medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2001, Number 5

<< Back Next >>

Acta Ortop Mex 2001; 15 (5)

Conservative management of ankle sprains. Early mobility in sprains

Echegoyen-Monroy S, Miguel A, Rodríguez MC

Language: Spanish
References: 24
Page: 227-229
PDF size: 32.91 Kb.


ABSTRACT

Objective. The aim of present study is to allow athletes, an early come back to sports after ankle sprains, avoiding long lasting immobilization periods. Materials and methods. A series of 113 cases of ankle sprain, out of a whole 571 injuries (28.7%) were recorded through the 1993, 1994 and 1995 seasons of soccer foot ball at our University, which included the professional Major League team as well as the younger divisions teams’ players, ranging from age 12 years up to 30. Upgrading treatment consisted on 1) 72 h of cryotherapy and adhesive ankle bandage, 2) active movements at 24 h as well as electric stimulation, 3) propioception as well as stretching and strengthening exercises of the gastroc muscle and heel cord at 48 h, 4) progressive jumping and running in a 50-meter and 10% inclination slop, and finally 5) sprinting and all the appropriate drills for soccer foot ball. Results. Full recovery was obtained for 78 cases of grade I ankle sprain in a period from 2 to 65 days, average 10.7 (± 8.71 SD) and for 34 cases of grade II, it was from 3 to 52 days, average 16.2 (± 10.73 SD). There was only one case of grade III, who had to be operated on because of instability after 251 days. Conclusion. An intended early and active rehabilitation program shortens the inhabilitation span for professional athletes who suffer grade I and II ankle sprains.


REFERENCES

  1. Bahr R, Karlsen R, Lian O, Ourrbo RV: Incidence and mechanisms of acute ankle inversion injuries in volleyball. Am J Sports Med 1994; 22(5): 595-600.

  2. Bahr R, Lian O, Bahr IC: A twofold reduction in the incidence of acute ankle sprains in volleyball after the introduction of an injury prevention program: A prospective cohort study. Scand J Med Sci Sports 1997; 7(3): 172-7.

  3. Baumhauer JF, Acosa DM, Renström FH, Trevino S, Beynnon B: A prospective study of ankle injury risk factors. Am J Sports Med 1995; 23(5): 564-70.

  4. DeLee JC, Drez D, Renstrom AF, Kannus P: Orthopedic Sport Medicine. Principles and Practice. Injuries of the foot and ankle. Saunders Company; 1994: 1705-66.

  5. Eiff MP, Smith AT, Smith GE. Early mobilization versus immobilization in the treatment of lateral ankle sprains. Am J Sports Med 1994; 22(1): 83-8.

  6. Garrick KM: The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med 1977; 5: 241-2.

  7. Garrick JG: When can I...? A practical approach to rehabilitation illustrated by treatment of an ankle injury. Am J Sports Med 1981; 9(1): 67-8.

  8. Gross MT, Clemence LM, Cox BD, McMillan HP, Meadows AF, Piland CS, Powers WS: Effect of ankle orthoses on functional performance for individuals with recurrent lateral ankle sprains. J Orthop Sports Phys Ther 1997; 25(4): 245-52.

  9. Guskiewicz KM, Perrin DH: Effect of orthotics on postural way following inversion ankle sprain. J Orthop Sports Phys Ther 1996; 23(5): 326-31.

  10. Kannus P, Renström P, Vermont B: Treatment for acute tears of the lateral ligaments of the ankle. Bone and Join Surg 1991; 73A (2): 305-11.

  11. Karlsson J, Lansinger O: Chronic lateral instability of the ankle in athletes. Sports Med 1993; 16(5); 355-65.

  12. Litt JCB: The sprained ankle. Diagnosis and management of lateral ligament injuries. Aus Family Phys 1992; 21(4): 447-56.

  13. Losito JM, O’Neill J: Rehabilitation of foot and ankle injuries. Clin Pediatr Med Surg 1997; 14(3): 533-57.

  14. Mann G, Eliashhuv O, Perry C, Finsterbush A, Frankl U, Nyska M, Mattan Y: Recurrent ankle sprain literature review. Israel J Sports Med 1994: 104-13.

  15. Mascaro TB, Swanson LE: Rehabilitation of the foot and ankle. Orthop Clin North Am 1994; 25(1): 147-60.

  16. Ogilvie-Harris DJ, Gilbart M: Treatment modalities for sports tissue injuries of the ankle: A critical review. Clin J Sports Med 1995; 5(3): 175-86.

  17. Rijke AM, Barrington J, Vierhout PA: Injury to the lateral ankle ligaments of athletes. Am J Sports Med 1988; 16(3); 256-9.

  18. Rodríguez C, Echegoyen S, Miguel A, Lima H: Soccer injuries. Study in three seasons. J Athl Train 1998; Suppl 33(2): 21.

  19. Seto JL, Brewster LE: Treatment approaches following foot and ankle injury. Clin Sport Med 1994; 13(4): 695-718.

  20. Sheth P, Yu B, Laskowski ER, An KN: Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med 1997; 25(4): 538-43.

  21. Shrier I: Treatment of lateral collateral ligament sprains of the ankle: A critical appraisal of the literature. Clin J Sports Med 1995; 5(3): 187-95.

  22. Surve I, Schwellnus PM, Noakes T, Lombard C: A fivefold reduction in the incidence of recurrent ankle sprains in soccer players using the sport-stirrup orthosis. Am J Sports Med 1994; 22(5): 601-6.

  23. Trevino SG, Davis P, Hecht PJ: Management of acute and chronic lateral ligament injuries of the ankle. Orthop Clinics North Am 1994; 25(1): 1-15.

  24. VanDijk CN, Lim LSL, Bossuyt PMM, Marti RK: Physical examination is sufficient for the diagnosis of sprained ankles. JBJS 1996; 78B: 958-62.




2020     |     www.medigraphic.com