The Cost-Effectiveness of Measures to Prevent Recurrent Ankle Sprains

Janssen, Kasper W; Hendriks, Marc; Mechelen, Willem van; Verhagen, Evert

doi:10.1177/0363546514529642

Cited by 42 publications

(64 citation statements)

References 28 publications

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“…The indirect cost of RRIs was twofold higher than the direct cost in the current study. This is in line with previous studies that reported the costs of sports injuries in other populations (Verhagen et al., ; Cumps et al., ; Hupperets et al., ; Janssen et al., ). The number of healthcare consultations was higher than the number of missing days from paid work.…”

Section: Discussionsupporting

confidence: 92%

Health and economic burden of running‐related injuries in runners training for an event: A prospective cohort study

Hespanhol

Mechelen

Postuma³

et al. 2015

Scandinavian Med Sci Sports

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Prospective running-related injury (RRI) data from runners training for an event are scarce, especially with regard to RRI-associated costs. Therefore, the aim of this study was to investigate the prevalence and economic burden of RRIs in runners participating in an organized training program preparing them for an event. This was a prospective cohort study with 18 weeks of follow-up. Individuals aged 18 or older and registered to participate in an organized running program were eligible. Follow-up surveys were sent every 2 weeks to collect data about running exposure, RRIs, and costs. Of the 161 potential participants, 53 (32.9%) were included in this study. A total of 32 participants reported 41 RRIs. The mean prevalence during follow-up was 30.8% [95% confidence interval (CI) 25.6-36.0%]. Overuse was the main mechanism of RRI (85.4%, n = 35). An RRI was estimated to have an economic burden of €57.97 (95% CI €26.17-94.00) due to healthcare utilization (direct costs) and €115.75 (95% CI €10.37-253.73) due to absenteeism from paid work (indirect costs). These results indicate that the health and economic burden of RRIs may be considered significant for public health. Therefore, prevention programs are needed for runners participating in organized training programs.

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Section: Discussionsupporting

confidence: 92%

Health and economic burden of running‐related injuries in runners training for an event: A prospective cohort study

Hespanhol

Mechelen

Postuma³

et al. 2015

Scandinavian Med Sci Sports

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“…Both neuromuscular training and ankle braces have been proven beneficial as a preventive investment due to lower societal costs, mainly achieved through reduced indirect costs209 (level 2). Comparisons between measures have indicated bracing to be superior to taping210 and neuromuscular training211 as a preventive option (level 1).…”

Section: Resultsmentioning

confidence: 99%

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline

et al. 2018

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This guideline aimed to advance current understandings regarding the diagnosis, prevention and therapeutic interventions for ankle sprains by updating the existing guideline and incorporate new research. A secondary objective was to provide an update related to the cost-effectiveness of diagnostic procedures, therapeutic interventions and prevention strategies. It was posited that subsequent interaction of clinicians with this guideline could help reduce health impairments and patient burden associated with this prevalent musculoskeletal injury. The previous guideline provided evidence that the severity of ligament damage can be assessed most reliably by delayed physical examination (4–5 days post trauma). After correct diagnosis, it can be stated that even though a short time of immobilisation may be helpful in relieving pain and swelling, the patient with an acute lateral ankle ligament rupture benefits most from use of tape or a brace in combination with an exercise programme.New in this update: Participation in certain sports is associated with a heightened risk of sustaining a lateral ankle sprain. Care should be taken with non-steroidal anti-inflammatory drugs (NSAIDs) usage after an ankle sprain. They may be used to reduce pain and swelling, but usage is not without complications and NSAIDs may suppress the natural healing process. Concerning treatment, supervised exercise-based programmes preferred over passive modalities as it stimulates the recovery of functional joint stability. Surgery should be reserved for cases that do not respond to thorough and comprehensive exercise-based treatment. For the prevention of recurrent lateral ankle sprains, ankle braces should be considered as an efficacious option.

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“…Indirect injury costs due to lost productivity make up 70–90% of the total costs of ankle sprains 32 33 37 40 41. Within the general population of the UK, Cooke et al 41 observed an average of 6.9 days of paid work lost due to ankle sprains treated by means of standard care, adding at least an additional £805 pounds in lost productivity costs for each ankle sprain to the overall costs, compared with £135 of direct healthcare costs.…”

Section: Section A: Establishing Las Prevalence and Burdenmentioning

confidence: 99%

Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

et al. 2016

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The Cost-Effectiveness of Measures to Prevent Recurrent Ankle Sprains

Abstract: Bracing was found to be the dominant secondary preventive intervention over both neuromuscular training and the combination of both measures.

Cited by 42 publications

References 28 publications

Health and economic burden of running‐related injuries in runners training for an event: A prospective cohort study

Health and economic burden of running‐related injuries in runners training for an event: A prospective cohort study

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline

Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

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