The effect of taping versus semi-rigid bracing on patient outcome and satisfaction in ankle sprains: a prospective, randomized controlled trial.

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.

• 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)

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