Introduction: Distortions of the talocrural joint occur as a result of a sudden, short-term displacement of the articular surfaces that exceeds the normal range of motion in the joint. It is accompanied by a partial rupture of the joint capsule and ligaments and hemorrhage in the joint and surrounding soft tissues. It is clinically manifested by edema, hematoma, and pain in the normal range of ankle joint motion. The therapeutic approach is determined depending on the duration of the sprain. Traditional treatment in the early stage of an ankle sprain includes cryotherapy, compression dressings, and elevation of the affected limb. In the subacute and chronic stages, the range of physical means used is expanded.
Aim: To review and evaluate existing treatment options for ankle sprains.
Materials and methods: Analysis of literature sources.
Results: The review of the scientific literature proved the therapeutic value of the considered physical factors, revealing their significance in the complex treatment of ankle joint distortion and supporting the faster recovery of the patient after the acute pain syndrome as well as the return of normal activities of daily life.
Conclusion: Physical factors play an important role in the treatment of ankle sprains, as they significantly increase the effectiveness of treatment, shorten the recovery period, and prevent the process from becoming chronic and complications from occurring.
Gross, J., Fetto, J., Rosen, E. Musculoskeletal Examination. 2nd edition. Wiley-Blackwell: 2002. p385
Бойчев Б., Конфорти Б., Чоканов К.. Оперативна ортопедия и травматология. Медицина и физкултура. София. 1958
Guhl J., Boynton M., Parisien J. Foot and ankle arthroscopy 3th edition. Springer: 2006, p20
Standard S., Herzenberg J., Conway J., Lamm B., Siddiqui N. The art of Limb Alignment. 4th edition. Independently published. 2015
Floyed R., Thompson C. Manual of Structural Kinesiology 16th edition. McGraw- Hill. 2006
Рязкова М. Физикална терапия. Обща и специална част. Арсо-София. 2002
Дебрунер Х., Хеп В. Ортопедична диагностика. Медицина и физкултура-София. 1996
Гатев С., Банков С., Бусаров С. Ръководство по физикална терапия. Том 2. Медицина и физкултура-София. 1992
Canale S., Beaty J., Campbell’s Operative Orthopaedics 12th edition. Elsevier. 2013
David J., Dandy D. Essential orthopaedics and trauma. 4th edition. Churchill Livingstone. 2003
Doherty C., Bleakley C., Delahunt E. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis. Br. J Sports Med 2017; 51:113-125
Kemler E. et al. A systematic review on the treatment of acute ankle sprain. Sports Med 2011;41: 185-97
Lamb SE. Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. The Lancet (British edition). 2009;373(9663):575-581
van Rijn RM. What Is the Clinical Course of Acute Ankle Sprains? A Systematic Literature Review. Am J Med. 2008;121(4):324; 324-331.e6; 331.e6.
Houglum PA. Soft tissue healing and its impact on rehabilitation. J Sport Rehab. 1992;1(1):19-39
Bleakley C. The Use of Ice in the Treatment of Acute Soft-Tissue Injury: A Systematic Review of Randomized Controlled Trials. Am J Sports Med. 2004;32(1):251-261
Bleakley CM. The PRICE study (Protection Rest Ice Compression Elevation): Design of randomized controlled trial comparing standards versus cryokinetic ice applications in the management of acute ankle sprain /ISRCTN13903946/.BMC musculoskeletal disorders. 2007; 8:125
Knight KL. Ice for immediate care of injuries. The Physician and sportsmedicine. 1982;10(2):137
Airaksinen O. Elastic bandages and intermittent pneumatic compression for treatment of acute ankle sprains. Arch Phys Med Rehabil. 1990;71(6):380-383
Prentice WE, ed. Therapeutic Modalities. Fifth ed. Boston: McGraw-Hill; 2003
Suliman R. Effect of phonophoretic application of diclofenac gel on localized musculoskeletal disorders. Current Therapeutic Research. Vol. 55, No11;1994
Charles M. Hyaluronidase by iontophoresis in the treatment of edema. Journal of the American physical therapy association. Vol. 44.;1964
Charles T. Iontophoresis: Application in Transdermal medication delivery. Physical therapy, Vol. 75, 1995, P 554-563
Rashid S, Salick K, Kashif M, Ahmad A, Sarwar K. To evaluate the efficacy of Mobilization Techniques in Post-Traumatic stiff ankle with and without Paraffin Wax Bath. Pak J Med Sci 2013;29(6):1406-1409
Lisa Chinn, MS. Rehabilitation of Ankle and Foot |injuries in Athletes. Clin Sports Med. 2010; 29(1): 157–167. doi:10.1016 j.csm.2009.09.006