QUESTION: What are prognostic factors for incomplete recovery, instability, re-sprains and pain intensity 12 months after patients consult primary care practitioners for acute ankle sprains? DESIGN: Observational study. PARTICIPANTS: One hundred and two patients who consulted their general practitioner or an emergency department for an acute ankle sprain were included in the study. OUTCOME MEASURES: Possible prognostic factors were assessed at baseline and at 3 months follow-up. Outcome measures assessed at 12 months follow-up were self-reported recovery, instability, re-sprains and pain intensity. RESULTS: At 3 months follow-up, 65% of the participants reported instability and 24% reported one or more re-sprains. At 12 months follow-up, 55% still reported instability and more than 50% regarded themselves not completely recovered. None of the factors measured at baseline could predict the outcome at 12 months follow-up. Additionally, prognostic factors from the physical examination of the non-recovered participants at 3 months could not be identified. However, among the non-recovered participants at 3 months follow-up, re-sprains and self-reported pain at rest at 3 months were related to incomplete recovery at 12 months. CONCLUSION: A physical examination at 3 months follow-up for the non-recovered ankle sprain patient seems to have no additional value for predicting outcome at 12 months. However, for the non-recovered patients at 3 months follow-up, self-reported pain at rest and re-sprains during the first 3 months of follow-up seem to have a prognostic value for recovery at 12 months.
QUESTION: What are prognostic factors for incomplete recovery, instability, re-sprains and pain intensity 12 months after patients consult primary care practitioners for acute ankle sprains? DESIGN: Observational study. PARTICIPANTS: One hundred and two patients who consulted their general practitioner or an emergency department for an acute ankle sprain were included in the study. OUTCOME MEASURES: Possible prognostic factors were assessed at baseline and at 3 months follow-up. Outcome measures assessed at 12 months follow-up were self-reported recovery, instability, re-sprains and pain intensity. RESULTS: At 3 months follow-up, 65% of the participants reported instability and 24% reported one or more re-sprains. At 12 months follow-up, 55% still reported instability and more than 50% regarded themselves not completely recovered. None of the factors measured at baseline could predict the outcome at 12 months follow-up. Additionally, prognostic factors from the physical examination of the non-recovered participants at 3 months could not be identified. However, among the non-recovered participants at 3 months follow-up, re-sprains and self-reported pain at rest at 3 months were related to incomplete recovery at 12 months. CONCLUSION: A physical examination at 3 months follow-up for the non-recovered ankle sprain patient seems to have no additional value for predicting outcome at 12 months. However, for the non-recovered patients at 3 months follow-up, self-reported pain at rest and re-sprains during the first 3 months of follow-up seem to have a prognostic value for recovery at 12 months.
Authors: Bethany A Wisthoff; Carrie L Docherty; Joseph Glutting; Geoff Gustavsen; Todd D Royer; Charles Buz Swanik; Thomas W Kaminski Journal: J Athl Train Date: 2021-04-01 Impact factor: 2.860
Authors: Michael M Schlussel; David J Keene; Gary S Collins; Jennifer Bostock; Christopher Byrne; Steve Goodacre; Stephen Gwilym; Daryl A Hagan; Kirstie Haywood; Jacqueline Thompson; Mark A Williams; Sarah E Lamb Journal: BMJ Open Date: 2018-11-05 Impact factor: 2.692
Authors: Rodney Negrete; Samantha Simms; Jacob Gross; Lucas Nunes Rabello; Matt Hixon; Ibrahim M Zeini; Walter L Jenkins; George J Davies Journal: Int J Sports Phys Ther Date: 2021-06-01
Authors: Jacqueline Yewande Thompson; Christopher Byrne; Mark A Williams; David J Keene; Micheal Maia Schlussel; Sarah E Lamb Journal: BMC Musculoskelet Disord Date: 2017-10-23 Impact factor: 2.362