Should ice application be replaced with neurocryostimulation for the treatment of acute lateral ankle sprains? A randomized clinical trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(2):6 J Foot Ankle Res. 2020 Dec 1;13(1):69.What this means for my practice?
The results of this study suggest that among patients with lateral ankle sprains there is no clinical benefit with NCS compared to using ice during a standard rehabilitation program of 4 weeks when evaluating functional and pain clinical outcomes. However, the results were limited by the lack of control group which received no form of cryotherapy, a very small sample size of 41 patients, and a young patient population which may not be generalizable to older patients. Moreover, there were limited measures used for function and pain, and a variety of clinical measures are required. Therefore, a larger randomized controlled trial is required to validate these findings.
Resumen del estudio
Forty-two patients with moderate-high grade lateral ankle sprains occurring in the last 72 hours before recruitment were randomized to undergo a standard rehabilitation program of 4 weeks with the addition of applying either neurocryostimulation (NCS; n=21) or ice (n=21). The primary outcome of interest was functional capacity via the Lower Extremity Functional Scale (LEFS). Secondary outcomes of interest included pain at rest and during activities which was evaluated using the Visual Analogue Scale (VAS), measurement of ankle edema using the Figure of Eight method, and dorsiflexion range of motion (ROM) evaluated using the weight bearing lung test . All outcomes were measured at 1, 2, 4, and 6 weeks follow-up. The results of study revealed no statistically significant differences in the change from baseline for all outcomes at all timepoints between the two groups (p>0.05 for all).
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