Lateral ankle sprain increases subsequent ankle sprain risk: a systematic review

Abstract

Objective: To evaluate the evidence surrounding the association between lateral ankle sprain (LAS) history and subsequent LAS risk, as well as sex-differences in the observed associations. Data Sources: PubMed, CINAHL, and SPORTDiscus were searched through July 2020 for articles reporting LAS injury history and injury incidence during a study period. Study Selection: Studies were included if they were prospective in nature, reported the number of participants with and without a history of LAS at study initiation, and reported the number of participants from each group that sustained a LAS during the study period. Data Extraction: Data included study design parameters as well as the number of participants with and without a LAS history, and the number of subsequent LAS that occurred to both groups. Risk ratios (RR) with 95% confidence intervals (CI) compared the risk of LAS within the study period between those with and without a LAS history for each included investigation. Data Synthesis: Nineteen studies with a total of 6,567 patients were included. Follow-up periods ranged from 14 weeks to 2 years. Quality assessment scores indicate moderate to high quality studies were included. A significantly higher risk of LAS within the study period was observed among those with a history of LAS in 10 out of 15 studies (RR range=1.29–6.06). Similar associations were seen in four out of six studies that included an all-male sample (RR Range=1.38–8.65), and one out of four studies with an all-female sample (RR=4.28). Conclusion: There is strong evidence to support that a previous LAS increases the risk of a subsequent LAS injury. Males but not females with a history of a LAS appear to be at a higher risk of sustaining a subsequent LAS but further data are needed to draw definitive conclusions based on the limited number of sex specific studies.

Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

“…1,2 There is a high risk of LAS in volleyball, basketball and football with prevalence ranging from 26-41%. [2][3][4] Athletes with a history of LAS have higher future injury prevalence, 5 with recurrence rates of 28-61% recorded in (Association) football 6 , American football, basketball, and volleyball. 2 Around 40% of patients with a history of LAS have additional long-term problems, such as persisting pain, giving-way episodes, and perceived instability, termed chronic ankle instability (CAI).…”

The effect of movement representation techniques on ankle function and performance in persons with or without a lateral ankle sprain: a systematic review and meta-analysis

“…In particular, athletes involved in basketball, volleyball and field sports are at increased risk of sustaining an ankle sprain [7]. Lateral ankle sprains are often classified as a one-time injury, yet evidence suggests that up to 74% of persons with a lateral ankle sprain will experience persistent symptoms [8]. There is evidence for a multifactorial contribution of impaired balance, reaction time and strength to the development of ankle instability [9].…”

Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

“…[1][2][3] There is a high risk of LAS in volleyball, basketball and football with prevalence ranging from 26-41%. [3][4][5] Athletes with a history of LAS have greater risk of future injury, 6 with recurrence rates of 28-61% recorded in (Association) football 7 , American football, basketball, and volleyball. 3 Around 40% of patients with a history of LAS have additional long-term problems, such as persisting pain, giving-way episodes, and perceived instability, termed chronic ankle instability (CAI).…”