Functional management of ankle sprains: what volume and intensity of walking is undertaken in the first week postinjury

Abstract

PA patterns are reduced in the first week after ankle sprain, which is partly ameliorated with addition of therapeutic exercises. This study represents the first step towards developing evidence-based walking prescription after acute ankle sprain.

Regular physical activity prevents development of chronic pain and activation of central neurons

“…Another critical finding in this study was that the effects of regular physical activity were plastic and lasted for 1-2 wk after stopping the exercise. It has become increasingly clear, and clinical guidelines recommend, that after an acute injury maintaining physical activity and avoiding bedrest is critical to recovery (11,61). Indeed, our data are consistent with the recommendation to remain active.…”

“…Twenty to thirty percent of people with acute musculoskeletal pain go on to develop chronic pain that persists after normal tissue healing time and is not associated with tissue inflammation (24,26,30). Further, a single bout of exercise in people with existing acute inflammatory and chronic noninflammatory pain conditions enhances ongoing pain and hyperalgesia (27,59,61). Animal models of muscle pain have been developed to mimic acute inflammatory pain, chronic noninflammatory pain, and exercise-enhanced pain (45,46,54,55,64).…”

Pedometer-driven Walking for Chronic Low Back Pain

“…As there have been no validated methods to distinguish periods of nonwear for the ActivPAL device, we have adapted a previously reported method. (19–20) A valid day was defined as a 24-hour period, which exhibited a minimum of 10 hours where the device was worn. (21) Wear time was assessed as the number of hours in which at least 1 bout of upright activity was recorded within a 60-minute period.…”

What's App? Sports medicine physicians should not talk double Dutch: Figure 1

“…Tully et al 9 ( see page ) make the first step towards developing an evidence-based walking prescription after acute ankle sprain, and it seems that therapeutic ultrasound app lication is not a clinically beneficial treatment for acute ankle sprains 10. Kerkhoffs et al 11 present a multidisciplinary consensus statement with evidence-based clinical guidelines on the prevention and management of ankle sprains ( see page ).…”