Topic: Musculoskeletal
Conditions
Interventions
The tuning fork test consists of activating a 128Hz Gardner Brown tuning fork by holding the tuning fork by the stem and tapping the weighted tines on the fleshy side of the palm. The vibrating tuning
Sponsors
Portsmouth Hospitals NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Ability to walk before the injury 2. Minimum age 12 years - no upper age limit, either sex 3. Injury to ankle by simple twisting mechanism - inversion/eversion 4. Identified as Ottawa positive - that is bony tenderness to lateral and/or medial malleolus
Exclusion criteria
Exclusion criteria: 1. Inability to give own informed consent 2. Patients who have a history of peripheral neuropathy from any cause 3. Patients who are pregnant will only be included if the risk of x-ray is considered to be less than the risk to the foetus from exposure to x-ray 4. Patients who are unable to walk prior to the incident will not be included as the OARs are designed to be used in patients who can walk before the incident
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The diagnostic accuracy of the Ottawa ankle rules is increased when used in conjunction with the tuning fork test. The tuning fork test and ankle x-rays are interpreted blind and then compared. The number of true and false negatives and positives is compared and will be displayed and analysed in a 2 x 2 table. When collecting the data the research nurse is a ware of the results of both tests but the results will not be analysed until the sample size is met (n = 1300). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Demographics of the patient (i.e., gender, age, ethnicity) 2. Operator experience | — |
Countries
United Kingdom
Outcome results
None listed