Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis

British Journal of Sports Medicine - Tập 51 Số 2 - Trang 113-125 - 2017
Cailbhe Doherty1, Chris Bleakley2, Eamonn Delahunt3,4, Sinéad Holden4
1Insight Centre for Data Analytics, University College Dublin, O'Brien Centre for Science, Belfield, Dublin 4, Ireland
2Sport and Exercise Sciences Research Institute, Ulster Sports Academy, University of Ulster, Newtownabbey, UK
3Institute for Sport and Health, University College Dublin, Dublin, Ireland
4School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland

Tóm tắt

BackgroundAnkle sprains are highly prevalent with high risk of recurrence. Consequently, there are a significant number of research reports examining strategies for treating and preventing acute and recurrent sprains (otherwise known as chronic ankle instability (CAI)), with a coinciding proliferation of review articles summarising these reports.ObjectiveTo provide a systematic overview of the systematic reviews evaluating treatment strategies for acute ankle sprain and CAI.DesignOverview of intervention systematic reviews.ParticipantsIndividuals with acute ankle sprain/CAI.Main outcome measurementsThe primary outcomes were injury/reinjury incidence and function.Results46 papers were included in this systematic review. The reviews had a mean score of 6.5/11 on the AMSTAR quality assessment tool. There was strong evidence for bracing and moderate evidence for neuromuscular training in preventing recurrence of an ankle sprain. For the combined outcomes of pain, swelling and function after an acute sprain, there was strong evidence for non-steroidal anti-inflammatory drugs and early mobilisation, with moderate evidence supporting exercise and manual therapy techniques. There was conflicting evidence regarding the efficacy of surgery and acupuncture for the treatment of acute ankle sprains. There was insufficient evidence to support the use of ultrasound in the treatment of acute ankle sprains.ConclusionsFor the treatment of acute ankle sprain, there is strong evidence for non-steroidal anti-inflammatory drugs and early mobilisation, with moderate evidence supporting exercise and manual therapy techniques, for pain, swelling and function. Exercise therapy and bracing are supported in the prevention of CAI.

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