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Evid Based Med 13:187 doi:10.1136/ebm.13.6.187
  • Prognosis

Review: many adults still have pain and subjective instability at 1 year after acute lateral ankle sprain

R M van Rijn

Dr R M van Rijn, Erasmus MC, Rotterdam, The Netherlands; r.vanrijn@erasmusmc.nl

QUESTION

What is the clinical course of conventionally treated acute lateral ankle sprains in adults?

REVIEW SCOPE

Included longitudinal studies of conventionally treated (ie, early mobilisation, sometimes combined with use of an external support) ankle sprains in adults. Outcomes included pain, re-sprains, subjective instability, and subjective recovery.

REVIEW METHODS

Medline, CINAHL, EMBASE/Excerpta Medica, PEDro, and Cochrane Controlled Trial register were searched. 31 studies were included, of which 24 had high-quality methods (scores ⩾5 out of 7, or ⩾8 out of 11 for studies of prognostic factors, on author-defined scales).

MAIN RESULTS

18 studies assessed pain. In high-quality studies with ⩽3-year follow-up …