Best Practice Case Studies-Ankle Sprains KA

Pdf Summary

The article "Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium" published in the British Journal of Sports Medicine outlines a consensus statement by the International Ankle Consortium on assessing acute lateral ankle sprains. Lateral ankle sprains are the most common musculoskeletal injuries in sports, often leading to chronic ankle instability characterized by impairments in mechanics and sensorimotor functions. The article stresses the importance of identifying these impairments soon after an acute injury to prevent chronic instability.

The consortium developed recommendations for structured clinical assessment through a modified Delphi study involving 14 experts from different countries. The procedure aimed to create a standard clinical evaluation protocol. It went through two rounds, where consensus was reached on several key points:

1. <strong>Clinical Diagnostic Assessment</strong>: This incorporates assessing the mechanism of injury, history of previous sprains, weight-bearing status, and clinical assessments of bones and ligaments.

2. <strong>Evaluation of Mechanical and Sensorimotor Impairments</strong>: The experts identified areas to assess, including pain, swelling, range of motion, arthrokinematics, muscle strength, static and dynamic postural balance, gait, physical activity level, and patient-reported outcomes. This led to the creation of the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST).

The article emphasizes using these recommendations to conduct timely and efficient assessments that can shape appropriate rehabilitation pathways tailored to individual patients, thereby reducing the risk of reinjury and the development of chronic instability. These recommendations do not require special equipment, making them applicable across various clinical settings. The end goal is improved management and prevention of long-term consequences in individuals with lateral ankle sprains.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 10

Topic Foot and Ankle

Keywords

2nd Edition, CASE 10

2nd Edition

Foot and Ankle

lateral ankle sprain

International Ankle Consortium

clinical assessment

chronic ankle instability

sensorimotor impairments

ROAST

Delphi study

rehabilitation

musculoskeletal injuries

British Journal of Sports Medicine