- Exercise and bracing superior for preventing recurrent ankle sprain and chronic ankle instability (CAI) vs surgery.
Why this matters
- Acute ankle sprain has poor long-term prognosis, with up to 70% of patients reporting persistent residual symptoms and injury recurrence.
- This meta-analysis can help physicians adopt best treatment strategies for their patients.
- Exercise interventions significantly decreased the risk of sustaining a recurrent ankle sprain (OR, 0.59).
- High dose of exercise (>900 min) showed 52% reduction in risk for injury.
- External support interventions showed significant decrease in risk of sustaining a recurrent ankle sprain (OR, 0.38).
- A surgical intervention had higher risk for complication and greater financial cost.
- For pharmacological treatment, due to short follow-up time, no conclusion could be made.
- This meta-analysis included 46 studies assessing the treatment strategies for acute ankle sprain and CAI from inception to January 2016.
- Funding: Not declared.
- Data extraction was conducted by 1 author only.