| Functional management of ankle sprains: what volume and intensity of walking is undertaken in the first week postinjury. | |
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MedLine Citation:
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PMID: 22267573 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BackgroundAcute ankle sprains are usually managed functionally, with advice to undertake progressive weight-bearing and walking. Mechanical loading is an important modular of tissue repair; therefore, the clinical effectiveness of walking after ankle sprain may be dose dependent. The intensity, magnitude and duration of load associated with current functional treatments for ankle sprain are unclear.AimTo describe physical activity (PA) in the first week after ankle sprain and to compare results with a healthy control group.MethodsParticipants (16-65 years) with an acute ankle sprain were randomised into two groups (standard or exercise). Both groups were advised to apply ice and compression, and walk within the limits of pain. The exercise group undertook additional therapeutic exercises. PA was measured using an activPAL accelerometer, worn for 7 days after injury. Comparisons were made with a non-injured control group.ResultsThe standard group were significantly less active (1.2±0.4 h activity/day; 5621±2294 steps/day) than the exercise (1.7±0.7 h/day, p=0.04; 7886±3075 steps/day, p=0.03) and non-injured control groups (1.7±0.4 h/day, p=0.02; 8844±2185 steps/day, p=0.002). Also, compared with the non-injured control group, the standard and exercise groups spent less time in moderate (38.3±12.7 min/day vs 14.5±11.4 min/day, p=0.001 and 22.5±15.9 min/day, p=0.003) and high-intensity activity (4.1±6.9 min/day vs 0.1±0.1 min/day, p=0.001 and 0.62±1.0 min/day p=0.005).ConclusionPA 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. |
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Authors:
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Mark A Tully; Chris M Bleakley; Sean R O'Connor; Suzanne M McDonough |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-20 |
Journal Detail:
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Title: British journal of sports medicine Volume: - ISSN: 1473-0480 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0432520 Medline TA: Br J Sports Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Health and Rehabilitation Sciences Research Institute, School of Health Sciences, University of Ulster, Jordanstown, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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