Functional rehabilitation in the management of ankle sprain: a systematic review
DOI:
https://doi.org/10.59856/arch.soc.chil.med.deporte.v66i1.6Keywords:
Functional rehabilitation, ankle, sprain, instability, athletesAbstract
Objective: to determine which are the types of interventions most used in functional rehabilitation of ankle sprain in all its degrees in athletes.
Method: A systematic search was carried out in 5 databases (Google Academic, Science Direct, SCielo, Sportdiscus, Dialnet and Redalyc) whose publication date was between January 1, 2015 and September 30, 2019. After analyzing 235 studies had to be considered their usefulness and relevance for inclusion in the review. 16 studies met the inclusion criteria and the methodological quality assessment.
Results: According to what was obtained in this review, the different included studies compare and support the effectiveness of various functional methods in the treatment of ankle sprain and instability. It is highlighted that functional rehabilitation work is mainly based on balance protocols, use of unstable devices and surfaces, proprioception, strengthening through counter-resistance and combination of bandages.
Conclusion: The most used interventions in functional rehabilitation of ankle sprain are balance, the use of destabilizing devices, and proprioception. Similarly, it is concluded that functional rehabilitation, and especially early, is superior to conventional treatment
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References
Pfeiffer R, Mangus B. Las lesiones deportivas. Badalona: Paidotribo; 2007.
García K, Hernández S, Larrañaga A, Sánchez Hernández E. Propuesta de rehabilitación funcional para el tratamiento del esguince de tobillo e inestabilidad lateral en atletas de alto rendimiento. Orthotips. 2016; 12(1): 49-56.
Kaplan M. Guía de lesiones del deportista. Barcelona: HISPANO EUROPEA S.A; 2016.
Bernett P, Schirmann A. Acute sporting injuries of the ankle joint (author's transl). Unfallheilkunde. 1979; 82(4):155-60.
Carrie H, Lori B. Ejercicio Terapéutico: Recuperación Funcional. Badalona: Paidotribo; 2006.
Coburn J. Malek, M. Manual NSCA: Fundamentos del entrenamiento personal. Badalona: Paidotribo; 2017.
Garrick J. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med. 1977; 5(6):241-2. DOI: https://doi.org/10.1177/036354657700500606
Glick J, Gordon R, Nishimoto D. The prevention and treatment of ankle injuries. Am J Sports Med. 1976; 4(4):136-41. DOI: https://doi.org/10.1177/036354657600400402
Hosea T, Carey C, Harrer M. The gender issue: epidemiology of ankle injuries in athletes who participate in basketball. Clin Orthop Relat Res. 2000; 372:45-9. DOI: https://doi.org/10.1097/00003086-200003000-00006
Uceda Y. La rehabilitación funcional temprana del esguince lateral de tobillo. Revisión sistemática. [Trabajo de final de grado]. [España]. Universidad Pública de Navarra. 2014. [citado 04 septiembre 2019]. Disponible en: https://academica-e.unavarra.es/handle/2454/11988
Fong D, Hong Y, Chan L, Yung P, Chan K. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007; 37(1):73-94. DOI: https://doi.org/10.2165/00007256-200737010-00006
Becker-Hüter, A., Heipertz, W., & Shewe, H. (2005). La rehabilitación en el deporte. Editorial Paidotribo.
Sampietro M. Rehabilitación Funcional Integrada del Futbolista. Córdoba: Material principal G-SE. 1er Curso de Rehabilitación Funcional Integrada del Futbolista. 2011
Colado JC, Chulvi I. Criterios para la planificación y el desarrollo de programas de acondicionamiento muscular en el ámbito de la salud. En: Ejercicio físico en salas de acondicionamiento muscular: bases científico-médicas para una práctica segura y saludable. Madrid: Editorial Médica Panamericana, 2008; 91-127
Cano L, Cobo E, Mesquida M. Tratamiento funcional del esguince de tobillo. Rehabilitación. 2004; 38(4):182-7. DOI: https://doi.org/10.1016/S0048-7120(04)73454-4
Kachanathu S, Hafez A, Alenazi A, Hassan S, Algarni A, Albarrati A. Efficacy of Closed and Open Kinematic Chain Exercises on Ankle Sprain Rehabilitation. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 2016; 26(1):28-31. DOI: https://doi.org/10.1055/s-0035-1565047
Estrada C, García G, Montoya H. Inestabilidad lateral crónica de tobillo con tratamiento mínimo invasivo con peroneo lateral corto. Acta Ortop. Mex. 2013; 27(3):156-9.
Cascaes F, Valdivia B, da Rosa R, Gutiérrez, P, da Silva R. Escalas y listas de evaluación de la calidad de estudios científicos. Rev Cuba Inf Cienc Salud. 2013; 24(3):295-312.
Arboleda J. Correa E, Ramírez M, Gómez A, Efectos combinados del vendaje neuromuscular y de reposicionamiento fibular en la función dinámica del tobillo en futbolistas del Club Deportivo Pereira. Mente Joven. 2018; 7:18-25.
Herrera E. Análisis de la capacidad de limitación de la inversión, efectos sobre el equilibrio dinámico y la funcionalidad, de un vendaje funcional y una ortesis de tobillo en jugadores de baloncesto. [Tesis doctoral]. [España]. Universidad Internacional de Cataluña. 2015. [citado 04 de septiembre 2019]. Disponible en: https://www.tesisenred.net/handle/10803/313242
Ju S, Park G. Effects of the application of ankle functional rehabilitation exercise on the ankle joint functional movement screen and isokinetic muscular function in patients with chronic ankle sprain. J Phys Ther Sci. 2017; 29(2):278-81. DOI: https://doi.org/10.1589/jpts.29.278
Donovan L, Hart J, Hertel J. Effects of 2 ankle destabilization devices on electromyography measures during functional exercises in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2015; 45(3):220-32. DOI: https://doi.org/10.2519/jospt.2015.5222
VahediNamin S, Letafatkar A, Farhan V. Effects of balance training on movement control, balance and performance in females with chronic ankle instability. Hormozgan Med J. 2017; 21(3):188-99. DOI: https://doi.org/10.29252/hmj.21.3.188
Hall E. Chomistek A, Kingma J, Docherty C. Balance-and strength-training protocols to improve chronic ankle instability deficits, part I: assessing clinical outcome measures. J Athl Train. 2018; 53(6):568-77. DOI: https://doi.org/10.4085/1062-6050-385-16
McKeon P, Wikstrom E. Sensory-targeted ankle rehabilitation strategies for chronic ankle instability. Med Sci Sports Exerc. 2016; 48(5):776. DOI: https://doi.org/10.1249/MSS.0000000000000859
Sivakumar C, Sudhakar S, Sudan S, Nandakumar R. Effectiveness strengthening exercises and Mulligan’s mobilization in patients with unilateral ankle sprain. Int. J Pharm Sci Rev Res. 2017; 8(4):555-9.
Strom M, Thorborg K, Bandholm T, Tang L, Zebis M, Nielsen K, Bencke J. Ankle joint control during single-legged balance using common balance training devices–implications for rehabilitation strategies. Int J Sports Phys Ther. 2016; 11(3):388.
Weerasekara R, Tennakoon S, Suraweera H. Effect of self-managed exercise protocol for subjects with ankle sprain. Foot Ankle Online J. 2015; 8(1):8.
Donovan L, Hart J, Saliba S, Park J, Feger M, Herb C, Hertel J. Rehabilitation for chronic ankle instability with or without destabilization devices: a randomized controlled trial. J Athl Train. 2016; 51(3): 233-51. DOI: https://doi.org/10.4085/1062-6050-51.3.09
Mettler A, Chinn L, Saliba S, McKeon P, Hertel J. Balance training and center-of-pressure location in participants with chronic ankle instability J Athl Train. 2015; 50(4):343-9. DOI: https://doi.org/10.4085/1062-6050-49.3.94
De Ridder R, Willems T, Vanrenterghem J, Roosen P. Effect of a home-based balance training protocol on dynamic postural control in subjects with chronic ankle instability. Int J Sports Med. 2015; 36(7):596-602. DOI: https://doi.org/10.1055/s-0034-1396823
Razzano C, Izzo R, Savastano R, Colantuoni C, Carbone S. Noninvasive Interactive Neurostimulation Therapy for the Treatment of Low-Grade Lateral Ankle Sprain in the Professional Contact Sport Athlete Improves the Short-Term Recovery and Return to Sport: A Randomized Controlled Trial. J Foot Ankle Surg. 2019; 58(3): 441-6. DOI: https://doi.org/10.1053/j.jfas.2018.09.009
Salim N, Umar M, Shaharudin S. Effects of the standard physiotherapy programme on pain and isokinetic ankle strength in individuals with grade I ankle sprain. J Taibah Univ Sci. 2018; 13(6):576-81. DOI: https://doi.org/10.1016/j.jtumed.2018.10.007
Lee SW. Meta-Analysis and Quality Assessment of Randomized Controlled Trials. Hanyang Medical Reviews. 2015; 35(1):33-9. DOI: https://doi.org/10.7599/hmr.2015.35.1.33
Van Tulder M, Furlan A, Bombardier C, Bouter L. Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine (Phila Pa 1976) 2003;28:1290-9 DOI: https://doi.org/10.1097/01.BRS.0000065484.95996.AF
Taube W Gruber M Gollhofer A. Spinal and supraspinal adaptations associated with balance training and their functional relevance. Acta Physiol. 2008; 193: 101–116. DOI: https://doi.org/10.1111/j.1748-1716.2008.01850.x
Cug M, Duncan A, Wikstrom E. Comparative Effects of Different Balance Training Progression Styles on Postural Control and Ankle Force Production: A Randomized Controlled Trial. Athl Train. 2016;51(2):101-110 DOI: https://doi.org/10.4085/1062-6050-51.2.08
Smith BI, Docherty CL, Simon J, Klossner J, Schrader J. Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability. J Athl Train. 2012; 47(3):282-288. DOI: https://doi.org/10.4085/1062-6050-47.3.06
Kosik BK, McCann SR, Terada M, Gribble AP. Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a systematic review. Br J Sports Med. 2016 DOI: https://doi.org/10.1136/bjsports-2016-096534
Rasool J, George K. The impact of single-leg dynamic balance training on dynamic stability. Phys Ther Sport. 2007; 8(4):177-184. 18. DOI: https://doi.org/10.1016/j.ptsp.2007.06.001
Schaefer JL, Sandrey MA. Effects of a 4-week dynamic balance training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle instability. J Sport Rehabil. 2012; 21(4):313-326. DOI: https://doi.org/10.1123/jsr.21.4.313
Zöch C Fialka-Moser V Quittan M. Rehabilitation of ligamentous ankle injuries: a review of recent studies. Br J Sports Med. 2003; 37: 291–295. DOI: https://doi.org/10.1136/bjsm.37.4.291
Arnold BL, De La Motte S, Linens S, Ross SE. Ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sports Exerc 2009; 41: 1048–1062 DOI: https://doi.org/10.1249/MSS.0b013e318192d044
Munn J, Sullivan SJ, Schneiders AG. Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis. J Sci Med Sport 2010; 13: 2–12. DOI: https://doi.org/10.1016/j.jsams.2009.03.004
Wikstrom EA, Naik S, Lodha N, Cauraugh JH. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med Sci Sports Exerc 2009; 41: 1287–129 DOI: https://doi.org/10.1249/MSS.0b013e318196cbc6
Nam S, Kim W, Yun CK. Effects of balance training by knee joint motions on muscle activity in adult men with functional ankle instability. J Phys Ther Sci. 2016; 28(5):1629-1632. DOI: https://doi.org/10.1589/jpts.28.
Ali Sholi G, Ghanbarzadeh M, Habibi A, Ranjbar R. The Effects of Combined Exercises Intensity (Aerobics-Resistance) on Plasma Cortisol and Testosterone Levels in Active Males. Int J Basic Sci Med. 2016; 1(1):18-24. DOI: https://doi.org/10.15171/ijbsm.2016.05
Hartsell HD, Spaulding SJ: Relaciones excéntricas / concéntricas a velocidades seleccionadas para los músculos inversor y evertor del tobillo crónicamente inestable. Br J Sports Med, 1999, 33: 255–258. DOI: https://doi.org/10.1136/bjsm.33.4.255
Konradsen L, Ravn JB: inestabilidad del tobillo causada por un tiempo de reacción peroneo prolongado. Acta Orthop Scand, 1990, 61: 388–390. DOI: https://doi.org/10.3109/17453679008993546
Osborne MD, Rizzo TD, Jr: Prevención y tratamiento del esguince de tobillo en atletas. Sports Med, 2003, 33: 1145-1150. DOI: https://doi.org/10.2165/00007256-200333150-00005
Kim KJ, Kim YE, Jun HJ y col. Qué tratamiento es más efectivo para la inestabilidad funcional del tobillo: fortalecimiento o fortalecimiento muscular combinado y ejercicios propioceptivos. J Phys Ther Sci , 2014, 26 : 385–388
McKeon PO, Ingersoll CD, Kerrigan DC, et al. : Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sports Exerc, 2008, 40: 1810–1819. DOI: https://doi.org/10.1249/MSS.0b013e31817e0f92
Long, Z, Wang R, Han J, Waddington G, Adams R, Anson J. Optimizing ankle performance when taped: effects of kinesiology and athletic taping on propioception in full weigth bearing stance. Journal of science and Medicine Sport. 2017; 20 (3): 236-40 DOI: https://doi.org/10.1016/j.jsams.2016.08.024
Ross SE: Noise-enhanced postural stability in subjects with functional ankle instability. Br J Sports Med, 2007, 41: 656–659, discussion 659 DOI: https://doi.org/10.1136/bjsm.2006.032912
Salazar J. Estudio comparativo de tratamiento convencional frente a tratamiento temprano o funcional en esguince de tobillo grado II en futbolistas de las categorías sub 16 y sub 19 en el Club Deportivo Independiente del Valle, Sangolquí, Pichincha [Trabajo de final de grado]. [Ecuador]. Pontificia Universidad Católica de Ecuador. 2018. [citado 04 septiembre 2019]. Disponible en: http://repositorio.puce.edu.ec/handle/22000/15495
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