E-health intervention for preventing recurrent ankle sprains : a randomised controlled trial in general practice
© The Authors..
BACKGROUND: Ankle sprains are frequent injuries in general practice. However, no effective treatment is available yet.
AIM: To examine the effectiveness of an unsupervised e-health-supported neuromuscular training programme in combination with usual care compared with usual care alone in patients with acute lateral ankle sprains in general practice.
DESIGN AND SETTING: Randomised controlled trial with 1-year follow-up among patients (14-65 years) who visited the GP with an acute lateral ankle sprain within 3 weeks of injury.
METHOD: The intervention group received, in addition to usual care, an unsupervised e-health-supported neuromuscular training programme and the control group received usual care alone. The primary outcome was self-reported re-sprains during 52 weeks of follow-up. Secondary outcomes were ankle function, pain in rest and during activity, subjective recovery, and return to the same type and level of sport.
RESULTS: In total, 165 participants (mean age 38.3 years and 69 [41.8%] male) were included. No statistically significant difference in the occurrence of a re-sprain were found between the intervention 20.7% (17/82) and control group 24.1% (20/83) (hazard ratio 1.14, 95% confidence interval = 0.59 to 2.21). Also, no statistically significant differences in secondary outcomes were found between groups. The adherence rate to the programme was low (6.1%, 5/82).
CONCLUSION: The rate of re-sprains was relatively high and an unsupervised e-health-supported neuromuscular training programme does not yield meaningful effects and does not encourage adherence in preventing re-sprains in patients in general practice. More research is necessary to indicate the best treatment modality and way of delivery for these patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:74 |
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| Enthalten in: |
The British journal of general practice : the journal of the Royal College of General Practitioners - 74(2024), 738 vom: 28. Jan., Seite e56-e62 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mailuhu, Adinda Ke [VerfasserIn] |
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| Links: |
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| Themen: |
Ankle sprains |
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| Anmerkungen: |
Date Completed 01.01.2024 Date Revised 01.01.2024 published: Electronic-Print Citation Status MEDLINE |
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| doi: |
10.3399/BJGP.2022.0465 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM366455745 |
|---|
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| 245 | 1 | 0 | |a E-health intervention for preventing recurrent ankle sprains |b a randomised controlled trial in general practice |
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| 500 | |a Date Revised 01.01.2024 | ||
| 500 | |a published: Electronic-Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Authors. | ||
| 520 | |a BACKGROUND: Ankle sprains are frequent injuries in general practice. However, no effective treatment is available yet | ||
| 520 | |a AIM: To examine the effectiveness of an unsupervised e-health-supported neuromuscular training programme in combination with usual care compared with usual care alone in patients with acute lateral ankle sprains in general practice | ||
| 520 | |a DESIGN AND SETTING: Randomised controlled trial with 1-year follow-up among patients (14-65 years) who visited the GP with an acute lateral ankle sprain within 3 weeks of injury | ||
| 520 | |a METHOD: The intervention group received, in addition to usual care, an unsupervised e-health-supported neuromuscular training programme and the control group received usual care alone. The primary outcome was self-reported re-sprains during 52 weeks of follow-up. Secondary outcomes were ankle function, pain in rest and during activity, subjective recovery, and return to the same type and level of sport | ||
| 520 | |a RESULTS: In total, 165 participants (mean age 38.3 years and 69 [41.8%] male) were included. No statistically significant difference in the occurrence of a re-sprain were found between the intervention 20.7% (17/82) and control group 24.1% (20/83) (hazard ratio 1.14, 95% confidence interval = 0.59 to 2.21). Also, no statistically significant differences in secondary outcomes were found between groups. The adherence rate to the programme was low (6.1%, 5/82) | ||
| 520 | |a CONCLUSION: The rate of re-sprains was relatively high and an unsupervised e-health-supported neuromuscular training programme does not yield meaningful effects and does not encourage adherence in preventing re-sprains in patients in general practice. More research is necessary to indicate the best treatment modality and way of delivery for these patients | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a ankle sprains | |
| 650 | 4 | |a e-health | |
| 650 | 4 | |a general practice | |
| 650 | 4 | |a neuromuscular training | |
| 650 | 4 | |a treatment | |
| 700 | 1 | |a Verhagen, Evert Alm |e verfasserin |4 aut | |
| 700 | 1 | |a van Ochten, John |e verfasserin |4 aut | |
| 700 | 1 | |a Bindels, Patrick Je |e verfasserin |4 aut | |
| 700 | 1 | |a Bierma-Zeinstra, Sita Ma |e verfasserin |4 aut | |
| 700 | 1 | |a van Middelkoop, Marienke |e verfasserin |4 aut | |
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