Infographic. International Ankle Consortium Rehabilitation-Oriented Assessment

Delahunt, Eamonn; Bleakley, Chris; Bossard, Daniela S; Caulfield, Brian; Docherty, Carrie L.; Doherty, Cailbhe; Fourchet, François; Fong, Daniel Tik-Pui; Hertel, Jay; Hiller, Claire E.; Kaminski, Thomas W.; Refshauge, Kathryn M.; Remus, Alexandria; Verhagen, Evert; Vicenzino, B.; Wikstrom, Erik A.; Gribble, Phillip A.

doi:10.1136/bjsports-2018-099935

Cited by 3 publications

(6 citation statements)

References 9 publications

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“…Along with establishing the mechanism of injury and assessing the ankle joint bones and ligaments through stress tests, clinicians need to consider all aspects of the injury. 36 We showed that deficits can be identified early, at 24 to 72 hours, and persist at 6 months after injury. We urge clinicians to evaluate these clinical outcomes throughout the healing process, which can take up to 6 months after LAS.…”

Section: Discussionmentioning

confidence: 71%

“…35 Because similar impairments are seen in all groups, the impairment-based model may be effective for treating patients with an acute LAS. 34 Recently, the International Ankle Consortium 36 developed recommendations based on expert consensus for the clinical assessment of patients with acute LAS injuries. The Rehabilitation-Oriented Assessment includes an evaluation of the patient's ankle in multiple areas: joint pain, joint swelling, range of motion, arthrokinematics, strength, static and dynamic postural balance, gait, level of physical activity, and self-reported joint function.…”

Section: Discussionmentioning

confidence: 99%

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Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain

Wisthoff

Docherty

Glutting

et al. 2021

Journal of Athletic Training

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Context Approximately 72% of patients with an ankle sprain report residual symptoms 6 to 18 months later. Although 44% of patients return to activity in less than 24 hours after experiencing a sprain, residual symptoms should be evaluated in the long term to determine if deficits exist. These residual symptoms may be due to the quality of ligament tissue and motion after injury. Objective To compare mechanical laxity of the talocrural joint and dorsiflexion range of motion (DFROM) over time (24 to 72 hours, 2 to 4 weeks, and 6 months) after an acute lateral ankle sprain (LAS). Design Cross-sectional study. Setting Athletic training research laboratory. Patients or Other Participants A total of 108 volunteers were recruited. Fifty-five participants had an acute LAS and 53 participants were control individuals without a history of LAS. Main Outcome Measure(s) Mechanical laxity (talofibular interval and anterior talofibular ligament length) was measured in inversion (INV) and via the anterior drawer test. The weight-bearing lunge test was conducted and DFROM was measured. The data were analyzed using repeated-measures analysis of variance, independent-samples t tests, and 1-way analysis of variance. Results Of the 55 LASs, 21 (38%) were grade I, 27 (49%) were grade II, and 7 (13%) were grade III. Increases were noted in DFROM over time, between 24 and 72 hours, at 2 to 4 weeks, and at 6 months (P < .05). The DFROM was less in participants with grade III than grade I LASs (P = .004) at 24 to 72 hours; INV length was greater at 24 to 72 hours than at 2 to 4 weeks (P = .023) and at 6 months (P = .035) than at 24 to 72 hours. The anterior drawer length (P = .001) and INV talofibular interval (P = .004) were greater in the LAS group than in the control group at 6 months. Conclusions Differences in range of motion and laxity were evident among grades at various time points and may indicate different clinical responses after an LAS.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain

Wisthoff

Docherty

Glutting

et al. 2021

Journal of Athletic Training

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“…The message conveyed in ROAST has also been summarized in an accompanying infographic. 8 We expect that these resources will help clinicians to use the objective outcomes of their structured clinical assessment to guide the treatment they administer to patients with acute LASs.…”

Section: Accomplishmentsmentioning

confidence: 99%

The International Ankle Consortium: Promoting Long-Term Stability in Ankle-Sprain Research

Gribble¹,

Delahunt²

2019

Journal of Athletic Training

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“…Among the ligamentous sprain injuries, lateral ankle sprains are most commonly encountered during athletic or occasional daily activities [ 5 – 14 ]. It is reported that almost 70% of the general population have incurred an ankle injury during their lifetime [ 15 , 16 ]. The most common ankle injury is the one that combines rapid inversion and internal rotation of the foot with a subsequent injury to the lateral ligaments of the ankle [ 1 , 16 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is reported that almost 70% of the general population have incurred an ankle injury during their lifetime [ 15 , 16 ]. The most common ankle injury is the one that combines rapid inversion and internal rotation of the foot with a subsequent injury to the lateral ligaments of the ankle [ 1 , 16 – 18 ]. Although this injury is usually assumed to be benign, a group of patients will develop recurrent sprains and chronic ankle instability [ 9 , 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of laterality and fatigue in peroneal electromechanical delay

Flevas

Pappas

Ristanis

et al. 2022

SICOT-J

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Introduction: Extremity dominance is one of the intrinsic factors that have been identified for ankle sprains. Electromechanical delay (EMD) is an integral part of the peroneal motor response and, therefore, substantial in preventing ankle sprains. This study aimed to investigate the effect of laterality on EMD times before and after fatigue. Methods: Fifteen healthy male volunteers participated in the study. Measurements were taken with the ankle in a neutral (0°) position, and all subjects followed an isokinetic fatigue protocol. Repeated ANOVA was used for statistical analysis, and the α level was set a priori at p ≤ 0.05. Results: No significant difference was noted in EMD times between the dominant and non-dominant legs of the volunteers (p = 0.940). Fatigue caused a significant increase in EMD by 10–15 ms (p = 0.003), while the leg × fatigue interaction was not significant (p = 0.893). Conclusions: In a non-injured athlete, both ankles seem to be under the same protection of the reactive response of the peroneal muscles. Therefore, athletes should be aware that both their extremities are equally exposed to the danger of an ankle injury. Also, fatigued ankles demonstrate longer EMD times, implying that improving resistance to fatigue may add another layer of protection that has the potential to prevent ankle sprain recurrence.

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Infographic. International Ankle Consortium Rehabilitation-Oriented Assessment

Cited by 3 publications

References 9 publications

Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain

Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain

The International Ankle Consortium: Promoting Long-Term Stability in Ankle-Sprain Research

Effect of laterality and fatigue in peroneal electromechanical delay

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