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- Title
The Application of the ROAST - Guideline in Ankle Sprain Rehabilitation -- A Case Study.
- Authors
Liechti, Melanie; Schurz, Alexander Philipp; Ahmadi, Elaheh; Busch, Aglaja; Bangerter, Christian; Wagemans, Jente
- Abstract
Introduction: Ankle sprains are associated with increased re-injury rates and frequent development of chronic ankle instability. 1 The Rehabilitation Oriented Assessment (ROAST) tool should help to identify mechanical and sensorimotor impairments and guide the rehabilitation decision making.2 Recently, a systematic review evaluated the measurement properties of tests recommended in the ROAST guideline which is used to underpin the decision making for our case.3 Objectives: Monitoring the rehabilitation process using impairment-based testing. Study design: Case study Methods: We assessed overall ankle function, pain, swelling, range of motion (ROM), sensorimotor function, and muscle strength according to ROAST. In addition, we evaluated brain activity using electroencephalography and time to stabilization (TTS) after jump landing. The measurements were performed at baseline (T0), 6 weeks (T1), three (T2) and six months (T3) after injury. Results: A middle-distance triathlete (31 years) twisted his right ankle during running. Medical examination revealed no fracture but positive anterior drawer test. Self-reported ankle function increased significantly at T1 or T2 according to the minimal clinical important difference (MCID) for the Foot and Ankle Ability Measure (mean difference (MD): 10.4 - MCID: 9) and Cumberland Ankle Instability Tool (right MD: 9 - MCID: 3). ROM improved over timepoints without fulfilling the cut-off of ≥ 10cm for dorsiflexion (9.9cm at T3). Ankle pain, swelling and calf muscle strength were inconspicuous. Composite Y-balance scores failed to meet the criteria of 94% (left: 82.16%, right: 85.66%) at T3. The injured limb demonstrated higher cognitive activity during balance exercises on T1. No clear patterns were observed for balance exercises (T2, T3) and TTS after jump landings. Conclusions: Self-reported ankle function normalized over time but measured ankle function did not reach standardized thresh- old values. Brain activity might indicate increased cognitive resources to maintain balance on the injured limb six weeks post injury.
- Subjects
NORWAY; SPORTS injuries; EXERCISE therapy; FUNCTIONAL assessment; TREATMENT effectiveness; CONFERENCES &; conventions; ANKLE injuries; SPRAINS
- Publication
International Journal of Sports Physical Therapy, 2024, Vol 19, Issue 6, p775
- ISSN
2159-2896
- Publication type
Article