One simple, near universal injury—the ankle sprain—is the cause of more chronic musculoskeletal conditions than almost any other injury.
As the Ankle Twists and Turns – Special JAT Edition Released
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#anklesprainsSecondary#anklearthritis#anklepain
For that reason, the Journal of Athletic Training has issued a sequel to its landmark 2002 ankle issue.
Jay Hertel, PhD, ATC, FNATA, FACSM, Editor-in-Chief of the Journal of Athletic Training (JAT) and the Joe H. Gieck Professor of Sports Medicine in the Department of Kinesiology at the University of Virginia, Charlottesville and Thomas W. Kaminski, PhD, ATC, FNATA, FACSM, member of the JAT Editorial Board and Professor in the Department of Kinesiology and Applied Physiology at the University of Delaware, Newark explained the reason for this special edition of JAT to OTW; “Seventeen years after JAT’s 2002 special edition on ankle injuries, we find that ankles continue to turn (primarily into inversion) as ankle sprains and instability remain a critical problem in the athletic training and sports medicine communities.”
“We now recognize that, for many patients who sustain an initial ankle sprain, recurrent ankle sprains and bouts of instability will become lifelong concerns that will affect physical activity levels and health-related quality of life.”
“Although the topic of this thematic issue is not new, this publication includes a series of literature reviews, clinical commentaries, and original research articles that present the current state of the science of preventing, assessing, and treating patients with ankle sprains and instability.”
“The application of novel theoretical constructs, such as dynamic systems theory and the biopsychosocial model of health care, and contemporary measurement techniques from disciplines such as psychophysiology to the study of ankle sprains and instability has led to new ways of understanding these conditions and to advances in the clinical management of patients.”
Contributing to this very important issue of JAT were:
- JAT Senior Associate Editor J. Ty Hopkins, PhD, ATC, FNATA, FACSM
- Associate Editors Phillip A. Gribble, PhD, ATC, FNATA
- Patrick O. McKeon, PhD, ATC, CSCS
- Guest Editors Eamonn Delahunt, PhD, BSc
- Erik A. Wikstrom, PhD, ATC, FACSM
- JAT Managing Editor Leslie Neistadt
- Editor Kevin Clear
Readers can access this timely and very important special edition here.
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Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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