Interesting ankle sprain review paper

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Hi all
Whilst I deal much more with long term ankle injuries I found the following paper quite a good read on the more acute ankle sprain. Seems pretty comprehensive though I'm sure the better brains on here may be able to constructively critique it.

Open Access Journal of Sports Medicine

Ankle sprain: pathophysiology, predisposing factors, and management strategies. Tricia J Hubbard and Erik A Wikstrom

I'm crap at putting links in but it comes up as an open access PDF.

{Admin note: here is link}

{Admin note: here is the abstract}

 

Re: Interesting Ankle Sprain paper covering

A couple of comments

These people are repeating the idea that loose ligaments cause ankle sprains. I have some problems with that idea. The ligaments limit motion at the end of range of motion. They do not limit the starting of the motion in that direction. So, an ankle/STJ would need a propensity to move in the direction of inversion/supination. That propensity could be explained by poor proprioception and/or a laterally positioned STJ axis.

An identifier of an ideological slant.

You report trends rather than statistical significance when you really want to believe that something works. If it was significant, then this is bad writing. What is the mechanism by which manipulation is going to prevent ankle sprains?

Good info on balance training.

Eric

 

Re: Interesting Ankle Sprain paper covering

Thanks Eric. Knew a better mind would be along.