Outcome of a neuromuscular training program on recurrent ankle sprains. Does the initial type of healthcare matter?
Copyright © 2020 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved..
OBJECTIVES: To study the impact of initial healthcare for a lateral ankle sprain on the outcome of neuromuscular training (NMT) on recurrent sprains and describe athlete characteristics receiving different types of healthcare.
DESIGN: Secondary analysis of three randomized trials.
METHOD: From three previous trials evaluating NMT, data on athlete characteristics, type of initial healthcare and a recurrent sprain during one-year follow-up were collected (N = 705). Multilevel logistic regression analyses were used to test the impact of initial healthcare on the outcome of NMT on recurrent sprains. Potential differences in athlete characteristics between different types of healthcare were examined using one-way analysis of variance and Pearson chi-square test.
RESULTS: After NMT, 39.7% of the athletes visiting paramedical care reported a recurrent sprain, 21.8% of secondary and 34.0% of primary care. Athletes who visited a physiotherapist reported more recurrent sprains, than those not visiting a physiotherapist (adjusted OR 3.15;95%CI 1.88-5.23). Athletes visiting paramedical (49.7%) and primary care (48.4%) used more braces and/or tape during sport than those not visiting any care (34.2%).
CONCLUSIONS: The initial type of healthcare of athletes with an ankle sprain, that consecutively received NMT, seems to impact the occurrence of recurrent sprains. Physiotherapists may be visited by athletes with a poorer prognosis, which may be explained by different athlete characteristics.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
|---|---|
| Enthalten in: |
Journal of science and medicine in sport - 23(2020), 9 vom: 01. Sept., Seite 807-813 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Mailuhu, Adinda K E [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Ankle injury |
|---|
| Anmerkungen: |
Date Completed 12.01.2021 Date Revised 12.01.2021 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jsams.2020.03.010 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM30892004X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM30892004X | ||
| 003 | DE-627 | ||
| 005 | 20231225132757.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jsams.2020.03.010 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1029.xml |
| 035 | |a (DE-627)NLM30892004X | ||
| 035 | |a (NLM)32307227 | ||
| 035 | |a (PII)S1440-2440(19)31357-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Mailuhu, Adinda K E |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Outcome of a neuromuscular training program on recurrent ankle sprains. Does the initial type of healthcare matter? |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 12.01.2021 | ||
| 500 | |a Date Revised 12.01.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a OBJECTIVES: To study the impact of initial healthcare for a lateral ankle sprain on the outcome of neuromuscular training (NMT) on recurrent sprains and describe athlete characteristics receiving different types of healthcare | ||
| 520 | |a DESIGN: Secondary analysis of three randomized trials | ||
| 520 | |a METHOD: From three previous trials evaluating NMT, data on athlete characteristics, type of initial healthcare and a recurrent sprain during one-year follow-up were collected (N = 705). Multilevel logistic regression analyses were used to test the impact of initial healthcare on the outcome of NMT on recurrent sprains. Potential differences in athlete characteristics between different types of healthcare were examined using one-way analysis of variance and Pearson chi-square test | ||
| 520 | |a RESULTS: After NMT, 39.7% of the athletes visiting paramedical care reported a recurrent sprain, 21.8% of secondary and 34.0% of primary care. Athletes who visited a physiotherapist reported more recurrent sprains, than those not visiting a physiotherapist (adjusted OR 3.15;95%CI 1.88-5.23). Athletes visiting paramedical (49.7%) and primary care (48.4%) used more braces and/or tape during sport than those not visiting any care (34.2%) | ||
| 520 | |a CONCLUSIONS: The initial type of healthcare of athletes with an ankle sprain, that consecutively received NMT, seems to impact the occurrence of recurrent sprains. Physiotherapists may be visited by athletes with a poorer prognosis, which may be explained by different athlete characteristics | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Ankle injury | |
| 650 | 4 | |a intervention outcome | |
| 650 | 4 | |a medical consumption | |
| 650 | 4 | |a re-sprains | |
| 700 | 1 | |a van Middelkoop, Marienke |e verfasserin |4 aut | |
| 700 | 1 | |a Bierma-Zeinstra, Sita M A |e verfasserin |4 aut | |
| 700 | 1 | |a Bindels, Patrick J E |e verfasserin |4 aut | |
| 700 | 1 | |a Verhagen, Evert A L M |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of science and medicine in sport |d 1997 |g 23(2020), 9 vom: 01. Sept., Seite 807-813 |w (DE-627)NLM096709413 |x 1878-1861 |7 nnns |
| 773 | 1 | 8 | |g volume:23 |g year:2020 |g number:9 |g day:01 |g month:09 |g pages:807-813 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jsams.2020.03.010 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 23 |j 2020 |e 9 |b 01 |c 09 |h 807-813 | ||