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Jay Hertel - One of the best experts on this subject based on the ideXlab platform.
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electrical stimulation as a treatment intervention to improve function edema or pain following acute lateral ankle Sprains a systematic review
Physical Therapy in Sport, 2015Co-Authors: Mark A Feger, John Goetschius, Hailey N Love, Susan A Saliba, Jay HertelAbstract:The purpose of this systematic review was to assess whether electrical stimulation (ES), when used in conjunction with a standard treatment, can reduce levels of functional impairment, edema, and pain compared to a standard treatment alone, in patients following a lateral ankle Sprain. We searched PubMed, CINAHL, SportDiscus, and Medline (OVID) databases through June 2014 using the terms “ankle Sprain or ankle Sprains or ligament injury or ligamentous injury,” and “electric stimulation or electric stimulation or electrotherapy.” Our search identified four randomized control trials, of which, neuromuscular ES and high-voltage pulsed stimulation were the only two ES modalities utilized. Effect sizes and 95% confidence intervals (CI) were estimated using Cohen's d for comparison between treatment groups. Three of four effect sizes for function had 95% CI that crossed zero. Twenty-four of the thirty-two effect sizes for edema had 95% CI that crossed zero. All effect sizes for pain had 95% CI that crossed zero. Therefore, the use of ES is not recommended as a means to improve function, reduce edema, or decrease pain in the treatment of acute lateral ankle Sprains.
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the incidence and prevalence of ankle Sprain injury a systematic review and meta analysis of prospective epidemiological studies
Sports Medicine, 2014Co-Authors: Cailbhe Doherty, Eamonn Delahunt, Jay Hertel, Brian Caulfield, John Ryan, Chris M BleakleyAbstract:Ankle Sprain is one of the most common musculoskeletal injuries, yet a contemporary review and meta-analysis of prospective epidemiological studies investigating ankle Sprain does not exist. Our aim is to provide an up-to-date account of the incidence rate and prevalence period of ankle Sprain injury unlimited by timeframe or context activity. We conducted a systematic review and meta-analyses of English articles using relevant computerised databases. Search terms included Medical Search Headings for the ankle joint, injury and epidemiology. The following inclusion criteria were used: the study must report epidemiology findings of injuries sustained in an observed sample; the study must report ankle Sprain injury with either incidence rate or prevalence period among the surveyed sample, or provide sufficient data from which these figures could be calculated; the study design must be prospective. Independent extraction of articles was performed by two authors using pre-determined data fields. One-hundred and eighty-one prospective epidemiology studies from 144 separate papers were included. The average rating of all the included studies was 6.67/11, based on an adapted version of the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) guidelines for rating observational studies. 116 studies were considered high quality and 65 were considered low quality. The main findings of the meta-analysis demonstrated a higher incidence of ankle Sprain in females compared with males (13.6 vs 6.94 per 1,000 exposures), in children compared with adolescents (2.85 vs 1.94 per 1,000 exposures) and adolescents compared with adults (1.94 vs 0.72 per 1,000 exposures). The sport category with the highest incidence of ankle Sprain was indoor/court sports, with a cumulative incidence rate of 7 per 1,000 exposures or 1.37 per 1,000 athlete exposures and 4.9 per 1,000 h. Low-quality studies tended to underestimate the incidence of ankle Sprain when compared with high-quality studies (0.54 vs 11.55 per 1,000 exposures). Ankle Sprain prevalence period estimates were similar across sub-groups. Lateral ankle Sprain was the most commonly observed type of ankle Sprain. Females were at a higher risk of sustaining an ankle Sprain compared with males and children compared with adolescents and adults, with indoor and court sports the highest risk activity. Studies at a greater risk of bias were more likely to underestimate the risk of ankle Sprain. Participants were at a significantly higher risk of sustaining a lateral ankle Sprain compared with syndesmotic and medial ankle Sprains.
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a new paradigm for rehabilitation of patients with chronic ankle instability
The Physician and Sportsmedicine, 2012Co-Authors: Luke Donovan, Jay HertelAbstract:Lateral ankle Sprains have been shown to be one of the most common musculoskeletal injuries in both athletes and the recreationally active population. Moreover, it is estimated that approximately 30% of people who incur a lateral ankle Sprain will sustain recurrent ankle Sprains and experience symptoms of pain and instability that last > 1 year. Chronic ankle instability (CAI) is the term used to describe cases involving repetitive ankle Sprains, multiple episodes of the ankle "giving way," persistent symptoms, and diminished self-reported function for > 1 year after the initial ankle Sprain. The optimal conservative treatment for CAI is yet to be determined; however, comparison between patients with CAI and individuals showing no history of ankle Sprain has revealed several characteristic features of CAI. These include diminished range of motion, decreased strength, impaired neuromuscular control, and altered functional movement patterns. We propose a new treatment paradigm for conservative management of CAI with the aim of assessing and treating specific deficits exhibited by individual patients with CAI.
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systematic review of postural control and lateral ankle instability part i can deficits be detected with instrumented testing
Journal of Athletic Training, 2008Co-Authors: Patrick O Mckeon, Jay HertelAbstract:with the Cohen d and associated 95% confidence intervals for comparisons of postural control performance between healthy and injured groups, or healthy and injured limbs, respectively. Data Synthesis: Poor postural control is most likely associated with an increased risk of sustaining an acute ankle Sprain. Postural control is impaired after acute lateral ankle Sprain, with deficits identified in both the injured and uninjured sides compared with controls. Although chronic ankle instability has been purported to be associated with altered postural control, these impairments have not been detected consistently with the use of traditional instrumented measures. Conclusions: Instrumented postural control testing on stable force plates is better at identifying deficits that are associated with an increased risk of ankle Sprain and that occur after acute ankle Sprains than at detecting deficits related to chronic ankle instability.
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Contributing factors to chronic ankle instability.
Foot & ankle international, 2007Co-Authors: Tricia J Hubbard, Lauren C. Kramer, Craig R. Denegar, Jay HertelAbstract:Background: The development of repetitive ankle Sprains and persistent symptoms after initial ankle Sprain has been termed chronic ankle instability (CAI). There is no clear indication of which mea...
Erik A Wikstrom - One of the best experts on this subject based on the ideXlab platform.
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93 sex differences in ankle Sprain treatments in secondary school student athletes
Injury Prevention, 2017Co-Authors: Erin B Wasserman, Thomas P Dompier, Sara L Dalton, Erik A WikstromAbstract:Statement of Purpose Determine whether ankle Sprain management differed between male and female secondary school athletes. Methods/Approach The National Athletic Treatment, Injury and Outcomes Network (NATION) project collected athletic training room (ATR) visits and AT services data from 27 sports in 147 secondary schools from 26 states from 2011–2012 through 2013–2014. For all ankle Sprains, we compared the number of visits, length of time between the first and last visit, number of services, and types of services between males and females using means, standard deviations, and independent-samples t-tests. Results Over the 3 year period, 3213 ankle Sprains received treatment: 1910 (59%) in males and 1303 (41%) in females. The average number of ATR visits and treatments per injury was not different between males (6.31, SD=8.51; 22.8, SD=36.7) and females (6.04, SD=7.50; 21.4, SD=27.4; p=0.34 and p=0.20, respectively). The average length of time between the first and last treatment was 2.5 days longer among females (28.8, SD=28.2) compared to males (26.3, SD=25.7; p=0.02). However, the average number of modality treatments per ankle Sprain was larger in males (2.74, SD=4.64) than females (2.31, SD=3.59; p=0.003), and the average number of taping treatments per ankle Sprain was larger in males (2.94, SD=2.69) than females (2.49, SD=2.28; p=0.01). Conclusion While the number of ATR visits and treatments for ankle Sprains did not differ by sex, the treatment course length and types of treatments, but the clinical significance is unknown. Significance/Contribution to Injury and Violence Prevention Science Women are at increased risk of sustaining an initial ankle Sprain. Further, chronic ankle instability (CAI), a condition that significantly burdens many athletes throughout life, is more prevalent in females. Proper management may reduce the risk of recurrent Sprains and CAI. Further examination is needed to determine whether males and females are receiving equal quality of care.
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the epidemiology of high ankle Sprains in national collegiate athletic association sports
American Journal of Sports Medicine, 2017Co-Authors: Timothy C Mauntel, Erik A Wikstrom, Thomas P Dompier, Karen G Roos, Aristarque Djoko, Zachary Y KerrAbstract:Background:Ankle Sprains are among the most common injuries experienced by collegiate athletes. The type of ankle Sprain is rarely differentiated in epidemiological studies. This differentiation is...
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the epidemiology of lateral ligament complex ankle Sprains in national collegiate athletic association sports
American Journal of Sports Medicine, 2017Co-Authors: Karen G Roos, Thomas P Dompier, Zachary Y Kerr, Timothy C Mauntel, Aristarque Djoko, Erik A WikstromAbstract:Background Ankle Sprains are a common injury in collegiate sports. Few studies have examined the epidemiology of individual ligament injuries, specifically the lateral ligament complex (LLC) of the ankle. Purpose To describe the epidemiology, including the estimated yearly national incidence, of LLC Sprains among National Collegiate Athletic Association (NCAA) athletes. Study design Descriptive epidemiology study. Methods Injury surveillance data for 25 sports from the NCAA Injury Surveillance Program (NCAA-ISP) for the academic years 2009-2010 to 2014-2015 were used for analysis. All injuries included for analysis had a diagnosis of an LLC Sprain. LLC Sprain rates and rate ratios (RRs) with 95% CIs were calculated. From the sample, national estimates of the annual incidence of LLC Sprains across the entire student-athlete body from these 25 sports were also calculated. Results During the 2009-2010 to 2014-2015 academic years, 2429 LLC Sprains were reported, for a rate of 4.95 per 10,000 athlete-exposures (AEs). LLC Sprains comprised 7.3% of all reported collegiate sports injuries in the NCAA-ISP. Also, an estimated 16,022 LLC Sprains occurred annually among the 25 sports. The sports with the highest LLC Sprain rates were men's basketball (11.96/10,000 AEs) and women's basketball (9.50/10,000 AEs). Most LLC Sprains occurred during practices (57.3%); however, the LLC Sprain rate was higher in competitions than in practices (RR, 3.29; 95% CI, 3.03-3.56). Also, 11.9% of LLC Sprains were identified as recurrent injuries, with the largest proportions of recurrent LLC Sprains being found within women's basketball (21.1%), women's outdoor track (21.1%), women's field hockey (20.0%), and men's basketball (19.1%). In 44.4% of LLC Sprains, the athlete returned to play in less than 24 hours; in 3.6%, the athlete required more than 21 days before returning to play (including those who did not return to play at all). Conclusion LLC Sprains were the most commonly reported injury diagnosis among United States collegiate student-athletes. Continued examination of interventions that aim to reduce the incidence, severity, and recurrence of LLC Sprains, specifically in women, is warranted.
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an acute lateral ankle Sprain significantly decreases physical activity across the lifespan
Journal of Sports Science and Medicine, 2015Co-Authors: Tricia Hubbardturner, Erik A Wikstrom, Sophie Guderian, Michael J TurnerAbstract:We do not know the impact an ankle Sprain has on physical activity levels across the lifespan. With the negative consequences of physical inactivity well established, understanding the effect of an ankle Sprain on this outcome is critical. The objective of this study was to measure physical activity across the lifespan after a single ankle Sprain in an animal model. Thirty male mice (CBA/J) were randomly placed into one of three groups: the transected calcaneofibular ligament (CFL) group, the transected anterior talofibular ligament (ATFL)/CFL group, and a SHAM group. Three days after surgery, all of the mice were individually housed in a cage containing a solid surface running wheel. Physical activity levels were recorded and averaged every week across the mouse’s lifespan. The SHAM mice ran significantly more distance each day compared to the remaining two running groups (post hoc p = 0.011). Daily duration was different between the three running groups (p = 0.048). The SHAM mice ran significantly more minutes each day compared to the remaining two running groups (post hoc p=0.046) while the ATFL/CFL mice ran significantly less minutes each day (post hoc p = 0.028) compared to both the SHAM and CFL only group. The SHAM mice ran at a faster daily speed versus the remaining two groups of mice (post hoc p = 0.019) and the ATFL/CFL mice ran significantly slower each day compared to the SHAM and CFL group (post hoc p = 0.005). The results of this study indicate that a single ankle Sprain significantly decreases physical activity across the lifespan in mice. This decrease in physical activity can potentially lead to the development of numerous chronic diseases. An ankle Sprain thus has the potential to lead to significant long term health risks if not treated appropriately. Key points A single ankle significantly decreased physical activity levels in mice across the lifespan. Decreased physical activity could significantly negatively impact overall health if not modified. Initial treatment and rehabilitation of ankle Sprains needs to be studied to determine ways to keep physical activity levels up after injury. Key words: Ankle injury, physical activity, exercise, mice Introduction Although ankle Sprains are the most common orthopedic musculoskeletal injury (Hootman et al., 2007) we do not currently understand how an ankle Sprain can impact physical function as a person ages. This is despite the high percentage of patients that suffer from repetitive ankle Sprains (up to 70%) and go on to develop chronic ankle instability (CAI) (up to 74%)(McKay, 2001). Long term patients that develop CAI often go on to develop post-traumatic ankle osteoarthritis (OA) (Hinterman et al., 2002; Hubbard et al., 2009). The high percentage of patients that develop these sequelae may be secondary to the approximately 50% of patients that suffer an ankle Sprain and do not seek any medical treatment or evaluation (McKay, 2001). Without proper treatment and management of the acute ankle Sprain proper healing and restoration of function will not occur, and an unstable ankle may result. This instability may impact physical activity as a person ages. Physical inactivity is currently classified as one of the three highest risk behaviors in the development of cardiovascular disease, cancer, and other chronic diseases such as diabetes and obesity, and is the second highest alterable cause of cardiovascular arterial disease (Centers for Disease Control, 2012). With all the negative effects of physical inactivity known, there is surprisingly little research on the impact musculoskeletal injury has on physical activity levels. Acutely after a lateral ankle Sprain research has demonstrated significant decreases in voluntary physical activity in a mouse model (Hubbard-Turner et al., 2012). The mice with both the severe and minor ankle Sprain ran significantly less for the first week after injury compared to the SHAM group. From weeks two to four the severe Sprain group ran significantly less than the minor Sprain and SHAM group (Hubbard-Turner et al., 2012). This research demonstrates physical activity is impacted by an acute ankle Sprain in the short term but there is a dearth of long term data available. The study by Hubbard-Turner et al. (2012) was one of the first to quantify physical activity levels for four weeks after an ankle Sprain. Although done in an animal model, the mouse model is an ideal model to prospectively measure lifelong physical activity levels. They offer a more cost effective means to look at long term changes after injury. Previous research examining the consequences of an ankle Sprain have examined short term (1-4 weeks) changes, but have not focused on activity across the lifespan. If the short term decreases in physical activity continue across the lifespan, there is a risk for development of chronic disease secondary to physical inactivity. Therefore the purpose of this study was to examine the effects of surgically transecting the lateral ligaments of a mouse hindlimb and determine the effect of the injury on voluntary physical activity levels across the lifespan.
Thomas P Dompier - One of the best experts on this subject based on the ideXlab platform.
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93 sex differences in ankle Sprain treatments in secondary school student athletes
Injury Prevention, 2017Co-Authors: Erin B Wasserman, Thomas P Dompier, Sara L Dalton, Erik A WikstromAbstract:Statement of Purpose Determine whether ankle Sprain management differed between male and female secondary school athletes. Methods/Approach The National Athletic Treatment, Injury and Outcomes Network (NATION) project collected athletic training room (ATR) visits and AT services data from 27 sports in 147 secondary schools from 26 states from 2011–2012 through 2013–2014. For all ankle Sprains, we compared the number of visits, length of time between the first and last visit, number of services, and types of services between males and females using means, standard deviations, and independent-samples t-tests. Results Over the 3 year period, 3213 ankle Sprains received treatment: 1910 (59%) in males and 1303 (41%) in females. The average number of ATR visits and treatments per injury was not different between males (6.31, SD=8.51; 22.8, SD=36.7) and females (6.04, SD=7.50; 21.4, SD=27.4; p=0.34 and p=0.20, respectively). The average length of time between the first and last treatment was 2.5 days longer among females (28.8, SD=28.2) compared to males (26.3, SD=25.7; p=0.02). However, the average number of modality treatments per ankle Sprain was larger in males (2.74, SD=4.64) than females (2.31, SD=3.59; p=0.003), and the average number of taping treatments per ankle Sprain was larger in males (2.94, SD=2.69) than females (2.49, SD=2.28; p=0.01). Conclusion While the number of ATR visits and treatments for ankle Sprains did not differ by sex, the treatment course length and types of treatments, but the clinical significance is unknown. Significance/Contribution to Injury and Violence Prevention Science Women are at increased risk of sustaining an initial ankle Sprain. Further, chronic ankle instability (CAI), a condition that significantly burdens many athletes throughout life, is more prevalent in females. Proper management may reduce the risk of recurrent Sprains and CAI. Further examination is needed to determine whether males and females are receiving equal quality of care.
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the epidemiology of high ankle Sprains in national collegiate athletic association sports
American Journal of Sports Medicine, 2017Co-Authors: Timothy C Mauntel, Erik A Wikstrom, Thomas P Dompier, Karen G Roos, Aristarque Djoko, Zachary Y KerrAbstract:Background:Ankle Sprains are among the most common injuries experienced by collegiate athletes. The type of ankle Sprain is rarely differentiated in epidemiological studies. This differentiation is...
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the epidemiology of lateral ligament complex ankle Sprains in national collegiate athletic association sports
American Journal of Sports Medicine, 2017Co-Authors: Karen G Roos, Thomas P Dompier, Zachary Y Kerr, Timothy C Mauntel, Aristarque Djoko, Erik A WikstromAbstract:Background Ankle Sprains are a common injury in collegiate sports. Few studies have examined the epidemiology of individual ligament injuries, specifically the lateral ligament complex (LLC) of the ankle. Purpose To describe the epidemiology, including the estimated yearly national incidence, of LLC Sprains among National Collegiate Athletic Association (NCAA) athletes. Study design Descriptive epidemiology study. Methods Injury surveillance data for 25 sports from the NCAA Injury Surveillance Program (NCAA-ISP) for the academic years 2009-2010 to 2014-2015 were used for analysis. All injuries included for analysis had a diagnosis of an LLC Sprain. LLC Sprain rates and rate ratios (RRs) with 95% CIs were calculated. From the sample, national estimates of the annual incidence of LLC Sprains across the entire student-athlete body from these 25 sports were also calculated. Results During the 2009-2010 to 2014-2015 academic years, 2429 LLC Sprains were reported, for a rate of 4.95 per 10,000 athlete-exposures (AEs). LLC Sprains comprised 7.3% of all reported collegiate sports injuries in the NCAA-ISP. Also, an estimated 16,022 LLC Sprains occurred annually among the 25 sports. The sports with the highest LLC Sprain rates were men's basketball (11.96/10,000 AEs) and women's basketball (9.50/10,000 AEs). Most LLC Sprains occurred during practices (57.3%); however, the LLC Sprain rate was higher in competitions than in practices (RR, 3.29; 95% CI, 3.03-3.56). Also, 11.9% of LLC Sprains were identified as recurrent injuries, with the largest proportions of recurrent LLC Sprains being found within women's basketball (21.1%), women's outdoor track (21.1%), women's field hockey (20.0%), and men's basketball (19.1%). In 44.4% of LLC Sprains, the athlete returned to play in less than 24 hours; in 3.6%, the athlete required more than 21 days before returning to play (including those who did not return to play at all). Conclusion LLC Sprains were the most commonly reported injury diagnosis among United States collegiate student-athletes. Continued examination of interventions that aim to reduce the incidence, severity, and recurrence of LLC Sprains, specifically in women, is warranted.
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epidemiology of acromioclavicular joint Sprains in 25 national collegiate athletic association sports 2009 2010 to 2014 2015 academic years
American Journal of Sports Medicine, 2016Co-Authors: Elizabeth E Hibberd, Zachary Y Kerr, Karen G Roos, Aristarque Djoko, Thomas P DompierAbstract:Background:No previous studies have described the incidence of acromioclavicular (AC) joint injuries in a large sample of National Collegiate Athletic Association (NCAA) student-athletes. Such data are needed to understand the injury prevalence, mechanisms of injury, and recovery patterns in NCAA student-athletes.Purpose:To describe the epidemiology of AC joint Sprain injuries in 25 NCAA championship sports.Study Design:Descriptive epidemiology study.Methods:AC joint Sprains were analyzed from the NCAA Injury Surveillance Program during the 2009-2010 to 2014-2015 academic years. AC joint Sprain injury rates, rate ratios, and injury proportion ratios (IPRs) were reported with 95% CIs.Results:In the 25 NCAA sports examined during the 2009-2010 to 2014-2015 academic years, a total of 844 AC joint Sprains were reported, for a rate of 1.72 per 10,000 athlete-exposures (AEs). The majority of AC joint Sprains were reported in football (50.4%, n = 425). Most AC joint Sprains occurred in competitions (66.0%, n = 5...
Zachary Y Kerr - One of the best experts on this subject based on the ideXlab platform.
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the epidemiology of high ankle Sprains in national collegiate athletic association sports
American Journal of Sports Medicine, 2017Co-Authors: Timothy C Mauntel, Erik A Wikstrom, Thomas P Dompier, Karen G Roos, Aristarque Djoko, Zachary Y KerrAbstract:Background:Ankle Sprains are among the most common injuries experienced by collegiate athletes. The type of ankle Sprain is rarely differentiated in epidemiological studies. This differentiation is...
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the epidemiology of lateral ligament complex ankle Sprains in national collegiate athletic association sports
American Journal of Sports Medicine, 2017Co-Authors: Karen G Roos, Thomas P Dompier, Zachary Y Kerr, Timothy C Mauntel, Aristarque Djoko, Erik A WikstromAbstract:Background Ankle Sprains are a common injury in collegiate sports. Few studies have examined the epidemiology of individual ligament injuries, specifically the lateral ligament complex (LLC) of the ankle. Purpose To describe the epidemiology, including the estimated yearly national incidence, of LLC Sprains among National Collegiate Athletic Association (NCAA) athletes. Study design Descriptive epidemiology study. Methods Injury surveillance data for 25 sports from the NCAA Injury Surveillance Program (NCAA-ISP) for the academic years 2009-2010 to 2014-2015 were used for analysis. All injuries included for analysis had a diagnosis of an LLC Sprain. LLC Sprain rates and rate ratios (RRs) with 95% CIs were calculated. From the sample, national estimates of the annual incidence of LLC Sprains across the entire student-athlete body from these 25 sports were also calculated. Results During the 2009-2010 to 2014-2015 academic years, 2429 LLC Sprains were reported, for a rate of 4.95 per 10,000 athlete-exposures (AEs). LLC Sprains comprised 7.3% of all reported collegiate sports injuries in the NCAA-ISP. Also, an estimated 16,022 LLC Sprains occurred annually among the 25 sports. The sports with the highest LLC Sprain rates were men's basketball (11.96/10,000 AEs) and women's basketball (9.50/10,000 AEs). Most LLC Sprains occurred during practices (57.3%); however, the LLC Sprain rate was higher in competitions than in practices (RR, 3.29; 95% CI, 3.03-3.56). Also, 11.9% of LLC Sprains were identified as recurrent injuries, with the largest proportions of recurrent LLC Sprains being found within women's basketball (21.1%), women's outdoor track (21.1%), women's field hockey (20.0%), and men's basketball (19.1%). In 44.4% of LLC Sprains, the athlete returned to play in less than 24 hours; in 3.6%, the athlete required more than 21 days before returning to play (including those who did not return to play at all). Conclusion LLC Sprains were the most commonly reported injury diagnosis among United States collegiate student-athletes. Continued examination of interventions that aim to reduce the incidence, severity, and recurrence of LLC Sprains, specifically in women, is warranted.
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epidemiology of acromioclavicular joint Sprains in 25 national collegiate athletic association sports 2009 2010 to 2014 2015 academic years
American Journal of Sports Medicine, 2016Co-Authors: Elizabeth E Hibberd, Zachary Y Kerr, Karen G Roos, Aristarque Djoko, Thomas P DompierAbstract:Background:No previous studies have described the incidence of acromioclavicular (AC) joint injuries in a large sample of National Collegiate Athletic Association (NCAA) student-athletes. Such data are needed to understand the injury prevalence, mechanisms of injury, and recovery patterns in NCAA student-athletes.Purpose:To describe the epidemiology of AC joint Sprain injuries in 25 NCAA championship sports.Study Design:Descriptive epidemiology study.Methods:AC joint Sprains were analyzed from the NCAA Injury Surveillance Program during the 2009-2010 to 2014-2015 academic years. AC joint Sprain injury rates, rate ratios, and injury proportion ratios (IPRs) were reported with 95% CIs.Results:In the 25 NCAA sports examined during the 2009-2010 to 2014-2015 academic years, a total of 844 AC joint Sprains were reported, for a rate of 1.72 per 10,000 athlete-exposures (AEs). The majority of AC joint Sprains were reported in football (50.4%, n = 425). Most AC joint Sprains occurred in competitions (66.0%, n = 5...
Barbara L Braun - One of the best experts on this subject based on the ideXlab platform.
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effects of ankle Sprain in a general clinic population 6 to 18 months after medical evaluation
Archives of Family Medicine, 1999Co-Authors: Barbara L BraunAbstract:OBJECTIVE: To assess the 1-year outcome of standard medical care of acute ankle Sprains in a general clinic-based population. DESIGN: A self-administered survey was mailed to all adult patients who presented to a health system provider for evaluation of ankle Sprain. SETTING: A regional primary care health system. PARTICIPANTS: Four hundred sixty-seven (66.5%) of 702 patients with ankle Sprains evaluated by a system physician from April 1, 1995, to March 31, 1996. MAIN OUTCOME MEASURES: Prevalence and severity of self-reported ankle pain, swelling, perceived instability, and perceived weakness 6 to 18 months after medical evaluation. RESULTS: Most patients sought medical evaluation shortly after injury and were immobilized or braced; 32.7% reported formal or home-based physical therapy. Six to 18 months after injury, 72.6% reported residual symptoms. Of these, 40.4% reported at least 1 moderate to severe symptom, most commonly perceived ankle weakness; 40.3% were unable to walk 1 mile; and 43.3% were unable to jump or pivot on the ankle without symptoms. Factors associated with moderate to severe residual symptoms were reinjury of the ankle (odds ratio [OR], 7.21; 95% confidence interval [CI], 4.14-12.68), activity restriction longer than 1 week (OR, 2.04; 95% CI, 1.25-3.32), and limited weight bearing longer than 28 days (OR, 2.16; 95% CI, 1.28-3.63). CONCLUSIONS: Residual lifestyle-limiting symptoms are common 6 to 18 months after an ankle Sprain. Ankle Sprains may be more problematic than generally thought, or standard medical treatment may be inadequate. Further studies evaluating treatment regimens are needed to identify effective methods to reduce the long-term functional limitations of ankle Sprain in general clinic populations.
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effects of ankle Sprain in a general clinic population 6 to 18 months after medical evaluation
Archives of Family Medicine, 1999Co-Authors: Barbara L BraunAbstract:OBJECTIVE: To assess the 1-year outcome of standard medical care of acute ankle Sprains in a general clinic-based population. DESIGN: A self-administered survey was mailed to all adult patients who presented to a health system provider for evaluation of ankle Sprain. SETTING: A regional primary care health system. PARTICIPANTS: Four hundred sixty-seven (66.5%) of 702 patients with ankle Sprains evaluated by a system physician from April 1, 1995, to March 31, 1996. MAIN OUTCOME MEASURES: Prevalence and severity of self-reported ankle pain, swelling, perceived instability, and perceived weakness 6 to 18 months after medical evaluation. RESULTS: Most patients sought medical evaluation shortly after injury and were immobilized or braced; 32.7% reported formal or home-based physical therapy. Six to 18 months after injury, 72.6% reported residual symptoms. Of these, 40.4% reported at least 1 moderate to severe symptom, most commonly perceived ankle weakness; 40.3% were unable to walk 1 mile; and 43.3% were unable to jump or pivot on the ankle without symptoms. Factors associated with moderate to severe residual symptoms were reinjury of the ankle (odds ratio [OR], 7.21; 95% confidence interval [CI], 4.14-12.68), activity restriction longer than 1 week (OR, 2.04; 95% CI, 1.25-3.32), and limited weight bearing longer than 28 days (OR, 2.16; 95% CI, 1.28-3.63). CONCLUSIONS: Residual lifestyle-limiting symptoms are common 6 to 18 months after an ankle Sprain. Ankle Sprains may be more problematic than generally thought, or standard medical treatment may be inadequate. Further studies evaluating treatment regimens are needed to identify effective methods to reduce the long-term functional limitations of ankle Sprain in general clinic populations.
