Elastic stockings or Tubigrip for ankle sprain: A randomised clinical trial

Sultan, Muhammad Junaid; McKeown, Adam; McLaughlin, Iain; Kurdy, Nasser; McCollum, Charles

doi:10.1016/j.injury.2012.01.026

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…Grade III sprains: The Air-Stirrup brace or a walking cast for 10 days followed by bracing returned subjects to normal walking and stair climbing in the same time intervals. The 6-month follow-up of each sprain severity group revealed no difference between the treatments for frequency of reinjury, ankle motion, and function“Treatment of first-time grade I and II ankle ligament sprains with the Air-Stirrup brace combined with an elastic wrap provides earlier return to preinjury function compared to use of the Air-Stirrup brace alone, an elastic wrap alone, or a walking cast for 10 days”Sultan et al [49]Tubigrip below knee elastic stockingsBy 8 weeks, the mean AOFAS and SF12v2 scores were significantly improved by ES at 99 (8.1) and 119 (118–121) compared with 88 [11] and 102 (99–107) with Tubigrip ( P < 0.001)“Elastic compression improves recovery following ankle sprain”…”

Section: Resultsmentioning

confidence: 99%

Treatment of acute ankle ligament injuries: a systematic review

Petersen

Rembitzki²,

Koppenburg³

et al. 2013

Arch Orthop Trauma Surg

225

149

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BackgroundLateral ankle sprains are common musculoskeletal injuries.ObjectivesThe objective of this study was to perform a systematic literature review of the last 10 years regarding evidence for the treatment and prevention of lateral ankle sprains.Data sourcePubmed central, Google scholar.Study eligibility criteriaMeta-analysis, prospective randomized trials, English language articles.InterventionsSurgical and non-surgical treatment, immobilization versus functional treatment, different external supports, balance training for rehabilitation, balance training for prevention, braces for prevention.MethodsA systematic search for articles about the treatment of lateral ankle sprains that were published between January 2002 and December 2012.ResultsThree meta-analysis and 19 articles reporting 16 prospective randomized trials could be identified. The main advantage of surgical ankle ligament repair is that objective instability and recurrence rate is less common when compared with non-operative treatment. Balancing the advantages and disadvantages of surgical and non-surgical treatment, we conclude that the majority of grades I, II and III lateral ankle ligament ruptures can be managed without surgery. For non-surgical treatment, long-term immobilization should be avoided. For grade III injuries, however, a short period of immobilization (max. 10 days) in a below knee cast was shown to be advantageous. After this phase, the ankle is most effectively protected against inversion by a semi-rigid ankle brace. Even grades I and II injuries are most effectively treated with a semi-rigid ankle brace. There is evidence that treatment of acute ankle sprains should be supported by a neuromuscular training. Balance training is also effective for the prevention of ankle sprains in athletes with the previous sprains. There is good evidence from high level randomized trials in the literature that the use of a brace is effective for the prevention of ankle sprains.ConclusionBalancing the advantages and disadvantages of surgical and non-surgical treatment, we conclude that the majority of grades I, II and III lateral ankle ligament ruptures can be managed without surgery. The indication for surgical repair should be always made on an individual basis. This systematic review supports a phase adapted non-surgical treatment of acute ankle sprains with a short-term immobilization for grade III injuries followed by a semi-rigid brace. More prospective randomized studies with a longer follow-up are needed to find out what type of non-surgical treatment has the lowest re-sprain rate.

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Section: Resultsmentioning

confidence: 99%

Treatment of acute ankle ligament injuries: a systematic review

Petersen

Rembitzki²,

Koppenburg³

et al. 2013

Arch Orthop Trauma Surg

225

149

View full text Add to dashboard Cite

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“…This was often assessed using volumetric displacement and compared with the contra-lateral uninjured limb. The Karlsson scoring scale and the American Orthopaedic Foot and Ankle Score (AOFAS) were each used in a total of four RCTs [7,[12][13][14]. The Olerud-Molander Ankle Score (OMAS) was used in one RCT [14,15].…”

Section: Identification Of Relevant Studiesmentioning

confidence: 99%

“…The Karlsson scoring scale and the American Orthopaedic Foot and Ankle Score (AOFAS) were each used in a total of four RCTs [7,[12][13][14]. The Olerud-Molander Ankle Score (OMAS) was used in one RCT [14,15]. Range of ankle movement measured using a goniometer was used in three RCT [16][17][18].…”

Section: Identification Of Relevant Studiesmentioning

confidence: 99%

“…Pain was commonly assessed using the visual analogue score (VAS). Health-related quality of life was assessed in two RCTs [13,14].…”

Section: Identification Of Relevant Studiesmentioning

confidence: 99%

“…Mean (range) quality-of-life (SF12v2) scores were 119 (118-121) compared with 102 (99-107) in controls (p \ 0.001). No complications or adverse reactions were recorded from the use of elastic stockings [14].…”

Section: Elastic Compression Bandagingmentioning

confidence: 99%

See 2 more Smart Citations

The role of compression in the management of soft tissue ankle injuries: a systematic review

Hansrani

Khanbhai

Bhandari

et al. 2015

Eur J Orthop Surg Traumatol

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Compression may be an effective tool in the management of ankle injuries and has been shown to reduce swelling and improve quality of life in single studies. Definitive conclusions are hampered by the poor quality of evidence and the variety of treatments used. The most effective form of compression to treat ankle sprains or is yet to be determined. Adequately designed randomized control trials are clearly needed.

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