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[Lateral instability of the ankle joint (2). Active training programs can prevent surgery]
J Karlsson1, O Lansinger, E Faxén
1Tf klinisk amanuens, Ostra sjukhuset, Göteborg.
Lakartidningen
|April 10, 1991
Summary
Physiotherapy can yield good results for chronic lateral ankle instability, especially for painful or mild cases. More severe mechanical instability may require surgery.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Physical therapy
Context:
- Chronic lateral functional ankle instability affects numerous patients.
- Non-operative management is a common initial treatment approach.
- Objective assessment of ankle instability is crucial for treatment planning.
Purpose:
- To evaluate the effectiveness of non-operative physiotherapy for chronic lateral functional ankle instability.
- To correlate functional outcomes with radiological measurements of ankle instability.
- To identify predictors of successful non-operative treatment.
Summary:
- One hundred patients with chronic lateral ankle instability underwent physiotherapy, including range-of-motion, strengthening, and balance training.
- Functional outcomes were assessed using a rating scale, alongside radiological evaluation of anterior talar translation (ATT) and talar tilt (TT).
- 49% of patients achieved excellent or good functional results, with better outcomes in those with painful or mild mechanical instability.
Impact:
- Non-operative physiotherapy provides a viable treatment option for a significant portion of patients with chronic lateral ankle instability.
- Pronounced mechanical instability may indicate a need for surgical intervention.
- Understanding the relationship between instability type and treatment outcome can guide clinical decision-making.