The “Strengthen your ankle” program to prevent recurrent injuries: A randomized controlled trial aimed at long-term effectiveness

Reijen, Miriam van; Vriend, Ingrid; Zuidema, Victor; Mechelen, Willem van; Verhagen, Evert

doi:10.1016/j.jsams.2016.12.001

Cited by 27 publications

(71 citation statements)

References 18 publications

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“…Previous authors 47,49 showed that females sustained sprains more frequently than males and that more than 10% of knee and ankle sprains were recurrent. Strategies for reducing the incidence and severity of sprains should include both primary and secondary prevention (ie, consideration of prophylactic bracing, conditioning, and drills [50][51][52] ). As US Lacrosse evaluates the effectiveness of its LaxPrep program (a warm-up and exercise program that aims to decrease the risk of lower extremity injury), 53 attention to the unique physical demands of lacrosse and specifically targeting females is warranted.…”

Section: Other Lacrosse-related Injuriesmentioning

confidence: 99%

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Lacrosse (2008–2009 Through 2013–2014) and National Collegiate Athletic Association Women's Lacrosse (2004–2005 Through 2013–2014)

Pierpoint

Caswell

Walker

et al. 2019

Journal of Athletic Training

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Context The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online (HS RIO) system and the National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) has aided the acquisition of girls' and women's lacrosse injury data. Objective To describe the epidemiology of injuries sustained in high school girls' lacrosse in the 2008–2009 through 2013–2014 academic years and collegiate women's lacrosse in the 2004–2005 through 2013–2014-academic years using Web-based sports injury surveillance. Design Descriptive epidemiology study. Setting Online injury surveillance from high school girls' (annual average = 55) and collegiate women's (annual average = 19) lacrosse teams. Patients or Other Participants Female lacrosse players who participated in practices or competitions during the 2008–2009 through 2013–2014 academic years for high school or the 2004–2005 through 2013–2014 academic years for college. Main Outcome Measure(s) Athletic trainers collected time-loss injury (≥24 hours) and exposure data. We calculated injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis. Results High school RIO documented 700 time-loss injuries during 481 687 AEs; the NCAA-ISP documented 1027 time-loss injuries during 287 856 AEs. The total injury rate during 2008–2009 through 2013–2014 was higher in college than in high school (2.55 versus 1.45/1000 AEs; IRR = 1.75; 95% CI = 1.54, 1.99). Most injuries occurred during competitions in high school (51.1%) and practices in college (63.8%). Rates were higher during competitions compared with practices in high school (IRR = 2.32; 95% CI = 2.00, 2.69) and college (IRR = 2.38; 95% CI = 2.09, 2.70). Concussion was the most common diagnosis among all high school and most collegiate player positions, and the main mechanism of contact was with a playing apparatus (eg, stick, ball). Ligament sprains were also common (HS RIO practices = 22.2%, competitions = 30.3%; NCAA-ISP practices = 25.5%, competitions = 30.9%). Conclusions Rates of injury were higher in college versus high school female lacrosse players and in competitions versus practices. Injury-prevention strategies are essential to decrease the incidence and severity of concussions and ligament sprains.

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Section: Other Lacrosse-related Injuriesmentioning

confidence: 99%

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Lacrosse (2008–2009 Through 2013–2014) and National Collegiate Athletic Association Women's Lacrosse (2004–2005 Through 2013–2014)

Pierpoint

Caswell

Walker

et al. 2019

Journal of Athletic Training

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“…Fortunately, the incidence of lower extremity injuries, such as knee and ankle injuries, may be lowered through prophylactic bracing, balance training, and conditioning and drills. [31][32][33][34][35][36] Ankle-sprain prevention has been examined in particular, with prevention recommendations focused on multi-intervention programs that incorporate balance and neuromuscular control, as well as increasing leg-muscle strength and range of motion. 37 One of the most well-known injuryprevention interventions is the Fédération Internationale de Football Association (FIFA) 11þ, which involves multiple types of exercises, including balance, plyometric, flexibility, agility, and resistance exercises in combination with (2) were evaluated and/or treated by an athletic trainer, physician, or other health care professional; and (3) restricted the student-athlete from participation for at least 24 hours past the day of injury.…”

Section: Common Injuries and Injury Preventionmentioning

confidence: 99%

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Soccer (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Men's Soccer (2004–2005 Through 2013–2014)

Kerr

Putukian

Chang

et al. 2018

Journal of Athletic Training

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Context: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of boys' and men's soccer injury data. Objective: To describe the epidemiology of injuries sustained in high school boys' soccer in the 2005–2006 through 2013–2014 academic years and collegiate men's soccer in the 2004–2005 through 2013–2014 academic years using Web-based sports injury surveillance. Design: Descriptive epidemiology study. Setting: Online injury surveillance from soccer teams of high school boys (annual average = 100) and collegiate men (annual average = 41). Patients or Other Participants: Boys' or men's soccer players who participated in practices and competitions during the 2005–2006 through 2013–2014 academic years in high school and the 2004–2005 through 2013–2014 academic years in college, respectively. Main Outcome Measure(s): Athletic trainers collected time-loss (≥24 hours) injury and exposure data. Injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis were calculated. Results: High School Reporting Information Online documented 2912 time-loss injuries during 1 592 238 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 4765 time-loss injuries during 686 918 AEs. The injury rate was higher in college than in high school (6.94 versus 1.83/1000 AEs; IRR = 3.79; 95% CI = 3.62, 3.97). Injury rates increased with smaller school size for high schools and were higher in Division I than in Divisions II and III. The injury rate was higher during competitions than during practices in both high school (IRR = 3.55; 95% CI = 3.30, 3.83) and college (IRR = 3.45; 95% CI = 3.26, 3.65). Most injuries were to the lower extremity. However, concussion was a common injury, particularly in collegiate goalkeepers and at all positions for high school players. Concussions accounted for more than one-fifth of injuries in high school games. Conclusions: Injury-prevention interventions should be tailored to reflect variations in the incidence and type of injury by level of competition, event type, and position.

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“…The full details of the “Strengthen Your Ankle” study have been described elsewhere [ 3 , 4 , 13 ]. In brief, 220 sports participants who experienced an ankle sprain during the past 2 months were included in this RCT.…”

Section: Methodsmentioning

confidence: 99%

“…The short- and long-term effectiveness of the app compared with the booklet for preventing ankle sprain recurrences were assessed in a RCT. The full methods and results of this trial have been published elsewhere [ 3 , 4 , 13 ]. In order to put the outcomes of the “Implementation” and “Maintenance” dimensions in context, we will briefly summarize the “Effectiveness” outcomes.…”

Section: Methodsmentioning

confidence: 99%

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Users’ Perspectives, Opportunities, and Barriers of the Strengthen Your Ankle App for Evidence-Based Ankle Sprain Prevention: Mixed-Methods Process Evaluation for a Randomized Controlled Trial

Reijen¹,

Asscheman²,

Vriend³

et al. 2018

JMIR Rehabil Assist Technol

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BackgroundThe “Strengthen Your Ankle” neuromuscular training program has been thoroughly studied over the past 8 years. This process evaluation is a part of a randomized controlled trial that examined both the short- and long-term effectiveness of this particular program. Although it was shown previously that the program, available both in a printed booklet and as a mobile app, is able to effectively reduce the number of recurrent ankle sprains, participants’ compliance with the program is an ongoing challenge.ObjectiveThis process evaluation explored participants’ opinions regarding both the methods of delivery, using RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) Framework to identify barriers and challenges to program compliance. Although Reach, Effectiveness, and Adaptation were the focus of a previous study, this paper focuses on the implementation and maintenance phases.MethodsSemistructured interviews and online questionnaires were analyzed using qualitative content analysis. Fisher exact, chi-square, and t tests assessed between-group differences in quantitative survey responses. Interviews were assessed by thematic analysis to identify key themes.ResultsWhile there were no significant differences in the perceived simplicity, usefulness, and liking of the exercise during the 8 weeks of the neuromuscular training program, semistructured interviews showed that 14 of 16 participants agreed that an app would be of additional benefits over a booklet. After the 12-month follow-up, when asked how they evaluated the overall use of the app or the booklet, the users of the app gave a mean score of 7.7 (SD 0.99) versus a mean score 7.1 (SD 1.23) for the users of the booklet. This difference in mean score was significant (P=.006).ConclusionsAlthough both the app and booklet showed a high user satisfaction, the users of the app were significantly more satisfied. Semistructured questionnaires allowed users to address issues they would like to improve in future updates. Including a possibility for feedback and postponement of exercises, an explanation of the use of specific exercises and possibly music were identified as features that might further improve the contentment of the program, probably leading to increased compliance.Trial RegistrationNetherlands Trial Register NTR4027; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4027 (Archived by Webcite at http://www.webcitation.org/70MTo9dMV)

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The “Strengthen your ankle” program to prevent recurrent injuries: A randomized controlled trial aimed at long-term effectiveness

Cited by 27 publications

References 18 publications

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Lacrosse (2008–2009 Through 2013–2014) and National Collegiate Athletic Association Women's Lacrosse (2004–2005 Through 2013–2014)

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Girls' Lacrosse (2008–2009 Through 2013–2014) and National Collegiate Athletic Association Women's Lacrosse (2004–2005 Through 2013–2014)

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Soccer (2005–2006 Through 2013–2014) and National Collegiate Athletic Association Men's Soccer (2004–2005 Through 2013–2014)

Users’ Perspectives, Opportunities, and Barriers of the Strengthen Your Ankle App for Evidence-Based Ankle Sprain Prevention: Mixed-Methods Process Evaluation for a Randomized Controlled Trial

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