ankle sprain lateral ankle ligament injury
Conditions
Interventions
Group 1 will be treated with adhesive non-elastic tape for six weeks. Group 2
will be treated with a semi-rigid brace for six weeks. Group 3 will be treated
with a lace up ankle support. Use and app
Sponsors
Gelre Ziekenhuizen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • Patients
Exclusion criteria
Exclusion criteria: • Patients with a history of chronic instability • Who had a fracture on X-ray investigation • Other injuries or disabilities on the same limb • Alcoholism, serious psychiatric and neurological illness • Patients with bilaterally sprained ankles • Patients with previous surgery on the lateral ankle ligaments • Skin diseases where taping is not practicable • Patients who are unable to give informed consent • Patients who are unable to fill out questionnaires • Neuromuscular disorders of the lower extremities • Active rheumatoid arthritis • Gait disturbances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Karlsson scoring scale The patients were asked to fill out a questionnaire regarding the function of the ankle joint. The score includes eight items based on a subjective evaluation of stability, pain, swelling and stiffness in relation to activities of everyday life, sports and recreational activities, running, stair climbing and working ability. The maximum score is 100 points. (Appendix B) Excellent 90-100 points Good 80-89 points Fair 60-79 points Poor | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: 2. Foot and Ankle Outcome Score. FAOS • FAOS consists of 5 subscales; Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport Rec), and foot and ankle-related Quality of Life (QOL). The last week is taken into consideration when answering the questionnaire. Standardized answer options are given (% Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. The result can be plotted as an outcome profile. • FAOS content is based on the Knee injury and Osteoarthritis Outcome Score (KOOS), content validity was confirmed by 213 patients with ankle instability. • FAOS was developed to assess the patients* opinion about a variety of foot and ankle related problems. FAOS is patient-administered and takes about 10 minutes to fill out. 3. Return to work • Time to return to work • Work at level / below level / no return to work 4. Return to sports. • Time to return to sports • Sports at level / below level /no return to sports 5. Pain • VAS score 0-10: 0 = no pain, 10 = unbearable pain 6. Objective instability • Objective instability of the ankle is either measured during physical examination using the TTT (>=90 or >= 30 difference with uninjured ankle) Talar tilt test or inversion stress test is performed in the same position and a varus force is applied to the heel. In maximal dorsiflexion the contribution of the subtalar joint is minimised and the calcaneo-fibular ligament is taut. This is a test predominantly of the calcaneo-fibular ligament. The second test is the Anterior Drawer Test (ADT). The patient sits on a bench with the legs hanging downwards. The knee joint is flexed and the foot held in 150 plantar flexion. First the healthy ankle is examined. Examination is performed according to van Dijk. 38 The examiner assigned one of the four predetermined numbers | — |
Countries
Netherlands
Outcome results
None listed