BACKGROUND: During the recovery period after acute ankle sprain, it is unclear whether conventional treatment should be supported by supervised exercise. AIM: To evaluate the short- and long-term effectiveness of conventional treatment combined with supervised exercises compared with conventional treatment alone in patients with an acute ankle sprain. DESIGN: Randomised controlled clinical trial. SETTING: A total of 32 Dutch general practices and the hospital emergency department. METHOD:Adults with an acute lateral ankle sprain consulting general practices or the hospital emergency department were allocated to either conventional treatment combined with supervised exercises or conventional treatment alone. Primary outcomes were subjective recovery (0-10 point scale) and the occurrence of a resprain. Measurements were carried out at intake, 4 weeks, 8 weeks, 3 months, and 1 year after injury. Data were analysed using intention-to-treat analyses. RESULTS: A total of 102 patients were enrolled and randomised to either conventional treatment alone or conventional treatment combined with supervised exercise. There was no significant difference between treatment groups concerning subjective recovery or occurrence of resprains after 3 months and 1-year of follow-up. CONCLUSION:Conventional treatment combined with supervised exercises compared to conventional treatment alone during the first year after an acute lateral ankle sprain does not lead to differences in the occurrence of resprains or in subjective recovery.
RCT Entities:
BACKGROUND: During the recovery period after acute ankle sprain, it is unclear whether conventional treatment should be supported by supervised exercise. AIM: To evaluate the short- and long-term effectiveness of conventional treatment combined with supervised exercises compared with conventional treatment alone in patients with an acute ankle sprain. DESIGN: Randomised controlled clinical trial. SETTING: A total of 32 Dutch general practices and the hospital emergency department. METHOD: Adults with an acute lateral ankle sprain consulting general practices or the hospital emergency department were allocated to either conventional treatment combined with supervised exercises or conventional treatment alone. Primary outcomes were subjective recovery (0-10 point scale) and the occurrence of a resprain. Measurements were carried out at intake, 4 weeks, 8 weeks, 3 months, and 1 year after injury. Data were analysed using intention-to-treat analyses. RESULTS: A total of 102 patients were enrolled and randomised to either conventional treatment alone or conventional treatment combined with supervised exercise. There was no significant difference between treatment groups concerning subjective recovery or occurrence of resprains after 3 months and 1-year of follow-up. CONCLUSION: Conventional treatment combined with supervised exercises compared to conventional treatment alone during the first year after an acute lateral ankle sprain does not lead to differences in the occurrence of resprains or in subjective recovery.
Authors: Anton G van Os; Sita M A Bierma-Zeinstra; Arrianne P Verhagen; Rob A de Bie; Pim A J Luijsterburg; Bart W Koes Journal: J Orthop Sports Phys Ther Date: 2005-02 Impact factor: 4.751
Authors: I G Stiell; G H Greenberg; R D McKnight; R C Nair; I McDowell; M Reardon; J P Stewart; J Maloney Journal: JAMA Date: 1993-03-03 Impact factor: 56.272
Authors: Antonia F H Smelt; Gerda M van der Weele; Jeanet W Blom; Jacobijn Gussekloo; Willem J J Assendelft Journal: Br J Gen Pract Date: 2010-07 Impact factor: 5.386
Authors: Rogier M van Rijn; John van Ochten; Pim A J Luijsterburg; Marienke van Middelkoop; Bart W Koes; Sita M A Bierma-Zeinstra Journal: BMJ Date: 2010-10-26
Authors: Suzanne Witjes; Femke Gresnigt; Michel P J van den Bekerom; Jan G Olsman; Niek C van Dijk Journal: BMC Musculoskelet Disord Date: 2012-02-16 Impact factor: 2.362
Authors: Adinda K E Mailuhu; Evert A L M Verhagen; John M van Ochten; Patrick J E Bindels; Sita M A Bierma-Zeinstra; Marienke van Middelkoop Journal: BMC Musculoskelet Disord Date: 2015-04-09 Impact factor: 2.362
Authors: Sebastian Felix Baumbach; Mariette Fasser; Hans Polzer; Michael Sieb; Markus Regauer; Wolf Mutschler; Matthias Schieker; Michael Blauth Journal: BMC Musculoskelet Disord Date: 2013-01-14 Impact factor: 2.362
Authors: Hans Polzer; Karl Georg Kanz; Wolf Christian Prall; Florian Haasters; Ben Ockert; Wolf Mutschler; Stefan Grote Journal: Orthop Rev (Pavia) Date: 2011-12-14
Authors: Wolf Petersen; Ingo Volker Rembitzki; Andreas Gösele Koppenburg; Andre Ellermann; Christian Liebau; Gerd Peter Brüggemann; Raymond Best Journal: Arch Orthop Trauma Surg Date: 2013-05-28 Impact factor: 3.067
Authors: Paulo Santoro Belangero; Marcel Jun Sugawara Tamaoki; Gilberto Yoshinobu Nakama; Marcus Vinicius Shoiti; Rodrigo Vick Fernandes Gomes; João Carlos Belloti Journal: Rev Bras Ortop Date: 2015-12-12