Developing consensus on clinical assessment of acute lateral ankle sprain injuries: protocol for an international and multidisciplinary modified Delphi process

Bossard, Daniela S; Remus, Alexandria; Doherty, Cailbhe; Gribble, Phillip A.; Delahunt, Eamonn

doi:10.1136/bjsports-2017-099007

Cited by 10 publications

(6 citation statements)

References 1 publication

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“…A previous consensus statement of the International Ankle Consortium2 and its supporting evidence document1 were used as the starting point for this modified Delphi study. The protocol for the present modified Delphi study, which details the study methodology, has been published 18. In summary, our modified Delphi process started with an anonymous online questionnaire (round 1) specifically related to the clinical assessment of acute lateral ankle sprain injuries.…”

Section: Methodsmentioning

confidence: 99%

Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium

et al. 2018

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Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments. This modified Delphi study was undertaken under the auspices of the executive committee of the International Ankle Consortium. The primary aim was to develop recommendations, based on expert (n=14) consensus, for structured clinical assessment of acute lateral ankle sprain injuries. After two modified Delphi rounds, consensus was achieved on the clinical assessment of acute lateral ankle sprain injuries. Consensus was reached on a minimum standard clinical diagnostic assessment. Key components of this clinical diagnostic assessment include: establishing the mechanism of injury, as well as the assessment of ankle joint bones and ligaments. Through consensus, the expert panel also developed the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST). The International Ankle Consortium ROAST will help clinicians identify mechanical and/or sensorimotor impairments that are associated with chronic ankle instability. This consensus statement from the International Ankle Consortium aims to be a key resource for clinicians who regularly assess individuals with acute lateral ankle sprain injuries.

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Section: Methodsmentioning

confidence: 99%

Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium

et al. 2018

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“…An online Delphi round was used to produce accurate outcomes. 24 All experts reviewed and commented on the text online using a 5-point scale 25 : (1) strongly agree ; (2) agree ; (3) no opinion ; (4) disagree ; and (5) strongly disagree . A score of 1 or 2 was determined as “Agreement.” Those recommendation statements that were regarded as “Disagreement” were discussed further in the second round.…”

Section: Methodsmentioning

confidence: 99%

Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus

Wang,

Witchalls

et al. 2024

Clin Rehabil

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Objective To review the effectiveness of different physical therapies for acute and sub-acute low back pain supported by evidence, and create clinical recommendations and expert consensus for physiotherapists on clinical prescriptions. Data sources A systematic search was conducted in PubMed and the Cochrane Library for studies published within the previous 15 years. Review methods Systematic review and meta-analysis, randomized controlled trials assessing patients with acute and sub-acute low back pain were included. Two reviewers independently screened relevant studies using the same inclusion criteria. The Physiotherapy Evidence Database and the Assessment of Multiple Systematic Reviews tool were used to grade the quality assessment of randomized controlled trials and systematic reviews, respectively. The final recommendation grades were based on the consensus discussion results of the Delphi of 22 international experts. Results Twenty-one systematic reviews and 21 randomized controlled trials were included. Spinal manipulative therapy and low-level laser therapy are recommended for acute low back pain. Core stability exercise/motor control, spinal manipulative therapy, and massage can be used to treat sub-acute low back pain. Conclusions The consensus statements provided medical staff with appliable recommendations of physical therapy for acute and sub-acute low back pain. This consensus statement will require regular updates after 5–10 years.

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“…and G-E.F. formulated the population, intervention, comparator, and outcome (PICO) research topics and drafted the recommendation statements. During the first round, the 21 experts from the Chinese Association of Rehabilitation Medicine reviewed and commented on the text online using a 5-point scale: 1. strongly agree; 2. agree; 3. no opinion; 4. disagree; 5. strongly disagree ( 24 ). A score of 1–2 was determined as “Agreement.” In the second round, the recommendation statements that were regarded as “Disagreement” were discussed further.…”

Section: Methodsmentioning

confidence: 99%

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

Zhang

Xiong³

et al. 2021

Front. Med.

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Background: Neuropathic pain (NP), a severe and disruptive symptom following many diseases, normally restricts patients' physical functions and leads to anxiety and depression. As an economical and effective therapy, exercise may be helpful in NP management. However, few guidelines and reviews focused on exercise therapy for NP associated with specific diseases. The study aimed to summarize the effectiveness and efficacy of exercise for various diseases with NP supported by evidence, describe expert recommendations for NP from different causes, and inform policymakers of the guidelines.Design: A systematic review and expert consensus.Methods: A systematic search was conducted in PubMed. We included systematic review and meta-analysis, randomized controlled trials (RCTs), which assessed patients with NP. Studies involved exercise intervention and outcome included pain intensity at least. Physiotherapy Evidence Database and the Assessment of Multiple Systematic reviews tool were used to grade the quality assessment of the included RCTs and systematic reviews, respectively. The final grades of recommendation were based on strength of evidence and a consensus discussion of results of Delphi rounds by the Delphi consensus panel including 21 experts from the Chinese Association of Rehabilitation Medicine.Results: Eight systematic reviews and 21 RCTs fulfilled all of the inclusion criteria and were included, which were used to create the 10 evidence-based consensus statements. The 10 expert recommendations regarding exercise for NP symptoms were relevant to the following 10 different diseases: spinal cord injury, stroke, multiple sclerosis, Parkinson's disease, cervical radiculopathy, sciatica, diabetic neuropathy, chemotherapy-induced peripheral neuropathy, HIV/AIDS, and surgery, respectively. The exercise recommended in the expert consensus involved but was not limited to muscle stretching, strengthening/resistance exercise, aerobic exercise, motor control/stabilization training and mind-body exercise (Tai Chi and yoga).Conclusions: Based on the available evidence, exercise is helpful to alleviate NP intensity. Therefore, these expert consensuses recommend that proper exercise programs can be considered as an effective alternative treatment or complementary therapy for most patients with NP. The expert consensus provided medical staff and policymakers with applicable recommendations for the formulation of exercise prescription for NP. This consensus statement will require regular updates after five–ten years.

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Developing consensus on clinical assessment of acute lateral ankle sprain injuries: protocol for an international and multidisciplinary modified Delphi process

Cited by 10 publications

References 1 publication

Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium

Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium

Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

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