[논문]Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial

Brison, Robert J; Day, Andrew G; Pelland, Lucie; Pickett, William; Johnson, Ana P; Aiken, Alice; Pichora, David R; Brouwer, Brenda

doi:10.1136/bmj.i5650

Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial 원문보기

BMJ : British medical journal, v.355, 2016년, pp.i5650 -

Brison, Robert J (Queen’s University Department of Emergency Medicine, Kingston, ON, Canada) , Day, Andrew G (Kingston General Hospital Research Institute, Kingston, ON, Canada) , Pelland, Lucie (Queen’s University School of Rehabilitation Therapy, Kingston, ON, Canada) , Pickett, William (Queen’s University Department of Emergency Medicine, Kingston, ON, Canada) , Johnson, Ana P (Queen’s University Department of Public Health Sciences, Kingston, ON, Canada) , Aiken, Alice (Queen’s University School of Rehabilitation Therapy, Kingston, ON, Canada) , Pichora, David R (The Human Mobility Research Centre, Kingston General Hospital and Queen’s University, Kingston, ON, Canada) , Brouwer, Brenda (Queen’s University School of Rehabilitation Therapy, Kingston, ON, Canada)

Abstract ▼ AI-Helper

Objective To assess the efficacy of a programme of supervised physiotherapy on the recovery of simple grade 1 and 2 ankle sprains.Design A randomised controlled trial of 503 participants followed for six months.Setting Participants were recruited from two tertiary acute care settings in Kingston, ON, Canada.Participants The broad inclusion criteria were patients aged ≥16 presenting for acute medical assessment and treatment of a simple grade 1 or 2 ankle sprain. Exclusions were patients with multiple injuries, other conditions limiting mobility, and ankle injuries that required immobilisation and those unable to accommodate the time intensive study protocol.Intervention Participants received either usual care, consisting of written instructions regarding protection, rest, cryotherapy, compression, elevation, and graduated weight bearing activities, or usual care enhanced with a supervised programme of physiotherapy.Main outcome measures The primary outcome of efficacy was the proportion of participants reporting excellent recovery assessed with the foot and ankle outcome score (FAOS). Excellent recovery was defined as a score ≥450/500 at three months. A difference of at least 15% increase in the absolute proportion of participants with excellent recovery was deemed clinically important. Secondary analyses included the assessment of excellent recovery at one and six months; change from baseline using continuous scores at one, three, and six months; and clinical and biomechanical measures of ankle function, assessed at one, three, and six months.Results The absolute proportion of patients achieving excellent recovery at three months was not significantly different between the physiotherapy (98/229, 43%) and usual care (79/214, 37%) arms (absolute difference 6%, 95% confidence interval −3% to 15%). The observed trend towards benefit with physiotherapy did not increase in the per protocol analysis and was in the opposite direction by six months. These trends remained similar and were never statistically or clinically important when the FAOS was analysed as a continuous change score.Conclusions In a general population of patients seeking hospital based acute care for simple ankle sprains, there is no evidence to support a clinically important improvement in outcome with the addition of supervised physiotherapy to usual care, as provided in this protocol.Trial registration ISRCTN 74033088 (www.isrctn.com/ISRCTN74033088)

참고문헌 (57)

1 Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont PJ Jr. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am 2010 ; 92 : 2279 - 84 . 10.2106/JBJS.I.01537 pmid:20926721 . 20926721

상세보기
2 Bridgman SA, Clement D, Downing A, Walley G, Phair I, Maffulli N. Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains. Emerg Med J 2003 ; 20 : 508 - 10 . 10.1136/emj.20.6.508 pmid:14623833 . 14623833

상세보기
3 Leininger RE, Knox CL, Comstock RD. Epidemiology of 1.6 million pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003. Am J Sports Med 2007 ; 35 : 288 - 93 . 10.1177/0363546506294060 pmid:17092927 . 17092927

상세보기
4 Tadros AMA, Eid HO, Abu-Zidan FM. Epidemiology of foot injury in a high-income developing country. Injury 2010 ; 41 : 137 - 40 . 10.1016/j.injury.2009.05.031 pmid:19570532 . 19570532

상세보기
5 Lambers K, Ootes D, Ring D. Incidence of patients with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age. Clin Orthop Relat Res 2012 ; 470 : 284 - 90 . 10.1007/s11999-011-1982-z pmid:21785896 . 21785896

상세보기
6 Backx FJ, Erich WB, Kemper AB, Verbeek AL. Sports injuries in school-aged children. An epidemiologic study. Am J Sports Med 1989 ; 17 : 234 - 40 . 10.1177/036354658901700214 pmid:2667382 . 2667382

상세보기
7 Wolfe MW, Uhl TL, Mattacola CG, McCluskey LC. Management of ankle sprains. Am Fam Physician 2001 ; 63 : 93 - 104 . pmid:11195774 . 11195774

상세보기
8 Milgrom C, Shlamkovitch N, Finestone A, et al. Risk factors for lateral ankle sprain: a prospective study among military recruits. Foot Ankle 1991 ; 12 : 26 - 30 . 10.1177/107110079101200105 pmid:1959831 . 1959831

상세보기
9 Karlsson J, Eriksson BI, Swärd L. Early functional treatment for acute ligament injuries of the ankle joint. Scand J Med Sci Sports 1996 ; 6 : 341 - 5 . 10.1111/j.1600-0838.1996.tb00104.x pmid:9046544 . 9046544

상세보기
10 Kerkhoffs GMMJ, Struijs PAA, Marti RK, Assendelft WJJ, Blankevoort L, van Dijk CN. Different functional treatment strategies for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev 2002 ;( 3 ): CD002938 10.1002/14651858.CD002938 . pmid:12137665 . 12137665

상세보기
11 Kerkhoffs GMMJ, Rowe BH, Assendelft WJJ, Kelly K, Struijs PAA, van Dijk CN. Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev 2002 ;( 3 ): CD003762 10.1002/14651858.CD003762 . pmid:12137710 . 12137710

상세보기
12 Kerkhoffs GMMJ, Handoll HHG, de Bie R, Rowe BH, Struijs PAA. Surgical versus conservative treatment for acute injuries of the lateral ligament complex of the ankle in adults. Cochrane Database Syst Rev 2007 ;( 2 ): CD000380 10.1002/14651858.CD000380.pub2 . pmid:17443501 . 17443501

상세보기
13 Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med 2005 ; 39 : e14 , discussion e14 . 10.1136/bjsm.2004.011676 pmid:15728682 . 15728682

상세보기
14 Birrer RB, Fani-Salek MH, Totten VY, Herman LM, Politi V. Managing ankle injuries in the emergency department. J Emerg Med 1999 ; 17 : 651 - 60 . 10.1016/S0736-4679(99)00060-8 pmid:10431956 . 10431956

상세보기
15 Braun BL. Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation. Arch Fam Med 1999 ; 8 : 143 - 8 . 10.1001/archfami.8.2.143 pmid:10101985 . 10101985

상세보기
16 Leanderson J, Wredmark T. Treatment of acute ankle sprain. Comparison of a semi-rigid ankle brace and compression bandage in 73 patients. Acta Orthop Scand 1995 ; 66 : 529 - 31 . 10.3109/17453679509002308 pmid:8553821 . 8553821

상세보기
17 Audenaert A, Prims J, Reniers GLL, Weyns D, Mahieu P, Audenaert E. Evaluation and economic impact analysis of different treatment options for ankle distortions in occupational accidents. J Eval Clin Pract 2010 ; 16 : 933 - 9 . 10.1111/j.1365-2753.2009.01231.x pmid:20586846 . 20586846

상세보기
18 Cooke MW, Marsh JL, Clark M, et al. CAST trial group. Treatment of severe ankle sprain: a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial. Health Technol Assess 2009 ; 13 : iii , ix-x, 1-121 . 10.3310/hta13130 pmid:19232157 .

상세보기
19 Weinstein ML. An ankle protocol for second-degree ankle sprains. Mil Med 1993 ; 158 : 771 - 4 . pmid:8108015 . 8108015

상세보기
20 Cooke MW, Lamb SE, Marsh J, Dale J. A survey of current consultant practice of treatment of severe ankle sprains in emergency departments in the United Kingdom. Emerg Med J 2003 ; 20 : 505 - 7 . 10.1136/emj.20.6.505 pmid:14623832 . 14623832

상세보기
21 Safran MR, Zachazewski JE, Benedetti RS, Bartolozzi AR 3rd, , Mandelbaum R. Lateral ankle sprains: a comprehensive review part 2: treatment and rehabilitation with an emphasis on the athlete. Med Sci Sports Exerc 1999 ; 31 ( Suppl ): S438 - 47 . 10.1097/00005768-199907001-00005 pmid:10416545 . 10416545

상세보기
22 Bleakley CM, O’Connor SR, Tully MA, et al. Effect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial. BMJ 2010 ; 340 : c1964 10.1136/bmj.c1964 pmid:20457737 . 20457737

상세보기
23 van Rijn RM, van Heest JAC, van der Wees P, Koes BW, Bierma-Zeinstra SMA. Some benefit from physiotherapy intervention in the subgroup of patients with severe ankle sprain as determined by the ankle function score: a randomised trial. Aust J Physiother 2009 ; 55 : 107 - 13 . 10.1016/S0004-9514(09)70040-6 pmid:19463081 . 19463081

상세보기
24 Hultman K, Faltstrom A, Oberg U. The effect of early physiotherapy after an acute ankle sprain. Adv Physiother 2010 ; 12 : 65 - 73 10.3109/14038190903174262 .

상세보기
25 van Rijn RM, van Ochten J, Luijsterburg PA, van Middelkoop M, Koes BW, Bierma-Zeinstra SMA. Effectiveness of additional supervised exercises compared with conventional treatment alone in patients with acute lateral ankle sprains: systematic review. BMJ 2010 ; 341 : c5688 10.1136/bmj.c5688 pmid:20978065 . 20978065

상세보기
26 Roos EM. A User’s Guide to: Foot and Ankle Outcome Score (FAOS). Foot and Ankle Outcome Score, 2003 .
27 Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int 1998 ; 19 : 653 - 60 . 10.1177/107110079801901002 pmid:9801078 . 9801078

상세보기
28 Chorley JN. Ankle sprain discharge instructions from the emergency department. Pediatr Emerg Care 2005 ; 21 : 498 - 501 . 10.1097/01.pec.0000173346.15154.f3 pmid:16096593 . 16096593

상세보기
29 Stiell IG, McDowell I, Nair RC, et al. Use of radiography in acute ankle injuries: physicians’ attitudes and practice. CMAJ 1992 ; 147 : 1671 - 8 . pmid:1362372 . 1362372

상세보기
30 Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009 ; 42 : 377 - 81 . 10.1016/j.jbi.2008.08.010 pmid:18929686 . 18929686

상세보기
31 Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train 2002 ; 37 : 413 - 29 . pmid:12937563 . 12937563

상세보기
32 Zöch C, Fialka-Moser V, Quittan M. Rehabilitation of ligamentous ankle injuries: a review of recent studies. Br J Sports Med 2003 ; 37 : 291 - 5 . 10.1136/bjsm.37.4.291 pmid:12893710 . 12893710

상세보기
33 Ardèvol J, Bolíbar I, Belda V, Argilaga S. Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment. Knee Surg Sports Traumatol Arthrosc 2002 ; 10 : 371 - 7 . 10.1007/s00167-002-0308-9 pmid:12444517 . 12444517

상세보기
34 Roos EM, Brandsson S, Karlsson J. Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int 2001 ; 22 : 788 - 94 . pmid:11642530 . 11642530

상세보기
35 Haywood KL, Hargreaves J, Lamb SE. Multi-item outcome measures for lateral ligament injury of the ankle: a structured review. J Eval Clin Pract 2004 ; 10 : 339 - 52 . 10.1111/j.1365-2753.2003.00435.x pmid:15189400 . 15189400

상세보기
36 Martin RL, Irrgang JJ. A survey of self-reported outcome instruments for the foot and ankle. J Orthop Sports Phys Ther 2007 ; 37 : 72 - 84 . 10.2519/jospt.2007.2403 pmid:17366962 . 17366962

상세보기
37 Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res 1993 ;( 290 ): 87 - 95 . pmid:8472475 .
38 Karlsson J, Peterson L. Evaluation of ankle joint function: The use of a scoring scale. Foot 1991 ; 1 : 15 - 9 10.1016/0958-2592(91)90006-W .

상세보기
39 Braun BL. Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation. Arch Fam Med 1999 ; 8 : 143 - 8 . 10.1001/archfami.8.2.143 pmid:10101985 . 10101985

상세보기
40 van Rijn RM, van Os AG, Bernsen RM, Luijsterburg PA, Koes BW, Bierma-Zeinstra SM. What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med 2008 ; 121 : 324 - 331.e6 . 10.1016/j.amjmed.2007.11.018 pmid:18374692 . 18374692

상세보기
41 Petersen EJ, Irish SM, Lyons CL, et al. Reliability of water volumetry and the figure of eight method on subjects with ankle joint swelling. J Orthop Sports Phys Ther 1999 ; 29 : 609 - 15 . 10.2519/jospt.1999.29.10.609 pmid:10560070 . 10560070

상세보기
42 Bennell KL, Talbot RC, Wajswelner H, Techovanich W, Kelly DH, Hall AJ. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Aust J Physiother 1998 ; 44 : 175 - 80 . 10.1016/S0004-9514(14)60377-9 pmid:11676731 . 11676731

상세보기
43 Novak AC, Brouwer B. Strength and aerobic requirements during stair ambulation in persons with chronic stroke and healthy adults. Arch Phys Med Rehabil 2012 ; 93 : 683 - 9 . 10.1016/j.apmr.2011.10.009 pmid:22305128 . 22305128

상세보기
44 Littell RC, Milliken GA, Stroup WW, Wolfinger RD, Schabenberger O. SAS for Mixed Models. SAS Institute Inc, 2006 .
45 Liu M, Wei L, Zhang J. Review of guidelines and literature for handling missing data in longitudinal clinical trials with a case study. Pharm Stat 2006 ; 5 : 7 - 18 . 10.1002/pst.189 pmid:17080924 . 17080924

상세보기
46 Peters SAE, Bots ML, den Ruijter HM, et al. METEOR study group. Multiple imputation of missing repeated outcome measurements did not add to linear mixed-effects models. J Clin Epidemiol 2012 ; 65 : 686 - 95 . 10.1016/j.jclinepi.2011.11.012 pmid:22459429 . 22459429

상세보기
47 Littell RC, Pendergast J, Natarajan R. Modelling covariance structure in the analysis of repeated measures data. Stat Med 2000 ; 19 : 1793 - 819 . 10.1002/1097-0258(20000715)19:13 3.0.CO;2-Q pmid:10861779 . 10861779

상세보기
48 Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes 2003 ; 1 : 64 10.1186/1477-7525-1-64 pmid:14613558 . 14613558

상세보기
49 Schulz KF, Altman DG, Moher D. CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med 2010 ; 8 : 18 10.1186/1741-7015-8-18 pmid:20334633 . 20334633

상세보기
50 Thabane L, Mbuagbaw L, Zhang S, et al. A tutorial on sensitivity analyses in clinical trials: the what, why, when and how. BMC Med Res Methodol 2013 ; 13 : 92 10.1186/1471-2288-13-92 pmid:23855337 . 23855337

상세보기
51 van de Mortel TF. Faking it: Social desirability response bias in self-report research. Aust J Adv Nurs 2008 ; 25 : 40 - 8 .
52 de Bie RA, Hendriks HJM, Lenssen AF, et al. Clinical practice guidelines for physiotherapy in patients with acute ankle sprain [with systematic review]. http://www.pedro.fhs.usyd.edu.au/index.html
53 van der Wees PV, Lenssen AF, Feijts YAEJ, et al. KNGF guideline for physical therapy in patients with acute ankle sprain - practice guidelines. Suppl Dutch J Phys Ther 2006 ; 116 ( Suppl 5 ): 1 - 30 .
54 Shultz S, Olszewski A, Ramsey O, Schmitz M, Wyatt V, Cook C. A systematic review of outcome tools used to measure lower leg conditions. Int J Sports Phys Ther 2013 ; 8 : 838 - 48 . pmid:24377070 . 24377070

상세보기
55 Greenland S, Rothman KJ. Fundamentals of Epidemiological Data Analysis. In: Rothman KJ, Greenland S, Lash TL, eds. Modern epidemiology. Lippincott Williams & Wilkins, 2008 : 216 .
56 Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma. Scand J Med Sci Sports 2002 ; 12 : 129 - 35 . 10.1034/j.1600-0838.2002.02104.x pmid:12135444 . 12135444

상세보기
57 Thomeé R. A comprehensive treatment approach for patellofemoral pain syndrome in young women. Phys Ther 1997 ; 77 : 1690 - 703 . pmid:9413448 . 9413448

상세보기

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Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial 원문보기

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