The cost‐effectiveness of semi‐rigid ankle brace to facilitate return to work following first‐time acute ankle sprains

Fatoye, Francis; Haigh, Carol

doi:10.1111/jocn.13255

Cited by 8 publications

(44 citation statements)

References 33 publications

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“…For protection, ankle support may be indicated to facilitate return to work. A semirigid brace is suggested to be the most cost-effective option compared with taping208 (level 3).…”

Section: Resultsmentioning

confidence: 99%

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Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline

et al. 2018

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This guideline aimed to advance current understandings regarding the diagnosis, prevention and therapeutic interventions for ankle sprains by updating the existing guideline and incorporate new research. A secondary objective was to provide an update related to the cost-effectiveness of diagnostic procedures, therapeutic interventions and prevention strategies. It was posited that subsequent interaction of clinicians with this guideline could help reduce health impairments and patient burden associated with this prevalent musculoskeletal injury. The previous guideline provided evidence that the severity of ligament damage can be assessed most reliably by delayed physical examination (4–5 days post trauma). After correct diagnosis, it can be stated that even though a short time of immobilisation may be helpful in relieving pain and swelling, the patient with an acute lateral ankle ligament rupture benefits most from use of tape or a brace in combination with an exercise programme.New in this update: Participation in certain sports is associated with a heightened risk of sustaining a lateral ankle sprain. Care should be taken with non-steroidal anti-inflammatory drugs (NSAIDs) usage after an ankle sprain. They may be used to reduce pain and swelling, but usage is not without complications and NSAIDs may suppress the natural healing process. Concerning treatment, supervised exercise-based programmes preferred over passive modalities as it stimulates the recovery of functional joint stability. Surgery should be reserved for cases that do not respond to thorough and comprehensive exercise-based treatment. For the prevention of recurrent lateral ankle sprains, ankle braces should be considered as an efficacious option.

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“…For protection, ankle support may be indicated to facilitate return to work. A semirigid brace is suggested to be the most cost-effective option compared with taping208 (level 3).…”

Section: Resultsmentioning

confidence: 99%

“…Preventive efforts against first-time and recurrent ankle sprains have shown high cost benefits208 (level 3). Both neuromuscular training and ankle braces have been proven beneficial as a preventive investment due to lower societal costs, mainly achieved through reduced indirect costs209 (level 2).…”

Section: Resultsmentioning

confidence: 99%

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline

et al. 2018

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“…Dobson DaVanzo & Associates Report 2013 and the Queensland Artificial Limb Scheme Report 2018 are also peer-review published) [14, 25–27]. This testing was conducted through hand-searching the reference list of known peer-reviewed studies [12–17, 28–30] and an assessment of known grey literature [25, 27, 31, 32] and confirmed the appropriateness of this search strategy limitation.…”

Section: Methodsmentioning

confidence: 88%

Health economic evaluation in orthotics and prosthetics: a systematic review protocol

2019

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Background Health economic evaluations are essential to support health care policy and investment decisions. To date, health economic evaluations in orthotics and prosthetics have focused on discrete components of an orthosis/prosthesis (e.g. a microprocessor controlled prosthetic knee joint) rather than the broader service provided by orthotist/prosthetists. As such, the contribution to orthotic/prosthetic policy and investment decisions is unclear. Whilst there are opportunities to conduct more informative health economic evaluations that describe the costs and benefits of the orthotic/prosthetic service, it is important that prospective research is informed by a critical review of the method design challenges and an understanding of how this research can be improved. The aim of this systematic review is to critically appraise the existing orthotic/prosthetic health economic evaluation literature and therefore determine evidence gaps, critical method design issues and the extent to which the literature informs orthotic/prosthetic policy and investment decisions. Methods A comprehensive range of databases—AMED, EMBASE, MEDLINE and PsychINFO, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest Nursing and Allied Health, Web of Science, Cochrane Database of Systematic Reviews (CDSR) and specialty health economic databases—will be searched using National Library of Medicine Medical Subject Headings (MeSH) terms as well as the title, abstract, and keyword terms. Search terms related to the intervention (e.g. orthosis), including variants used by varying professional disciplines (e.g. brace), will be used in preference to defining the populations that use orthotic and prosthetic services (e.g. people living with rheumatoid arthritis). Search terms related to health economic evaluations will be guided by previously developed and tested search strings and align with recommendations by the Canadian Agency for Drugs and Technologies in Health. Articles meeting the inclusion criteria will be hand-searched for relevant citations, and a forward citation search using Google Scholar will also be conducted to identify early online articles not yet indexed in traditional databases. Original research published in the English language and after 1 January 2000 will be included. The Checklist for Health Economic Evaluation Reporting Standards (CHEERS) and the Consensus on Health Economic Criteria (CHEC)-Extended list will be used to appraise the methodological quality and identify sources of bias. Data extraction and appraisal will be conducted by one reviewer independently using appraisal instrument guidelines and a content specific decision aid with exemplars. A subsequent review by a second researcher will be undertaken to confirm the accuracy of the extraction and appraisal, and a final review by a third where consensus cannot be reached. The data will be extracted to a purpose-built data extraction template with decision-making guidelines to support consi...

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“…Niu et al investigated the effects of different ankle braces on lower limb biomechanics during HSPL and revealed that rigid ankle brace usage could enhance muscle activity [17]. Some scholars acknowledged that elastic deformation of the support structure on both sides of the ankle brace provided an eversion moment to overcome inversion and reduced the work [31]. Based on Janssen et al's [7] Constructs of Subjective Factors of Brace Use, the questionnaires were designed using the Likert 5 point scale for each evaluation index, including ease of use, quality, comfort, stability, hindrance, and satisfaction.…”

Section: Discussionmentioning

confidence: 99%

A novel prophylactic parachute ankle brace CPAB

Zhou

et al. 2020

Preprint

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Background: Comparing the effects of a self-designed and self-manufactured novel prophylactic ankle brace (Chinese parachute ankle brace, CPAB) and two ordinary ankle braces on the ankle joint during a half-squat parachute landing via biomechanical assessment.Methods: Twenty elite paratroopers were in four different conditions: no brace, elastic brace, semi-rigid brace, and CPAB. Each participant was instructed to jump off a platform with three different heights, 40 cm, 80 cm, and 120 cm, and land on the AMTI force plate in a half-squat posture. The vertical ground reaction forces (vGRF), joint angles, moments, powers, and works were calculated. After the experiment, every participant completed the questionnaires designed for this study.Result: Increasing the dropping height increased all of the parameters significantly (P<0.01), except for time to peak vGRF (T-PvGRF). Applying three braces can all slightly increase vGRF (P=0.237) and reduce T-PvGRF by 6-10 ms, as well as decrease the joint angles, velocities, and moments on the sagittal and coronal planes. Wearing CPAB and a semi-rigid brace more efficiently restricted dorsiflexion and inversion (P<0.05), and they both significantly reduced ankle work (t=5.107, P<0.01; t=3.331, P<0.01) and peak power (t=7.237, P<0.01; t=6.711, P<0.01) at 120 cm. The total scores from low-to-high were semi-rigid brace (19.20±2.99), elastic brace (21.91±3.25), and CPAB (23.37±3.08).Conclusion: The CPAB was more effective at restricting ankle joint motion on the coronal and sagittal planes than the other two prophylactic ankle braces. Therefore, the CPAB had the advantages of a novel appearance, high efficiency, and superior comfort, providing a reliable choice for parachute jumping and training in China.

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The cost‐effectiveness of semi‐rigid ankle brace to facilitate return to work following first‐time acute ankle sprains

Abstract: The findings of this economic evaluation provide justification for the use of semi-rigid ankle brace by Musculoskeletal Physiotherapists and Nurses to facilitate return to work in individuals with first-time ankle sprains.

Cited by 8 publications

References 33 publications

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline

Health economic evaluation in orthotics and prosthetics: a systematic review protocol

A novel prophylactic parachute ankle brace CPAB

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