Current practice for safe return-to-play after lateral ankle sprain: A survey among French-speaking physicians

Aguilaniu, Aude; Croisier, Jean-Louis; Schwartz, Cédric; Dardenne, Nadia; D’Hooghe, Pieter; Martens, Géraldine; Collin, Romain; Kaux, Jean‐François

doi:10.1016/j.fas.2021.03.023

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…A survey accepted by the local ethics committee (CE2018/218) was developed and distributed as described in a previous study (Aguilaniu et al., 2022). The first question consisted of setting the criteria for a RTP decision: “In your daily practice, which parameters do you consider in determining whether a patient is able to return to competitive sport after a conservatively treated lateral ankle sprain?”.…”

Section: Methodsmentioning

confidence: 99%

“…A number of 109 physicians who filled the entire survey and their specialisation were included. When physicians selected ankle muscle strength criterion to decide a RTP after LAS, they could extend on the quantitative methods they used (Aguilaniu et al., 2022). The same survey was sent to French‐speaking physiotherapists by e‐mail.…”

Section: Methodsmentioning

confidence: 99%

“…In a previous study, we reported that only 38% of physicians considered ankle muscle strength for RTP after LAS, and only 7% of them used a quantitative method for its assessment (Aguilaniu et al., 2022). However, RTP is a collaborative decision where physiotherapists are also often involved.…”

Section: Introductionmentioning

confidence: 99%

“…We hypothesise that physiotherapists consider and assess ankle muscle strength for RTP after LAS more than physicians. In this previous study, ankle strength consideration for RTP and the quantitative method used were analysed (Aguilaniu et al., 2022). However, the muscle groups, the contraction mode and the detail of the methods are also important parameters that should be considered when ankle strength is assessed.…”

Section: Introductionmentioning

confidence: 99%

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Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report

Aguilaniu

Delvaux

Schwartz

et al. 2023

Physiotherapy Res Intl

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Background and purpose : Ankle muscle strength is an important criterion to consider and assess for return to play (RTP) after lateral ankle sprain (LAS).This study therefore focuses on the reported ankle muscle strength consideration for RTP by physicians and physiotherapists, both clinicians involved in RTP decisions, and how they assess it in daily practice. The primary aim is to compare reported clinical practice on ankle muscle strength evaluation between physicians and physiotherapists. Our secondary aims are: to assess the prevalence of use of qualitative versus quantitative assessment and; to determine if there are any differences in how clinicians with or without a Sports Medicine or Physiotherapy Education approach this assessment. Methods: A survey on RTP criteria after LAS was completed by 109 physicians in a previous study. A number of 103 physiotherapists completed the same survey. A comparison between clinicians' answers was realized and additional questions on ankle muscle strength were analysed.Results: Physiotherapists consider ankle strength for RTP more than physicians (p < 0.001). A large majority of physicians (93%) and physiotherapists (92%) reported assessing ankle strength manually and less than 10% use a dynamometer. Physicians and physiotherapists with Sports

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report

Aguilaniu

Delvaux

Schwartz

et al. 2023

Physiotherapy Res Intl

Self Cite

View full text Add to dashboard Cite

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Attitudes and practices of Australian healthcare and sports workers on the use of ankle supports for management and prevention of lateral ankle sprains: A cross-sectional survey

Megalaa,

Yan,

Beckenkamp

et al. 2024

Physical Therapy in Sport

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Assessments Used by Athletic Trainers to Decide Return-to-Activity Readiness in Patients With an Ankle Sprain

McCann

Bacon

Suttmiller

et al. 2024

Journal of Athletic Training

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Context: Patients with ankle sprains are often cared for by athletic trainers (ATs). Expert consensus was previously established for Rehabilitation-Oriented Assessments (ROASTs) that should be included in ankle sprain evaluations. However, it is unknown what methods ATs use to determine return-to-activity readiness following an ankle sprain. Objective: Our purpose was to identify ATs' methods for determining patients' return-to-activity readiness following an ankle sprain and demographic determinants of ATs' methods. Setting: Online survey Study Design: Cross-sectional study Level of Evidence: CEBM Level 1 Participants: We recruited 10,000 clinically practicing ATs. A total of 676 accessed the survey, 574 submitted responses (85% completion rate), and 541 respondents met inclusion criteria. Main Outcome Measures: We distributed an online survey to participants to ask them about their assessment of pain, swelling, range of motion, arthrokinematics, strength, balance, gait, functional capacity, physical activity level, and patient-reported outcomes in deciding return-to-activity. Descriptive statistics characterized participant demographics and frequencies of assessment measures used by ATs. Chi-square analyses identified relationships between demographics and assessment selection. Results: Pain, swelling, range of motion, strength, balance, gait, and functional capacity were assessed by 76–97% of ATs. Arthrokinematics, physical activity level, and patient-reported outcomes were assessed by 25–36% of participants. When selecting specific assessment methods, ATs often did not use recommended ROASTs. ATs with higher degrees, more advance educational programs, employment in non-traditional settings, more clinical experience, and familiarity with expert consensus recommendations were more likely to use ROASTs. Conclusions: Before approving return-to-activity for patients with ankle sprains, some recommended outcomes and assessment methods are not evaluated by ATs. Practice in non-traditional settings, more advanced degrees, more clinical experience, and familiarity with expert-consensus guidelines appear to facilitate use of ROASTs.

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Current practice for safe return-to-play after lateral ankle sprain: A survey among French-speaking physicians

Cited by 3 publications

References 27 publications

Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report

Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report

Attitudes and practices of Australian healthcare and sports workers on the use of ankle supports for management and prevention of lateral ankle sprains: A cross-sectional survey

Assessments Used by Athletic Trainers to Decide Return-to-Activity Readiness in Patients With an Ankle Sprain

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