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Interventions for preventing ankle ligament injuries
H H Handoll1, B H Rowe, K M Quinn
1Department of Orthopaedic Surgery, Clinical Research Unit, Princess Margaret Rose Orthopaedic Hospital, Edinburgh, UK, EH10 7ED. h.handoll@ed.ac.uk
The Cochrane Database of Systematic Reviews
|November 1, 2001
Summary
Ankle supports, such as semi-rigid orthoses or air-cast braces, significantly reduce ankle sprains in physically active individuals. These supports are particularly beneficial for those with a history of previous ankle sprains.
Area of Science:
- Sports Medicine
- Orthopedics
- Injury Prevention
Background:
- Ankle sprains are common injuries in sports like basketball and soccer.
- They represent a significant portion of acute care treatments.
Purpose of the Study:
- To evaluate interventions for preventing ankle ligament injuries in active individuals.
- Focus on prevention in adolescents to middle-aged populations.
Main Methods:
- Systematic review of randomized and quasi-randomized trials.
- Searched multiple databases including MEDLINE and PubMed up to July 2000.
- Included trials on footwear, external supports, training, and education.
Main Results:
- 14 trials involving 8279 participants were analyzed.
- External ankle supports (orthoses, braces) significantly reduced ankle sprains (RR 0.53).
- Effect was more pronounced in individuals with prior sprains but also beneficial for those without.
Conclusions:
- Ankle supports (semi-rigid orthoses, air-cast braces) are effective in preventing ankle sprains during high-risk sports.
- Individuals with a history of sprains may benefit most.
- Balance benefits against activity risk, cost, and potential performance impact.