Neuromuscular training after acute lateral ankle sprain

BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c5722 (Published 26 October 2010) Cite this as: BMJ 2010;341:c5722
  1. Evert A L M Verhagen, senior researcher
  1. 1Department of Public and Occupational Health, EMGO-Institute, VU University Medical Centre, NL-1081NT, Amsterdam, Netherlands
  1. e.verhagen{at}vumc.nl

Is supported by limited evidence as part of functional treatment

The most common location of musculoskeletal injuries is the ankle joint—mostly acute lateral ligament injuries and ankle sprains.1 Such injuries are therefore commonly encountered in clinical practice, and their impact should not be underestimated. In addition to the acute symptoms, about a third of patients who have an ankle sprain report residual pain, instability, or re-injury.2 Re-injuries are especially worrying because they lead to chronic pain or instability in 20-50% of cases.3 In the linked systematic review (doi:10.1136/bmj.c5688), van Rijn and colleagues assessed the clinical effects of supervised neuromuscular exercises in people with acute lateral ankle sprains.4

Despite the high incidence and severity of ankle sprains, the optimal treatment strategy is not known. In the past, usual care consisted of rest and elevation, but current evidence suggests that “functional” …

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