Higher patient comfort obtained from treatment of acute ankle sprain with semi-rigid brace .
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(12):111 BMC Musculoskelet Disord. 2012 May 28;13:81. doi: 10.1186/1471-2474-13-81100 patients, who had sustained a grade II or III ankle sprain, were randomised into two groups to either receive treatment with tape or with a semi-rigid ankle brace, for 4 weeks, in order to determine the treatment preference. Assessments collected over a 12 week period following the start of treatment demonstrated that patients wearing the semi-rigid brace had higher comfort and satisfaction.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Ja = 1
Ungewiss = 0.5
Nicht relevant = 0
Nein = 0
Die Bewertung der Berichtskriterien bewertet die Transparenz, mit der die Autoren die methodischen und studienspezifischen Merkmale der Studie in der Veröffentlichung angeben. Die Bewertung ist in fünf Kategorien unterteilt, die im Folgenden vorgestellt werden.
3/4
Randomization
2/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
4/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
Der Fragilitätsindex ist ein Instrument, das bei der Interpretation signifikanter Ergebnisse hilft und ein Maß für die Stärke eines Ergebnisses liefert. Der Fragilitätsindex gibt die Anzahl der aufeinanderfolgenden Ereignisse an, die zu einem dichotomen Ergebnis hinzugefügt werden müssen, damit das Ergebnis nicht mehr signifikant ist. Eine kleine Zahl steht für ein schwächeres Ergebnis und eine große Zahl für ein stärkeres Ergebnis.
Warum wurde diese Studie jetzt benötigt?
Acute ankle sprain is a common musculoskeletal injury, usually as a result of either sports or inversion trauma. Functional treatment methods, such as taping or bracing are often used to treat ankle sprains over plaster immobilization and elastic bandage techniques due to better functional results. However, the preference between taping and bracing techniques for treating acute ankle sprains still remains unclear.
Was war die wichtigste Forschungsfrage?
Which of the two types of functional treatment for acute ankle sprain, taping or bracing, led to higher patient comfort and satisfaction when measured over a 12 week period?
- There was a significant difference in patient satisfaction between the two groups. Patients in the Tape group had a decrease in satisfaction after 4 weeks of treatment, while patients in the Semi-rigid Brace group experienced an increase in satisfaction 4 weeks after treatment (p<0.05)
- Hygiene was significantly higher in patients in the Semi-rigid Brace group at all times, compared to patients in the Tape group (Group effect: F 5.3; partial eta squared 0.125; PG<0.0001, Time effect: Wilks' Lambda 0.948; F 5.310; partial eta squared 0.029; PT=0.02, Interaction: Wilks' Lambda 0.997; F 0.332; partial squared eta 0.045; PTxG= 0.6)
- Mean ankle joint function increased significantly (Time effect: Wilks' Lambda 0.438; F 29.822; partial eta squared 0.562; PT<0.0001) as time progressed with either treatment and there was no significant difference between the two groups (Group effect: F 0.492; partial eta squared 0.005; PG=0.5)
- Although there was no significant difference between both groups, the mean range of motion of the injured ankle improved in both treatments from week 4 (Tape group: 13.7 +/- 9.0; Semi-rigid brace group: 12.8 +/- 14.1) (p=0.7) to week 12 (Tape group: 6.1 +/- 7.6; Semi-rigid brace group: 6.1 +/- 7.9) (p=1.0)
- Although there was no significant difference between both groups, the mean range of motion of the uninjured ankle improved in both treatments from week 4 (Tape group: 12.5 +/- 8.9; Semi-rigid brace group: 12.3 +/- 11.3) (p= 0.9) to week 12 (Tape group: 3.6 +/- 6.4; Semi-rigid brace group: 5.8 +/- 7.6) (p=0.2)
- There was no significant difference between pain scores in both groups (Group effect: F 0.277, partial eta squared 0.003; PG= 0.4, Time effect: Wilks' Lambda 0.526; F 18.023; partial eta squared 0.474; PT<0.0001, Interaction: Wilks' Lambda 0.924; F 1.651, partial eta squared 0.076; PTxG=0.4)
Was sollte ich mir besonders merken?
The results displayed that wearing the semi-rigid brace during the healing process of an acute ankle sprain led to higher patient satisfaction and more comfort compared to the taping approach. There were no differences observed between the two techniques in terms of functional outcomes and pain.
Wie wird sich dies auf die Behandlung meiner Patienten auswirken?
Generally, patients with acute ankle sprain preferred wearing the semi-rigid brace over taping the ankle in this sample.
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