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

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R M van Rijn

Dr R M van Rijn, Erasmus MC, Rotterdam, The Netherlands;


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


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.


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).


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

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  • Source of funding: no external funding.