahunt 3 4, Sinead Holden 3
Affiliations expand
- PMID: 28053200
Abstract
Background: Ankle sprains are highly prevalent with high risk of recurrence. Consequently, there are a significant number of research reports examining strategies for treating and preventing acute and recurrent sprains (otherwise known as chronic ankle instability (CAI)), with a coinciding proliferation of review articles summarising these reports.
Objective: To provide a systematic overview of the systematic reviews evaluating treatment strategies for acute ankle sprain and CAI.
Design: Overview of intervention systematic reviews.
Participants: Individuals with acute ankle sprain/CAI.
Main outcome measurements: The primary outcomes were injury/reinjury incidence and function.
Results: 46 papers were included in this systematic review. The reviews had a mean score of 6.5/11 on the AMSTAR quality assessment tool. There was strong evidence for bracing and moderate evidence for neuromuscular training in preventing recurrence of an ankle sprain. For the combined outcomes of pain, swelling and function after an acute sprain, there was strong evidence for non-steroidal anti-inflammatory drugs and early mobilisation, with moderate evidence supporting exercise and manual therapy techniques. There was conflicting evidence regarding the efficacy of surgery and acupuncture for the treatment of acute ankle sprains. There was insufficient evidence to support the use of ultrasound in the treatment of acute ankle sprains.
Conclusions: For the treatment of acute ankle sprain, there is strong evidence for non-steroidal anti-inflammatory drugs and early mobilisation, with moderate evidence supporting exercise and manual therapy techniques, for pain, swelling and function. Exercise therapy and bracing are supported in the prevention of CAI.
Keywords: Ankle; Chronic; Injury; Injury prevention; Sprain.
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Conclusion:
For the treatment of acute ankle sprain, there is strong evidence for non-steroidal anti-inflammatory drugs and early mobilization, with moderate evidence supporting exercise and manual therapy techniques, for pain, swelling and function. Exercise therapy and bracing are supported in the prevention of CAI (chronic ankle instability).
What does this mean?
Controlling inflammation, improving ankle mobility, and skilled application of exercise and manual therapy techniques are effective treatments for addressing acute ankle sprains.
What can CORE do for me?
We will tailor a specific program to address your acute ankle sprain according to severity and symptoms with the goal of restroing normal ankle function.
Treatments include strengthening, stabilizing, range of motion, and balance exercises. We are also able to apply skilled manual therapy to improve ankle mobility and control pain.
Restoring normal ankle function is vital to returning to daily activity and sports participation without limitation and with reduced risk of re-injury.
C.O.R.E. Physical Therapy and Sports Performance PC,
17660 Wright St, Suites 9/10/11
Omaha, NE 68130
402-930-4027
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At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. CORE was established in 2015 by Dr. Mark and Dr. Claire Rathjen is family owned and operated.
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