Even though ankle sprains are among the most frequent musculoskeletal injuries seen in emergency departments, management of these injuries continues to lack standardization. Our objective was to carry out an umbrella review of systematic reviews to collect the most effective evidence-based treatments and to point out the state-of-the-art management for this injury. PubMed, Scopus, Web of Science, and the Cochrane library were searched from January 2000 to September 2020. After removing duplicates and applying the eligibility criteria, based on titles and abstracts, 32 studies were screened. At the end of the process, 24 articles were included in this umbrella review with a mean score of 7.7/11 on the AMSTAR quality assessment tool. We found evidence supporting the effectiveness of non-surgical treatment in managing acute ankle sprain; moreover, functional treatment seems to be preferable to immobilization. We also found evidence supporting the use of paracetamol or opioids as effective alternatives to non-steroidal anti-inflammatory drugs to reduce pain. Furthermore, we found evidence supporting the effectiveness of manipulative and supervised exercise therapy to prevent re-injury and restore ankle dorsiflexion.

Gaddi, D., Mosca, A., Piatti, M., Munegato, D., Catalano, M., Di Lorenzo, G., et al. (2022). Acute Ankle Sprain Management: An Umbrella Review of Systematic Reviews. FRONTIERS IN MEDICINE, 9(7 July 2022) [10.3389/fmed.2022.868474].

Acute Ankle Sprain Management: An Umbrella Review of Systematic Reviews

Gaddi D.;Mosca A.;Piatti M.;Munegato D.;Catalano M.;Di Lorenzo G.;Turati M.
;
Zanchi N.;Piscitelli D.;Zatti G.;Bigoni M.
2022

Abstract

Even though ankle sprains are among the most frequent musculoskeletal injuries seen in emergency departments, management of these injuries continues to lack standardization. Our objective was to carry out an umbrella review of systematic reviews to collect the most effective evidence-based treatments and to point out the state-of-the-art management for this injury. PubMed, Scopus, Web of Science, and the Cochrane library were searched from January 2000 to September 2020. After removing duplicates and applying the eligibility criteria, based on titles and abstracts, 32 studies were screened. At the end of the process, 24 articles were included in this umbrella review with a mean score of 7.7/11 on the AMSTAR quality assessment tool. We found evidence supporting the effectiveness of non-surgical treatment in managing acute ankle sprain; moreover, functional treatment seems to be preferable to immobilization. We also found evidence supporting the use of paracetamol or opioids as effective alternatives to non-steroidal anti-inflammatory drugs to reduce pain. Furthermore, we found evidence supporting the effectiveness of manipulative and supervised exercise therapy to prevent re-injury and restore ankle dorsiflexion.
Si
Articolo in rivista - Articolo scientifico
Scientifica
acute; ankle; injury; management; rehabilitation; sprain; treatment;
English
Gaddi, D., Mosca, A., Piatti, M., Munegato, D., Catalano, M., Di Lorenzo, G., et al. (2022). Acute Ankle Sprain Management: An Umbrella Review of Systematic Reviews. FRONTIERS IN MEDICINE, 9(7 July 2022) [10.3389/fmed.2022.868474].
Gaddi, D; Mosca, A; Piatti, M; Munegato, D; Catalano, M; Di Lorenzo, G; Turati, M; Zanchi, N; Piscitelli, D; Chui, K; Zatti, G; Bigoni, M
File in questo prodotto:
File Dimensione Formato  
Gaddi-2002-Front Med-VoR.pdf

accesso aperto

Descrizione: Systematic Review
Tipologia di allegato: Publisher’s Version (Version of Record, VoR)
Dimensione 619.08 kB
Formato Adobe PDF
619.08 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/391067
Citazioni
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
Social impact