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Conservative Treatment for Acute Ankle Sprain: A Systematic Review.

Ana Belen Ortega-Avila1,2, Pablo Cervera-Garvi1, Ana Marchena-Rodriguez1

  • 1Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain.

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Conservative treatments for acute ankle sprains effectively relieve pain and improve function. However, most studies reviewed were of low quality, necessitating further high-quality research for definitive conclusions.

Keywords:
ankle sprainconservative treatmentfunctionpainsystematic review

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Physical Therapy

Background:

  • Acute ankle sprains are common injuries, particularly in sports.
  • Conservative management is frequently employed, but evidence quality varies.

Purpose of the Study:

  • To identify and evaluate the effectiveness of conservative treatments for acute ankle sprains.
  • To assess pain relief and functional recovery outcomes.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) from inception to December 2019.
  • Searched multiple databases including PubMed, Scopus, and CINAHL.
  • Assessed study quality using the Cochrane risk of bias tool.

Main Results:

  • Twenty studies met inclusion criteria; only nine were high quality.
  • 75% of studies had low quality regarding blinding and outcome assessment.
  • Despite low study quality, conservative treatments generally provided pain relief and improved function.

Conclusions:

  • Conservative treatment is effective for acute ankle sprains, offering pain relief and functional improvement.
  • The overall low quality of existing research limits definitive conclusions.
  • Higher-quality RCTs are needed to establish more robust evidence.