Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

Wagemans, Jente; Bleakley, Chris; Taeymans, Jan; Kuppens, Kevin; Schurz, Alexander Philipp; Baur, Heiner; Vissers, Dirk (2023). Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review Physical Therapy in Sport, 60, pp. 75-83. Elsevier 10.1016/j.ptsp.2023.01.008

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Objectives: 1) determine the primary impairment addressed by each exercise included in exercise-based rehabilitation programs for patients with an acute ankle sprain; 2) Determine whether prescribed exercises incorporate complex tasks associated with ankle sprain injury mechanisms? Methods: We searched databases CINAHL, Web of Science, SPORTDiscus, Cochrane Register of Controlled Trials, PEDro, Google Scholar for RCT's including patients with acute ankle sprains, managed through exercise-based rehabilitation. Risk of bias was assessed by the Risk of Bias 2 tool. Exercises were analysed based on: the primary impairment(s) addressed; direction of movement; base of support; weightbearing status; flight phase. (PROSPERO: CRD42020210858) RESULTS: We included fourteen RCT's comprising 177 exercises. Neuromuscular function was addressed in 44% of exercises, followed by performance tasks (23%), and muscle strengthening (20%). Exercises were limited to movements across the sagittal plane (48%), with 31% incorporating multiplanar movements. Weight bearing exercises were almost divided equally between single-limb (59/122) and double leg stance exercises (61/122). Eighteen percent of all exercises incorporated a flight phase. Conclusions: Rehabilitation after LAS comprises simple exercises in the sagittal plane that do not reflect mechanisms of re-injury. Future interventions should incorporate more open chain joint position sense training, multiplanar single limb challenges, and jumping and landing exercises.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Physiotherapy
Name:	Wagemans, Jente; Bleakley, Chris; Taeymans, Jan; Kuppens, Kevin; Schurz, Alexander Philipp0000-0002-2818-0782; Baur, Heiner0000-0002-4780-225X and Vissers, Dirk
ISSN:	1466-853X
Publisher:	Elsevier
Language:	English
Submitter:	Alexander Philipp Schurz
Date Deposited:	03 Mar 2023 11:32
Last Modified:	03 Mar 2023 11:32
Publisher DOI:	10.1016/j.ptsp.2023.01.008
Uncontrolled Keywords:	Ankle Ankle injuries Exercise Rehabilitation
ARBOR DOI:	10.24451/arbor.18876
URI:	https://arbor.bfh.ch/id/eprint/18876