Abstract | BACKGROUND: Functional treatment is a widely used and generally accepted treatment for ankle sprain. A meta-analysis comparing the different functional treatment options could not make definitive conclusions regarding the effectiveness, and until now, little was known about patient satisfaction in relation to the outcome. METHODS: Patients with acute ankle sprain received rest, ice, compression and elevation with an compressive bandage at the emergency department. After 5-7 days, 100 patients with grade II and III sprains were randomized into two groups: one group was treated with tape and the other with a semi-rigid ankle brace, both for 4 weeks. Post-injury physical and proprioceptive training was standardized. As primary outcome parameter patient satisfaction and skin complications were evaluated using a predefined questionnaire and numeric rating scale. As secondary outcome parameter the ankle joint function was assessed using the Karlsson scoring scale and range of motion. RESULTS: Patient-reported comfort and satisfaction during treatment with a semi-rigid brace was significantly increased. The rate of skin complication in this group was significantly lower compared to the tape group (14.6% versus 59.1%, P < 0.0001). Functional outcome of the ankle joint was similar between the two treatment groups, as well as reported pain. CONCLUSION: Treatment of acute ankle sprain with semi-rigid brace leads to significantly higher patient comfort and satisfaction, both with similar good outcome.
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Authors | Sacha Lardenoye, Ed Theunissen, Berry Cleffken, Peter Rg Brink, Rob A de Bie, Martijn Poeze |
Journal | BMC musculoskeletal disorders
(BMC Musculoskelet Disord)
Vol. 13
Pg. 81
(May 28 2012)
ISSN: 1471-2474 [Electronic] England |
PMID | 22639864
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Topics |
- Activities of Daily Living
- Adult
- Ankle Injuries
(diagnosis, physiopathology, therapy)
- Bandages
- Braces
- Female
- Humans
- Male
- Outcome Assessment, Health Care
- Patient Satisfaction
- Patient Selection
- Prospective Studies
- Recovery of Function
- Sprains and Strains
(diagnosis, physiopathology, therapy)
- Treatment Outcome
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