Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review | Canada Hyperbarics Skip to main content
Systematic Review Aust J Physiother 2008

Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review

Bleakley C, McDonough S, MacAuley D — Aust J Physiother, 2008

Tier 1, Curated

Manually reviewed and included in the Canada Hyperbarics research database.

Summary

What Researchers Did

Researchers conducted a systematic review of 23 randomized controlled trials to see which treatments best help people recover from acute ankle sprains when added to early movement and external support.

What They Found

The review found strong evidence that non-steroidal anti-inflammatory drugs (NSAIDs) reduce pain and improve short-term ankle function. Moderate evidence showed neuromuscular training decreases instability and re-injury, and comfrey root ointment lessens pain and improves function. Manual therapy techniques also moderately improved ankle dorsiflexion, but there was no evidence to support hyperbaric oxygen therapy.

What This Means for Canadian Patients

Canadian patients with acute ankle sprains might find short-term relief from pain and improved function using NSAIDs, comfrey root ointment, or manual therapy. Neuromuscular training could also help prevent future re-injuries. This study suggests that hyperbaric oxygen therapy is not an effective treatment for acute ankle sprains.

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

The study was limited by a lack of long-term follow-up in most included trials and few studies focused on preventing long-term problems.

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Study Details

Study Type Systematic Review
Category Systematic Reviews
Source Pubmed
PubMed ID 18298355
Year Published 2008
Journal Aust J Physiother
MeSH Terms Ankle Injuries; Combined Modality Therapy; Humans; Physical Therapy Modalities; Sprains and Strains

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.