Predictive Factors of Recovery After an Acute Lateral Ankle Sprain: A Longitudinal Study

Article Article scientifique Article Predictive Factors of Recovery After an Acute Lateral Ankle Sprain: A Longitudinal Study eng 2021 author Terrier Philippe 86386 author Piotton Sébastien 565425 author Punt Ilona M. author Ziltener Jean-Luc 508034 author Allet Lara 741695 41 10.3390/sports9030041 33803881 2075-4663 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8003324/ A prominent feature of ankle sprains is their variable clinical course. The difficulty of providing a reliable early prognosis may be responsible for the substantial rate of poor outcomes after an ankle sprain. The aim of the present study was to evaluate the prognostic value of objective clinical measures, pain, and functional scores for ankle sprain recovery. Fifty-two participants suffering from lateral ankle sprain were included. Sprain status was assessed four weeks following injury and included evaluations of ankle range of motion, strength, function, and pain. Seven months following injury, a second assessment classified the patients into recovered and non-recovered groups using ankle ability measures. Following a predictor pre-selection procedure, logistic regressions evaluated the association between the four-week predictors and the seven-month recovery status. Twenty-seven participants (52%) fully recovered and 25 did not (48%). The results of the logistic regressions showed that walking pain was negatively associated with the probability of recovering at seven months (odds ratio: 0.71, 95% CI: 0.53–0.95). Pain four weeks after ankle sprain had relevant predictive value for long-term recovery. Special attention should be paid to patients reporting persistent pain while walking four weeks following sprain to reduce the risk of chronicity. Sport injury Ankle injury Recovery prediction Early prognosis Functional score Walking pain Dewey 613 Dewey 616 Dewey 617 56 Département de médecine 221 57 Département de chirurgie 222 64 Département de santé et médecine communautaires 22A false 955 Mécanismes physiopathologiques de l'arthrose 960 Sports 9 3 96aa11c4-0855-44f9-bb39-4d459f77ac70 Article (Published version) Public sports-09-00041.pdf 1376964 application/pdf CC BY openAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires

Title	Published in	Year	Views	Downloads

Predictive Factors of Recovery After an Acute Lateral Ankle Sprain: A Longitudinal Study	Sports	2021	205	441
Early and delayed acromioclavicular joint reconstruction provide equivalent outcomes	Journal of Shoulder and Elbow Surgery	2020	214	519

Archive ouverte UNIGE

Piotton, Sébastien