How fundamental knowledge aids implementation: ankle sprains as an example.

Abstract:

:Over the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures, and that measures are cost-beneficial. Nevertheless, despite the commonness of this type of injury and the availability of effective measures, implementation of prevention in clinical practice is lagging behind. In addition, although proven effective, a link between biomechanical and neurophysiological adaptations as a function of preventive measures, leading to clinical and functional improvements and ultimately ankle sprain recurrence prevention, has never been fully made. The current evidence on ankle sprains and their prevention provides ample opportunities to pursue a translational approach through which fundamental knowledge will provide guidance to specify the effective preventive program to its bare essentials and decrease user-burden while retaining full effectiveness. :Ao longo dos últimos anos, um conjunto de estudos de elevada qualidade demonstrou a eficácia de medidas como suportes externos (ligaduras funcionais e estabilizadores) e treinamento muscular na prevenção de lesões da tibiotársica. Estes resultados sugerem que a recorrência de entorses do tornozelo pode ser prevenida de um modo eficaz através do uso destas medidas, as quais apresentam uma relação custo-benefício favorável. Contudo, embora estas lesões sejam muito comuns e exista uma disponibilidade de medidas eficazes, verifica-se que a implementação de estratégias de prevenção na prática clínica tem sido algo desprezada. Além disso, nunca foi implementada uma relação entre as adaptações biomecânicas e neurofisiológicas enquanto medida preventiva, embora existam evidências que comprovam a sua eficácia na melhoria clínica e funcional e, em último caso, na prevenção da recorrência de entorses do tornozelo. A evidência atual sobre esta lesão e sua prevenção oferece amplas oportunidades para fomentar uma abordagem translacional através da qual o conhecimento fundamental providenciará orientações para especificar programas de prevenção eficazes e acessíveis.

journal_name

Acta Med Port

journal_title

Acta medica portuguesa

authors

Verhagen E

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

171-4

issue

2

eissn

0870-399X

issn

1646-0758

journal_volume

26

pub_type

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