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Cited by 102Foot and Ankle SurgeryLower Extremity Biomechanics and PathologiesTendon Structure and Treatment

The DOI matches its Crossref record; 78 of the 78 references it cites were found in a registry or an index.

Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review

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Bleakley, Chris M., McDonough, Suzanne M., MacAuley, Domhnall C.·2008·Australian Journal of Physiotherapy
DOI 10.1016/s0004-9514(08)70061-8
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Abstract

Questions Which intervention(s) best augment early mobilisation and external support after an acute ankle sprain? What is the most appropriate method of preventing re-injury?Design A systematic review of randomised controlled trials published from 1993 to April 2005.Participants People with an acute ankle sprain.Intervention Any pharmacological, physiotherapeutic, complementary or electrotherapeutic intervention added to controlled mobilisation with external support. Immobilisation, surgical intervention, and use of external ankle supports in isolation were excluded.Outcomes Pain, function, swelling, re-injury, and global improvement; assessed at short, intermediate, and long-term follow-up.Results 23 trials were included with a mean PEDro score of 6/10. There was strong evidence that non-steroidal anti-inflammatory drugs can reduce pain and improve short-term ankle function. There was moderate evidence that neuromuscular training decreases functional instability and minimises re-injury; and that comfrey root ointment decreases pain and improves function. There was also moderate evidence that manual therapy techniques improve ankle dorsiflexion. There was no evidence to support the use of electrophysical agents or hyperbaric oxygen therapy. Very few long-term follow-ups were undertaken, and few studies focused on preventing long-term morbidity.Conclusions Non-steroidal anti-inflammatory drugs, comfrey root ointment, and manual therapy can significantly improve short-term symptoms after ankle sprain, and neuromuscular training may prevent re-injury. More high quality studies are needed to develop evidence-based guidelines on ankle rehabilitation beyond the acute phases of injury management.

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Research works printed but not linked: 5

  1. Ebrall, 1992, An improved clinical protocol for ankle cryotherapy, Journal of Manual Medicine, 6, 161
  2. Ersnt, 2000, Phyto-anti-inflammatories: a systematic review of randomized placebo controlled trials, Rheumatological Disease Clinics of North America, 1, 13
  3. Hootman, 2007, Is it possible to prevent sport and recreational injuries? A systematic review of randomised controlled trials, with recommendations for future work, 3
  4. Laba, 1989, Clinical evaluation of ice therapy for acute ankle sprain injuries, New Zealand Journal of Physiotherapy, 17, 7
  5. Larmour, 2002, Use of a vignette to investigate the physiotherapy treatment of an acute ankle sprain: Report of a survey of New Zealand physiotherapists, New Zealand Journal of Physiotherapy, 30, 36

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Metadata

Authors
Bleakley, C. M., McDonough, S. M., & MacAuley, D. C.
Affiliations
University of Ulster (GB)
Corresponding author
Bleakley, Chris M.
ORCID
Venue
Australian Journal of Physiotherapy
Publisher
Elsevier BV
Published
2008
Volume
54
Issue
1
Pages
7-20
ISSN
0004-9514 (ISSN-L)
DOI
10.1016/s0004-9514(08)70061-8
OpenAlex
W2098339589
Cited by
102
References
78
Citations by year
2025: 2 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 3 · 2014: 10 · 2013: 8 · 2012: 8
FWCI
1.71
Type
journal article
Language
en
Open access
Licence
Locations
  • Australian Journal of Physiotherapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
  • Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
Keywords
acute ankle sprain, conservative treatment, early mobilization, external support, nonsteroidal anti-inflammatory drugs, neuromuscular training, manual therapy, ankle rehabilitation, reinjury prevention, ankle instability, ankle dorsiflexion, pain and function
MeSH terms
Combined Modality Therapy, Humans, Sprains and Strains, Ankle Injuries, Physical Therapy Modalities

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