The effect of taping versus semi-rigid bracing on patient outcome and satisfaction in ankle sprains: a prospective, randomized controlled trialReport as inadecuate




The effect of taping versus semi-rigid bracing on patient outcome and satisfaction in ankle sprains: a prospective, randomized controlled trial - Download this document for free, or read online. Document in PDF available to download.

BMC Musculoskeletal Disorders

, 13:81

First Online: 28 May 2012Received: 05 August 2011Accepted: 28 May 2012

Abstract

BackgroundFunctional treatment is a widely used and generally accepted treatment for ankle sprain. A meta-analysis comparing the different functional treatment options could not make definitive conclusions regarding the effectiveness, and until now, little was known about patient satisfaction in relation to the outcome.

MethodsPatients with acute ankle sprain received rest, ice, compression and elevation with an compressive bandage at the emergency department. After 5-7 days, 100 patients with grade II and III sprains were randomized into two groups: one group was treated with tape and the other with a semi-rigid ankle brace, both for 4 weeks. Post-injury physical and proprioceptive training was standardized. As primary outcome parameter patient satisfaction and skin complications were evaluated using a predefined questionnaire and numeric rating scale. As secondary outcome parameter the ankle joint function was assessed using the Karlsson scoring scale and range of motion.

ResultsPatient-reported comfort and satisfaction during treatment with a semi-rigid brace was significantly increased. The rate of skin complication in this group was significantly lower compared to the tape group 14.6% versus 59.1%, P < 0.0001. Functional outcome of the ankle joint was similar between the two treatment groups, as well as reported pain.

ConclusionTreatment of acute ankle sprain with semi-rigid brace leads to significantly higher patient comfort and satisfaction, both with similar good outcome.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-81 contains supplementary material, which is available to authorized users.

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Author: Sacha Lardenoye - Ed Theunissen - Berry Cleffken - Peter RG Brink - Rob A de Bie - Martijn Poeze

Source: https://link.springer.com/



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