Chronic Complaints After Ankle Sprains: A Systematic Review on Effectiveness of Treatments

Abstract

Therapy, level 1a-.

Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis

“…Twenty reviews investigated treatment strategies for acute ankle sprain specifically 18 21–23 26 27 29–31 39 40 44 46–49 54 55 58 61. Nine reviews investigated treatment strategies for CAI specifically 20 33 35 36 42 51 56 57 59. Two reviews investigated treatment strategies for syndesmotic ankle sprain; however, these only included case studies and did not report on either of our primary or secondary outcomes 25 38.…”

“…Two reviews investigated treatment strategies for syndesmotic ankle sprain; however, these only included case studies and did not report on either of our primary or secondary outcomes 25 38. Eight of the reviews evaluated surgical interventions for the treatment of acute ankle sprain20 25 29 31 38–40 51 with 45 evaluating some kind of non-surgical intervention 14 17–61. The results and conclusions from the reviews ranking as ‘high’ quality have been synthesised in a best evidence synthesis table (table 3), stratified by the intervention type.…”

“…Six reviews20 29 31 39 40 51 (quality range=5–10) compared surgical to non-surgical interventions for the treatment of acute ankle sprain. These reviews contained 82 individual (non-duplicate) papers.…”

“…Function was determined by the time taken to return to activity/work 20 29 31 39 40 51. Of the six reviews, one (quality=6/11) advocated conservative management (including physiotherapeutic and external support interventions) over surgery,39 and two (quality=7/11;40 quality=5/1131) identified that surgery had better outcomes when compared with conservative management in the treatment of acute ankle sprain 31 40.…”

Muscle activity of leg muscles during unipedal stance on therapy devices with different stability properties

“…Proprioceptive and sensorimotor training therapies are successful in treating sportrelated disorders and injuries that are linked to deficits in proprioceptive regulation and muscular imbalances (Ergen & Ulkar, 2008;Jerosch, Pfaff, Thorwesten, & Schoppe, 1998;van Ochten, van Middelkoop, Meuffels, & Bierma-Zeinstra, 2014). Frequently, proprioceptive training programs utilize therapy devices with varying stability properties: less stable therapy devices pose a greater challenge on the neuromuscular system (Hupperets, Verhagen, & van Mechelen, 2009).…”