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Related Experiment Videos

Interventions for preventing ankle ligament injuries.

K Quinn1, P Parker, R de Bie

  • 1Room G30, Business Organisation, School of Management, Heriot-Watt University, Riccarton, Currie, UK, EH14 4AS. K.M.Quinn@hw.ac.uk

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary
This summary is machine-generated.

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Ankle supports, like braces and orthoses, significantly reduce ankle sprains in physically active individuals, especially those with a history of prior injury. This evidence supports their use in high-risk sports to prevent common ligament injuries.

Area of Science:

  • Sports Medicine
  • Orthopedics
  • Injury Prevention

Background:

  • Ankle sprains are frequent injuries in high-impact sports such as basketball and soccer.
  • These injuries are among the most common reasons for seeking medical treatment.

Purpose of the Study:

  • To evaluate the effectiveness of interventions aimed at preventing ankle ligament injuries or sprains.
  • The focus is on physically active individuals across a wide age range, from adolescence to middle age.

Main Methods:

  • A systematic review of randomized or quasi-randomized controlled trials was conducted.
  • Searches included major databases (MEDLINE, EMBASE, CINAHL) and trial registers, with data collected up to March 1997.
  • Methodological quality was independently assessed, and data were pooled, with subgroup analysis for participants with a history of previous sprains.

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Main Results:

  • Five trials involving 3954 participants demonstrated that external ankle supports (semi-rigid orthoses, air-cast braces) significantly reduced ankle sprains (Peto OR 0.49).
  • The protective effect was more pronounced in individuals with a prior ankle sprain history.
  • No significant difference was observed in injury severity or the incidence of other leg injuries; evidence for 'high-top' shoes and ankle disc training was limited.

Conclusions:

  • External ankle supports, specifically semi-rigid orthoses and air-cast braces, are effective in preventing ankle sprains during high-risk sports.
  • Individuals with a history of ankle sprains may benefit from using these supports to reduce future injury risk.
  • Consideration should be given to the activity's baseline risk, device cost, and potential impact on performance; further research on other interventions is warranted.