Subjects with acute ankle sprains will be recruited Musculoskeletal Diseases Sprains
Conditions
Interventions
Group one: Intermittent ice only (10 minutes ice/10 minutes rest /10 minutes ice).
Group two: Intermittent ice (10 minutes ice/10 minutes rest /10 minutes ice) plus early mobilisation (patients will b
Sponsors
University of Ulster, Jordanstown (UK)
Eligibility
Inclusion criteria
Inclusion criteria: Subjects with an acute (less than 72 hours) grade one or two acute ankle injury, between 16 and 65 years of age will be considered for inclusion in the study.
Exclusion criteria
Exclusion criteria: They will not be admitted to the study if any of the following criteria are present: 1. Non English speaking 2. Learning disabilities or mental illness 3. Under the influence of drugs or alcohol 4. A bony ankle injury (diagnosed by Ottawa ankle rules or X-Ray) or ankle ligament rupture 5. Multiple injuries 6. Injuries more than 72 hours old 7. Insufficient address for follow up 8. Unwillingness to return for follow up 9. Contraindication for cryotherapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure will be subjective ankle function, assessed using Binkley?s lower extremity functional scale. This scale has excellent test retest reliability, and good construct validity. This will be recorded at baseline, one, two, three, four and six weeks post injury. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 10/12/2007: 1. Ultrasound imaging of the injured ankle. Subjective and objective measurement of swelling, ligament damage. This will be recorded at baseline, one, two, three, four and six weeks post injury 2. Pain at rest and on activity will be assessed using a 10 cm visual analogue scale 3. Swelling will be measured using a figure of eight method. All measurements will be undertaken using one-quarter inch wide plastic tape following a standard written protocol and valid tool for measuring the girth, of both healthy and oedematous ankles. This will be recorded at baseline, one, two, three, four and six weeks post injury 4. Muscle strength measured on the KinCom 500H Isokinetic Dynamometer, according to a standard written protocol. This will be measured at twelve weeks post injury Previous secondary outcome measures: 1. Ultrasound imaging of the injured ankle. Subjective and objective measurement of swelling, ligament damage. This will be recorded at baseline, one, two, three, four and six weeks post injury 2. Pain at rest and on activity will be assessed using a 10 cm visual analogue scale 3. Swelling will be measured using a figure of eight method. All measurements will be undertaken using one-quarter inch wide plastic tape following a standard written protocol and valid tool for measuring the girth, of both healthy and oedematous ankles. This will be recorded at baseline, one, two, three, four and six weeks post injury 4. Eversion strength will be measured on the Biodex 3 dynamometer, according to a standard written protocol. This will be measured at six weeks post injury | — |
Countries
United Kingdom
Outcome results
None listed