Impairment-based assessments for patients with lateral ankle sprain: A systematic review of measurement properties

Schurz, Alexander Philipp; Wagemans, Jente; Bleakley, Chris; Kuppens, Kevin; Vissers, Dirk; Taeymans, Jan (2023). Impairment-based assessments for patients with lateral ankle sprain: A systematic review of measurement properties PLoS One, 18(2) Public Library of Science (PLoS) /10.1371/journal.pone.0280388

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Study design Systematic review. Background and objective The International Ankle Consortium developed a core outcome set for the assessment of impairments in patients with lateral ankle sprain (LAS) without consideration of measurement properties (MP). Therefore, the aim of this study is to investigate MPs of assessments for the evaluation of individuals with a history of LAS. Methods This systematic review of measurement properties follows PRISMA and COSMIN guidelines. Databases Pubmed, CINAHL, Embase, Web of Science, Cochrane Library and SPORTDiscus were searched for eligible studies (last search: July 2022). Studies on MP of specific tests and patient-reported outcome measurements (PROMs) in patients with acute and history of LAS (>4 weeks post injury) were deemed eligible. Results Ten studies of acute LAS and 39 studies of history of LAS patients with a total of 3313 participants met the inclusion criteria. Anterior Drawer Test (ADT) in supine position five days post injury and Reverse Anterolateral Drawer Test are recommended in acute settings in single studies. In the history of LAS patients, Cumberland Ankle Instability Tool (CAIT) (4 studies) as a PROM, Multiple Hop (3 studies) and Star Excursion Balance Tests (SEBT) (3 studies) for dynamic postural balance testing showed good MPs. No studies investigated pain, physical activity level and gait. Only single studies reported on swelling, range of motion, strength, arthrokinematics, and static postural balance. Limited data existed on responsiveness of the tests in both subgroups. Conclusion There was good evidence to support the use of CAIT as PROM, Multiple Hop, and SEBT for dynamic postural balance testing. Insufficient evidence exists in relation to test responsiveness, especially in the acute situation. Future research should assess MPs of assessments of other impairments associated with LAS.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Physiotherapy
Name:	Schurz, Alexander Philipp0000-0002-2818-0782; Wagemans, Jente; Bleakley, Chris; Kuppens, Kevin; Vissers, Dirk and Taeymans, Jan
ISSN:	1932-6203
Publisher:	Public Library of Science (PLoS)
Language:	English
Submitter:	Alexander Philipp Schurz
Date Deposited:	03 Mar 2023 11:35
Last Modified:	03 Nov 2023 09:51
Publisher DOI:	/10.1371/journal.pone.0280388
ARBOR DOI:	10.24451/arbor.18877
URI:	https://arbor.bfh.ch/id/eprint/18877