Pain Level, Range of Motion, and Foot Volume Do Not Differ in Recurrent and First-Time Ankle Sprains

Abstract

Objective. This study aims to describe the clinical features in terms of pain perception, ankle range of motion, and foot volume in participants with recurrent ankle sprains compared with first-time sprains. Methods. Individuals with grade I and II ankle sprains were referred to physiotherapy care for further rehabilitation by their general practitioner. Primary outcome measures were range of movement, pain, and foot volume. Recurrences were described according to engagement in sport. Results. A total of 115 participants were recruited (age = 22.2 ± 6.9 years; female, 84). Neither pain level (P = .822), nor range of motion (dorsiflexion P = .452; plantar flexion P = .436; inversion P = .383; eversion P = .657), nor foot volume (P = .654) were significantly different between the groups: individuals with first-time sprain or with recurrences. Conclusion. Pain and high existence of other lower-limb injuries were reported disregarding the presence of a recurrence. Clinically, it is difficult to differentiate recurrent sprain from a first-time ankle sprain by means of foot volume, range of movement, or pain intensity.

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

“…Non-weight-bearing ROM (dorsiflexion, P = .452; plantar flexion, P = .436; inversion, P = .383; and eversion, P = .657), pain level (P = .822), and foot volume measures (P = .654) were not different between those with a first-time LAS and those with recurrent injuries when measured within 5 days after injury. 464…”

La rehabilitación funcional en el manejo del esguince de tobillo: una revisión sistemática

“…Un protocolo de ejercicio funcional adecuado y que responda a los objetivos específicos del paciente es una parte vital del proceso de rehabilitación de los esguinces de tobillo en términos de restaurar el rango de movimiento, la fuerza muscular, la coordinación neuromuscular y las actividades deportivas y cotidianas funcionales de la articulación. A través de la diferente literatura ha quedado demostrado que los programas de ejercicio correctamente planificados tienen éxito clínico en pacientes que padecen diversas patologías de pie y tobillo (28). Asimismo, autores Como Weerasekara et al 2015 manifiestan que para que estos efectos el tratamiento funcional debe realizarse en la propia fase aguda, ya que esta contribuye a una rápida recuperación (28).…”

“…A través de la diferente literatura ha quedado demostrado que los programas de ejercicio correctamente planificados tienen éxito clínico en pacientes que padecen diversas patologías de pie y tobillo (28). Asimismo, autores Como Weerasekara et al 2015 manifiestan que para que estos efectos el tratamiento funcional debe realizarse en la propia fase aguda, ya que esta contribuye a una rápida recuperación (28).…”