Article

OBJECTIVE: To evaluate whether a battery of clinical assessments for acute
lateral ankle sprain (LAS) can be used to predict long-term recovery. DESIGN:
Cohort study. SETTING: University biomechanics laboratory. PARTICIPANTS:
Individuals (N=82) were assessed using a clinical test battery within 2 weeks of
incurring a first-time LAS. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
The clinical test battery included scores on the talar glide test (degrees), the
anterior drawer, talar tilt, figure of 8 for swelling (millimeters) and knee to
wall (millimeters) tests, and handheld goniometric range of motion (inversion,
eversion, and plantarflexion [in degrees]). Scores on the Cumberland Ankle
Instability Tool taken 12 months after the clinical test battery were used to
classify participants as having chronic ankle instability (CAI) or as being LAS
copers. RESULTS: Forty percent of participants were designated as having CAI,
with 60% being designated as LAS copers. A logistic regression analysis revealed
that a combined model using scores from the talar glide, talar tilt, and anterior
drawer tests in addition to plantarflexion range of motion was statistically
significant (P<.01) and correctly classified cases with moderate accuracy (68.8%). The final model had moderate sensitivity (64%) and good specificity (72%). CONCLUSIONS: The clinical tests used in this investigation have limited
predictive value for CAI when conducted in the acute phase of a first-time LAS injury.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS