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

@article{Doherty2016TreatmentAP,
  title={Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis},
  author={Cailbhe Doherty and Chris M. Bleakley and Eamonn Delahunt and Sin{\'e}ad Holden},
  journal={British Journal of Sports Medicine},
  year={2016},
  volume={51},
  pages={113 - 125}
}
Background Ankle 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. Objective To provide a systematic overview of the systematic reviews evaluating treatment strategies for acute ankle sprain and CAI. Design Overview… 

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References

SHOWING 1-10 OF 275 REFERENCES

Immobilisation for acute ankle sprain. A systematic review.

Based on the results, functional treatment currently seems a more appropriate treatment and should be encouraged and immobilisation, if necessary, should be restricted to certain patients and for short time periods.

Optimising ankle sprain prevention: a critical review and practical appraisal of the literature

Overall taping, bracing and neuromuscular training were all effective for the prevention of ankle-sprain recurrences and evidence suggests this overall effect is due to a strong preventive effect in previously injured athletes and that any effect on fresh ankle sprains is either non-existent or very low.

Treatment of acute ankle ligament injuries: a systematic review

A systematic review of the last 10 years regarding evidence for the treatment and prevention of lateral ankle sprains concludes that the majority of grades I, II and III lateral ankle ligament ruptures can be managed without surgery.

Prevention of ankle sprain: A systematic review

Bracing was identified as the best and cheapest intervention to prevent ankle sprains and the theory that ankle taping can increase proprioception requires more research.

Chronic complaints after ankle sprains: a systematic review on effectiveness of treatments.

In chronic ankle complaints after an ankle sprain, a training program gives better results for pain and function, and a decrease of recurrent ankle sprains, than a wait-and-see policy.

Therapeutic ultrasound for acute ankle sprains.

The available evidence is insufficient to rule out the possibility that there is an optimal dosage schedule for ultrasound therapy that may be of benefit, and the potential treatment effects of ultrasound appear to be generally small and probably of limited clinical importance, especially in the context of the short-term recovery period in most people with these injuries.
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