A Perceptual Framework for Conservative Treatment and Rehabilitation of Ankle Sprains: An Evidence-Based Paradigm Shift.

Abstract:

:Lateral ankle sprains are the most common injuries sustained during physical activity. The epidemiologic trends associated with chronic ankle instability (CAI) suggest that current rehabilitation approaches may be inadequate. We sought to synthesize best-practices evidence for the rehabilitation of patients with acute ankle sprains and CAI through the integration of emerging paradigms in perception, the dynamics of skill acquisition, and the biopsychosocial model of function, disability, and health. From the best available evidence, 4 key factors emerged for effective treatment and rehabilitation strategies: pain reduction, external ankle support for up to 1 year, progressive return to motion, and coordination training. We combined these factors into a meta-theoretical framework that centers on the perceptual interdependence of the cellular, local, and global functioning levels by linking insights from the body-self neuromatrix, the dynamics of skill acquisition, and the biopsychosocial model. Based on the best-practice recommendations from systematic reviews, ankle-sprain rehabilitation represents a multidimensional phenomenon governed by perception. The impairments, activity limitations, and participation restrictions associated with CAI may be linked to perceptual-interdependence alterations. Pain and edema reduction, the use of external ankle support for up to 1 year, progressive return to motion, and coordination training foster enhanced perceptual interdependence from cells to society. Using the perceptual-interdependence framework for ankle-sprain rehabilitation, we offer new insights for charting the course of effective strategies for enhancing function, reducing disability, and preventing the long-term sequelae associated with CAI.

journal_name

J Athl Train

authors

McKeon PO,Donovan L

doi

10.4085/1062-6050-474-17

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

628-638

issue

6

eissn

1062-6050

issn

1938-162X

journal_volume

54

pub_type

杂志文章,评审
  • Factors Influencing Base of Gait During Running: Consideration of Sex, Speed, Kinematics, and Anthropometrics.

    abstract:CONTEXT:A narrow base of gait (BOG), the mediolateral distance between the foot and the body's line of gravity at midstance, during running is a suggested cause of injuries such as iliotibial band syndrome and tibial stress injury. However, an understanding of modifiable and nonmodifiable factors that influence BOG is ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-565-19

    authors: Stiffler-Joachim MR,Wille C,Kliethermes S,Heiderscheit B

    更新日期:2020-12-01 00:00:00

  • Development of a Peer Education Program to Improve Concussion Knowledge and Reporting in Collegiate Athletes.

    abstract:CONTEXT:A novel peer concussion-education program (PCEP) was developed to enhance concussion knowledge and reporting among collegiate student-athletes. OBJECTIVE:To describe the PCEP and its development and implementation. DESIGN:Program development consisting of a literature review, focus group, and pilot implementa...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-212-19

    authors: Ernst W,Kneavel ME

    更新日期:2020-05-01 00:00:00

  • Optimizing scholarly communication: 30 tips for writing clearly.

    abstract:OBJECTIVE:To share with potential authors tips for communicating their ideas more clearly in a scholarly manuscript. DESCRIPTION:Communicating scientific, technical, or medical information so that readers can understand its meaning requires logical organization and proper use of language. These 30 tips review basic En...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Knight KL,Ingersoll CD

    更新日期:1996-07-01 00:00:00

  • Muscle stiffness and spinal stretch reflex sensitivity in the triceps surae.

    abstract:CONTEXT:Greater musculotendinous stiffness may enhance spinal stretch reflex sensitivity by improving mechanical coupling of the muscle spindle and the stretch stimulus. This heightened sensitivity would correspond with a shorter latency and higher-amplitude reflex response, potentially enhancing joint stability. OBJE...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-43.1.29

    authors: Blackburn JT,Padua DA,Guskiewicz KM

    更新日期:2008-01-01 00:00:00

  • National Athletic Trainers' Association position statement: management of sport concussion.

    abstract:OBJECTIVE:To provide athletic trainers, physicians, and other health care professionals with best-practice guidelines for the management of sport-related concussions. BACKGROUND:An estimated 3.8 million concussions occur each year in the United States as a result of sport and physical activity. Athletic trainers are c...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,实务指引

    doi:10.4085/1062-6050-49.1.07

    authors: Broglio SP,Cantu RC,Gioia GA,Guskiewicz KM,Kutcher J,Palm M,Valovich McLeod TC,National Athletic Trainer's Association.

    更新日期:2014-03-01 00:00:00

  • Physiologic considerations of therapeutic slideboard rehabilitation with an external loading device.

    abstract:CONTEXT:Slideboard exercise is consistent with the American College of Sports Medicine guidelines for exercise intensity of 55% to 90% of maximal heart rate or 40% to 85% of maximal oxygen uptake. OBJECTIVE:To determine if slideboard exercise while in a leg harness increases the metabolic and cardiorespiratory demands...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Kimura IF,Hetzler RK,Nakasone KT

    更新日期:2006-01-01 00:00:00

  • Effective management of epistaxis in athletes.

    abstract:OBJECTIVE:To review current management techniques and describe an alternative technique for managing epistaxis in athletes. BACKGROUND:Nosebleeds are not usually considered a serious medical condition, but management can be a challenge. Traditional management techniques may place opposing athletes at risk for blood ex...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Weir JD

    更新日期:1997-07-01 00:00:00

  • Working with adolescents in a high school setting.

    abstract::While the high school setting holds the best promise of employment for the recently certified athletic trainer, most student athletic trainers do not spend time working with the secondary school athlete. The athletic trainer must be aware of the stages of adolescent psychological maturity and be sensitive to the athle...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Straub SJ

    更新日期:1993-04-01 00:00:00

  • Athletic training approved clinical instructors' reports of real-time opportunities for evaluating clinical proficiencies.

    abstract:CONTEXT:Appropriate methods for evaluating clinical proficiencies are essential to ensuring entry-level competence in athletic training. OBJECTIVE:To identify the methods Approved Clinical Instructors (ACIs) use to evaluate student performance of clinical proficiencies. DESIGN:Cross-sectional design. SETTING:Public ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-44.6.630

    authors: Armstrong KJ,Weidner TG,Walker SE

    更新日期:2009-11-01 00:00:00

  • The Effects of the Swede-O, New Cross, and McDavid Ankle Braces and Adhesive Ankle Taping on Speed, Balance, Agility, and Vertical Jump.

    abstract::Scores from motor performance tests were compared using subjects with taped and untaped ankles. Previous studies have shown that taped ankle support may be detrimental in vertical and standing broad jumping performance. Conflicting data have been published on the effects of commercial ankle braces on various motor tas...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Paris DL

    更新日期:1992-01-01 00:00:00

  • Traumatic acetabular fracture in an intercollegiate football player: a case report.

    abstract:OBJECTIVE:To present the case of a 22-year-old football player who sustained an acute posterior-wall acetabular fracture. BACKGROUND:Acetabular fractures can be a difficult injury for the athletic trainer to assess. Aside from the obvious immediate ramifications, proper assessment and care are necessary to decrease th...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Stilger VG,Alt JM,Hubbard DF

    更新日期:2000-01-01 00:00:00

  • Managing heteronormativity and homonegativity in athletic training: in and beyond the classroom.

    abstract:CONTEXT:As an allied health professional working in various settings, an athletic trainer (AT) is responsible for the health care of a highly diverse population. More often than not, this diversity is defined by the visible, such as race or sex. However, diversity encompasses many more variables than these observable f...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-43.3.326

    authors: Maurer-Starks SS,Clemons HL,Whalen SL

    更新日期:2008-05-01 00:00:00

  • Evaluating a Commonly Used Tool for Measuring Sport Specialization in Young Athletes.

    abstract:CONTEXT:Sport specialization has been defined as year-round intensive training in a single sport to the exclusion of other sports. A commonly used survey tool created by Jayanthi et al, which classifies athletes as having a low, moderate, or high level of specialization, categorizes only athletes answering yes to "Have...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-379-18

    authors: Miller M,Malekian S,Burgess J,LaBella C

    更新日期:2019-10-01 00:00:00

  • Neuromuscular characteristics of individuals displaying excessive medial knee displacement.

    abstract:CONTEXT:Knee-valgus motion is a potential risk factor for certain lower extremity injuries, including anterior cruciate ligament injury and patellofemoral pain. Identifying neuromuscular characteristics associated with knee-valgus motion, such as hip and lower leg muscle activation, may improve our ability to prevent l...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-47.5.10

    authors: Padua DA,Bell DR,Clark MA

    更新日期:2012-09-01 00:00:00

  • Examining Ankle-Joint Laxity Using 2 Knee Positions and With Simulated Muscle Guarding.

    abstract:CONTEXT:Several factors affect the reliability of the anterior drawer and talar tilt tests, including the individual clinician's experience and skill, ankle and knee positioning, and muscle guarding. OBJECTIVES:To compare gastrocnemius activity during the measurement of ankle-complex motion at different knee positions...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-51.3.06

    authors: Hanlon S,Caccese J,Knight CA,Swanik CB,Kaminski TW

    更新日期:2016-02-01 00:00:00

  • The importance of state regulation to the promulgation of the athletic training profession.

    abstract::States regulate professions to protect the public from harm by unqualified practitioners. Without regulation of athletic trainers (ATs), there is no legal way to assure quality health care to athletes because there is no legal definition as to what an AT can and cannot do. Problems exist, however; 1) ATs nationwide ma...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Rello MN

    更新日期:1996-04-01 00:00:00

  • Ankle ranges of motion during extended activity periods while taped and braced.

    abstract::Tape has traditionally been used to support the ankle during activity. More recently, commercial ankle braces have been worn as an alternative. The cumulative information on the effects of taped versus braced ankle support or interbrace comparisons is inconclusive. With few exceptions, ankle brace studies have collect...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Paris DL,Kokkaliaris J,Vardaxis V

    更新日期:1995-09-01 00:00:00

  • Surface electromyographic amplitude-to-work ratios during isokinetic and isotonic muscle actions.

    abstract:CONTEXT:Isokinetic and isotonic resistance training exercises are commonly used to increase strength during musculoskeletal rehabilitation programs. Our study was designed to examine the efficacy of isokinetic and isotonic muscle actions using surface electromyographic (EMG) amplitude-to-work ratios (EMG/WK) and to ext...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Purkayastha S,Cramer JT,Trowbridge CA,Fincher AL,Marek SM

    更新日期:2006-07-01 00:00:00

  • Evaluation of Various Cooling Systems After Exercise-Induced Hyperthermia.

    abstract:CONTEXT:Rapid diagnosis and expeditious cooling of individuals with exertional heat stroke is paramount for survival. OBJECTIVE:To evaluate the efficacy of various cooling systems after exercise-induced hyperthermia. DESIGN:Crossover study. SETTING:Laboratory. PATIENTS OR OTHER PARTICIPANTS:Twenty-two men (age = 24...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,随机对照试验

    doi:10.4085/1062-6050-52.1.11

    authors: Tan PM,Teo EY,Ali NB,Ang BC,Iskandar I,Law LY,Lee JK

    更新日期:2017-02-01 00:00:00

  • Emergent Access to the Airway and Chest in American Football Players.

    abstract:CONTEXT:American football has the highest rate of fatalities and catastrophic injuries of any US sport. The equipment designed to protect athletes from these catastrophic events challenges the ability of medical personnel to obtain neutral spine alignment and immobilization during airway and chest access for emergency ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-50.4.04

    authors: Swartz EE,Mihalik JP,Decoster LC,Al-Darraji S,Bric J

    更新日期:2015-07-01 00:00:00

  • Perceptions of Interprofessional and Collaborative Practice in Collegiate Athletic Trainers.

    abstract:CONTEXT:  The ability to engage in interprofessional and collaborative practice (IPCP) has been identified as one of the Institute of Medicine's core competencies required of all health care professionals. OBJECTIVE:  To determine the perceptions of athletic trainers (ATs) in the collegiate setting regarding IPCP and ...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-308-17

    authors: Hankemeier D,Manspeaker SA

    更新日期:2018-07-01 00:00:00

  • A History of Previous Severe Injury and Health-Related Quality of Life Among Former Collegiate Athletes.

    abstract:CONTEXT:Empirical evidence supports the idea that previous severe injuries in former collegiate athletes may adversely affect their ability to participate in daily activities later in life, which may then decrease their health-related quality of life (HRQOL). OBJECTIVE:To assess the influences of previous severe injur...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-377-17

    authors: Cowee K,Simon JE

    更新日期:2019-01-01 00:00:00

  • Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction.

    abstract:CONTEXT:Quadriceps and hamstrings weakness occurs frequently after anterior cruciate ligament (ACL) injury and reconstruction. Evidence suggests that knee injury may precipitate hip and ankle muscle weakness, but few data support this contention after ACL injury and reconstruction. OBJECTIVE:To determine if hip, knee,...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-48.3.23

    authors: Thomas AC,Villwock M,Wojtys EM,Palmieri-Smith RM

    更新日期:2013-09-01 00:00:00

  • Round Table on Malignant Hyperthermia in Physically Active Populations: Meeting Proceedings.

    abstract:CONTEXT:  Recent case reports on malignant hyperthermia (MH)-like syndrome in physically active populations indicate potential associations among MH, exertional heat stroke (EHS), and exertional rhabdomyolysis (ER). However, an expert consensus for clinicians working with these populations is lacking. OBJECTIVE:  To p...

    journal_title:Journal of athletic training

    pub_type: 共识发展会议,杂志文章

    doi:10.4085/1062-6050-52.2.06

    authors: Hosokawa Y,Casa DJ,Rosenberg H,Capacchione JF,Sagui E,Riazi S,Belval LN,Deuster PA,Jardine JF,Kavouras SA,Lee EC,Miller KC,Muldoon SM,O'Connor FG,Sailor SR,Sambuughin N,Stearns RL,Adams WM,Huggins RA,Vandermark LW

    更新日期:2017-04-01 00:00:00

  • A clinical method for identifying scapular dyskinesis, part 1: reliability.

    abstract:CONTEXT:Shoulder injuries are common in athletes involved in overhead sports, and scapular dyskinesis is believed to be one causative factor in these injuries. Many authors assert that abnormal scapular motion, so-called dyskinesis, is related to shoulder injury, but evidence from 3-dimensional measurement studies rega...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-44.2.160

    authors: McClure P,Tate AR,Kareha S,Irwin D,Zlupko E

    更新日期:2009-03-01 00:00:00

  • Instruction and jump-landing kinematics in college-aged female athletes over time.

    abstract:CONTEXT:Instruction can be used to alter the biomechanical movement patterns associated with anterior cruciate ligament (ACL) injuries. OBJECTIVE:To determine the effects of instruction through combination (self and expert) feedback or self-feedback on lower extremity kinematics during the box-drop-jump task, running-...

    journal_title:Journal of athletic training

    pub_type: 杂志文章,随机对照试验

    doi:10.4085/1062-6050-48.2.09

    authors: Etnoyer J,Cortes N,Ringleb SI,Van Lunen BL,Onate JA

    更新日期:2013-03-01 00:00:00

  • The Prediction of Intracranial Injury After Minor Head Trauma in the Pediatric Population.

    abstract::Reference: Dunning J, Batchelor J, Stratford-Smith P, et al. A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child. 2004;89:653-659.Clinical Question: Which clinical signs or symptoms of minor head trauma are predictive of intracranial hemorrhage in children and...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:

    authors: Valovich McLeod TC

    更新日期:2005-06-01 00:00:00

  • The National Athletic Treatment, Injury and Outcomes Network (NATION): Methods of the Surveillance Program, 2011-2012 Through 2013-2014.

    abstract:CONTEXT:Previous epidemiologic researchers have examined time-loss (TL) injuries in high school student-athletes, but little is known about the frequency of non-time-loss (NTL) injuries in these athletes. OBJECTIVE:To describe the methods of the National Athletic Treatment, Injury and Outcomes Network (NATION) Surveil...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-50.5.04

    authors: Dompier TP,Marshall SW,Kerr ZY,Hayden R

    更新日期:2015-08-01 00:00:00

  • Experiences with workplace bullying among athletic trainers in the collegiate setting.

    abstract:CONTEXT:Workplace bullying (WPB) is a series of persistent negative interactions that affect a clinician's ability to perform his or her role. Although WPB has been studied in other health professions, to date, no information exists pertaining to WPB in athletic training. OBJECTIVE:To determine the prevalence of WPB i...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.3.16

    authors: Weuve C,Pitney WA,Martin M,Mazerolle SM

    更新日期:2014-09-01 00:00:00

  • Achieving work-life balance in the National Collegiate Athletic Association Division I setting, part I: the role of the head athletic trainer.

    abstract:CONTEXT:Supervisor support has been identified as key to the fulfillment of work-life balance for the athletic trainer (AT), yet limited literature exists on the perspectives of supervisors. OBJECTIVE:To investigate how the head AT facilitates work-life balance among staff members within the National Collegiate Athlet...

    journal_title:Journal of athletic training

    pub_type: 杂志文章

    doi:10.4085/1062-6050-49.3.88

    authors: Mazerolle SM,Goodman A,Pitney WA

    更新日期:2015-01-01 00:00:00