Potential Savings of a Program to Prevent Ankle Sprain Recurrence

Abstract

The use of a proprioceptive training program after usual care of an ankle sprain is cost-effective for the prevention of ankle sprain recurrences in comparison with usual care alone. In the Netherlands, an estimated annual €35.9 million in medical and lost productivity costs can be saved solely by advocating a proprioceptive training program as in the present study.

Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions

“…Poor proprioception may also contribute to increased injury risk (Zazulak, Hewett et al 2007) and training directed towards improving proprioception has been associated with reduced injury risk (Hupperets, Verhagen et al 2010). Thus interventions targeting proprioception is relevant both in prevention and rehabilitation of musculoskeletal disorders.…”

Sport and exercise as contributors to the health of nations

“…Ankle injuries cost €187 million (£156 million) per year in the Netherlands. 37 In the USA, the common major knee injury of anterior cruciate ligament rupture had direct surgical costs of US $11 500 (£7100) per operation, with a net cost to the US economy of about $3·6 billion (£2·2 billion) every year. 38 In North Carolina, USA, 5013 varsity athletes participating in 12 different sports in 100 public high schools generated $10 million (£6·2 million) in directmedical costs per year from injuries.…”

Structural abnormalities and persistent complaints after an ankle sprain are not associated: an observational case control study in primary care

“…9 In the Netherlands, annual sport-related ankle sprain costs are estimated to be €187 million and persisting complaints are expected to lead to more costs as a result of productivity loss and healthcare costs. 10 It is not known whether these persistent complaints are associated with structural changes or abnormalities in the ankle caused by the trauma. Identification of structural abnormalities possibly associated with persistent complaints could provide help in prognosis and treatment for patients with persistent complaints after a lateral ankle sprain in general practice.…”