Surveys and questionnaires; Ankle sprain; Assessment; Sports medicine; Rehabilitation; Sondages et questionnaires; entorse de cheville; évaluation; médecine du sport; retour au sport
Abstract :
[en] Background: Recommendations are available for assessment criteria for safe return-to-play (RTP) after a lateral ankle sprain. However, their current use among physicians is unknown. Methods: French-speaking physicians in Belgium, France and Switzerland were asked to complete an online survey and report their clinical assessment of selected RTP criteria. Results:The respondent sample (n = 109) included physicians with and without Sports Medicine education, varied level of experience and proportion of athletes in their practice population. Pain was the most selected criterion for safe RTP (90% of physicians), followed by ability to engage in functional tasks (82%), functional instability (73%), range of motion (61%), proprioception (47%), mechanical instability (39%), strength (38%) and swelling (31%). A low proportion of physicians use quantitative measures to assess these criteria (between 4% and 53%). Conclusions: A large proportion of physicians consider the recommended criteria for RTP decisions. However, physicians do not frequently use quantitative measures. [fr] Introduction: Il existe des recommandations concernant les critères d'évaluation pour un retour au sport (RTS) réussi à la suite d'une entorse latérale de la cheville. Cependant, leur utilisation actuelle par les médecins est inconnue. Méthodes: Des médecins francophones de Belgique, de France et de Suisse ont été invités à répondre à une enquête en ligne et à faire part de leur évaluation clinique de certains critères de RTS. Résultats: L'échantillon de répondants (n = 109) comprenait des médecins avec et sans formation en médecine du sport, un niveau d'expérience varié et une proportion d'athlètes différente dans leur patient. La douleur était le critère le plus sélectionné pour une RTS réussi (90 % des médecins), suivi de la capacité à s'engager dans des tâches fonctionnelles (82 %), de l'instabilité fonctionnelle (73 %), de l'amplitude des mouvements (61 %), de la proprioception (47 %), de l'instabilité mécanique (39 %), de la force (38 %) et du gonflement (31 %). Une faible proportion de médecins utilise des mesures quantitatives pour évaluer ces critères (entre 4% et 53%). Conclusions: Une grande proportion de médecins prend en compte les critères recommandés pour autoriser le RTS. Cependant, les médecins n'utilisent pas fréquemment des mesures quantitatives.
Research Center/Unit :
Laboratoire d'analyse du mouvement humain
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Aguilaniu, Aude ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Croisier, Jean-Louis ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Schwartz, Cédric ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Dardenne, Nadia ; Université de Liège - ULiège > Département des sciences de la santé publique > Biostatistique
D'Hooghe, Pieter
Martens, Géraldine ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service de médecine de l'appareil locomoteur
Collin, Romain ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service de médecine de l'appareil locomoteur
Kaux, Jean-François ; Université de Liège - ULiège > Département des sciences de la motricité > Médecine physique, réadaptation et traumatologie du sport
Language :
English
Title :
Current practice for safe return-to-play after lateral ankle sprain: A survey among French-speaking physicians
Alternative titles :
[fr] Pratique actuelle pour le retour au sport après une entorse de cheville: Sondage de médecins francophones
Fong, D.T.P., Hong, Y., Chan, L.K., Yung, P.S.H., Chan, K.M.A., systematic review on ankle injury and ankle sprain in sports. Sport Med 37:1 (2007), 73–94, 10.2165/00007256-200737010-00006.
Roos, K.G., Kerr, Z.Y., Mauntel, T.C., Djoko, A., Dompier, T.P., Wikstrom, E.A., The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association Sports. Am J Sports Med 45:1 (2017), 201–209, 10.1177/0363546516660980.
Anandacoomarasamy, A., Barnslet, L., Long term outcomes of inversion ankle injuries. Br J Sports Med, 39(3), 2005, 14, 10.1136/bjsm.2004.011676.
Kobayashi, T., Tanaka, M., Shida, M., Intrinsic risk factors of lateral ankle sprain: a systematic seview and meta-analysis. Sports Health 8:2 (2016), 190–193, 10.1177/1941738115623775.
Wikstrom, E.A., Hubbard-turner, T., Mckeon, P.O., Understanding and treating lateral ankle sprains and their consequences. Sport Med 43:6 (2013), 385–393, 10.1007/s40279-013-0043-z.
Delahunt, E., Bleakley, C.M., Bossard, D.S., Caulfied, B.M., Docherty, C.L., Doherty, C., et al. Clinical Assessment of Acute Lateral Ankle Sprain Injuries (ROAST): 2019 Consensus Statement and Recommendations of the International Ankle Consortium. Br J Sports Med 52:20 (2018), 1304–1310, 10.1136/bjsports-2017-098885.
Tassignon, B., Verschueren, J., Delahunt, E., Smith, M., Vincenzino, B., Verhagen, E., et al. Criteria-based return to sport decision-making following lateral ankle sprain injury: a systematic review and narrative synthesis. Sport Med 49:4 (2019), 601–619, 10.1007/s40279-019-01071-3.
D'Hooghe, P., Cruz, F., Alkhelaifi, K., Return to play after a lateral ligament ankle sprain. Curr Rev Musculoskelet Med 13:3 (2020), 281–288, 10.1007/s12178-020-09631-1.
Smith, B.E., Hendrick, P., Smith, T.O., Bateman, M., Moffatt, F., Rathleff, M.S., et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med 51:23 (2017), 1679–1687, 10.1136/bjsports-2016-097383.
Wewers, M.E., Lowe, N.K., A clinical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 13:4 (1990), 227–236, 10.1002/nur.4770130405.
Carcia, C.R., Martin, R.L., Drouin, J.M., Validity of the Foot and Ankle Ability Measure in athletes with chronic ankle instability. J Athl Train 43:2 (2008), 179–183, 10.4085/1062-6050-43.2.179.
Hiller, C.E., Refshauge, K.M., Bundy, A.C., Herbert, R.D., Kilbreath, S.L., The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil 87:9 (2006), 1235–1241, 10.1016/j.apmr.2006.05.022.
Docherty, C.L., Gansneder, B.M., Arnold, B.L., Hurwitz, S.R., Development and reliability of the ankle instability instrument. J Athl Train 41 (2006), 154–158 https://pubmed.ncbi.nlm.nih.gov/16791299/.
Borloz, S., Crevoisier, X., Deriaz, O., Ballabeni, P., Martin, R.L., Luthi, F., Evidence for validity and reliability of a french version of the FAAM. BMC Musculoskelet Disord, 12(1), 2011, 40, 10.1186/1471-2474-12-40.
Geerinck, A., Beaudart, C., Salvan, Q., Van Beveren, J., D'Hooghe, P., Bruyère, O., et al. French translation and validation of the Cumberland Ankle Instability Tool, an instrument for measuring functional ankle instability. Foot Ankle Surg, 2019, 10.1016/j.fas.2019.05.002 S1268-7731(19):30065-30067.
Locquet, M., Benhotman, B., Bornheim, S., Van Beveren, J., D'Hooghe, P., Bruyère, O., et al. The “Ankle Instability Instrument”: cross-cultural adaptation and validation in French. Foot Ankle Surg, 2020, 10.1016/j.fas.2020.02.006 S1268-7731(20):30032-1.
Richie, D.H., Izadi, F.E., Return to play after an ankle sprain: guidelines for the podiatric physician. Clin Podiatr Med Surg 32:2 (2015), 195–215, 10.1016/j.cpm.2014.11.003.
Larmer, P.J., Mcnair, P.J., Smythe, L., Williams, M., Ankle sprains: patient perceptions of function and performance of physical tasks. A mixed methods approach. Disabil Rehabil 33:22–23 (2011), 2299–2304, 10.3109/09638288.2011.568668.
Eechaute, C., Vaes, P., Duquet, W., The dynamic postural control is impaired in patient with chronic ankle instability: reliability and validity of the Multiple Hop Test. Clin J Sport Med 19:2 (2009), 107–114, 10.1097/JSM.0b013e3181948e8.
Hoch, M.C., Staton, G.S., Mckeon, P.O., Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport 14:1 (2011), 90–92, 10.1016/j.jsams.2010.08.001.
Gabriner, M.L., Houston, M.N., Kirby, J.L., Hoch, M.C., Contributing factors to Star Excursion Balance Test performance in individuals with chronic ankle instability. Gait Posture 41:4 (2015), 912–916, 10.1016/j.gaitpost.2015.03.013.
Hadzic, V., Sattler, T., Topole, E., Jarnovic, Z., Burger, H., Dervisevic, E., Risk factors for ankle sprain in volleyball players: a preliminary analysis. Isokinet Exerc Sci 17:3 (2009), 155–160, 10.3233/IES-2009-0347.
Loeffen, F.G.J., Shimozono, Y., Kerkhoffs, G.M.M.J., Kennedy, J.G., Return to play after ankle injury. Volker, M., Jon, K., Krutsch, W., Mandelbaum, B.R., Espregueira-mendes, J., Hooghe, P., (eds.) Return to play in Football, 2018, Springer Nature, Berlin, Germany, 10.1007/978-3-662-55713-6 [chapter 29].
Hoch, M.C., McKeon, P.O., Normative range of weight-bearing lunge test performance asymmetry in healthy adults. Man Ther 16:5 (2011), 516–519, 10.1016/j.math.2011.02.012.
Zambaldi, M., Beasley, I., Rushton, A., Return to play criteria after hamstring muscle injury in professional football: a Delphi consensus study. Br J Sports Med 51:16 (2017), 1221–1226, 10.1136/bjsports-2016-097131.
Delvaux, F., Rochcongar, P., Bruyère, O., Bourlet, G., Daniel, C., Reginster, J.-Y., et al. Return-to-play criteria after hamstring injury: actual medicine practice in professional soccer teams. J Sport Sci Med 13:3 (2014), 721–723, 10.1136/bjsports-2013-092558.57.
Hall, E.A., Docherty, C.L., Simon, J., Kingma, J.J., Klossner, J.C., Strength-training protocols to improve deficits in participants with chronic ankle anstability: a randomized controlled trial. J Athl Train 50:1 (2015), 36–44, 10.4085/1062-6050-49.3.71.
Kelln, B.M., McKeon, P.O., Gontkof, L.M., Hertel, J., Hand-held dynamometry: reliability of lower extremity muscle testing in healthy, physically active,young adults. J Sport Rehabil 17:2 (2008), 160–170, 10.1123/jsr.17.2.160.
Pourkazemi, F., Hiller, C.E., Raymond, J., Black, D., Nightingale, E.J., Refshauge, K.M., Predictors of recurrent sprains after an index lateral ankle sprain: a longitudinal study. Physiotherapy (United Kingdom) 104:4 (2018), 430–437, 10.1016/j.physio.2017.10.004.
Han, J., Waddington, G., Adams, R., Anson, J., Liu, Y., Assessing proprioception: a critical review of methods. J Sport Heal Sci 5:1 (2016), 80–90, 10.1016/j.jshs.2014.10.004.
