Article

OBJECTIVE: To determine the point prevalence of chronic musculoskeletal ankle
disorders in the community. DESIGN: Cross-sectional stratified (metropolitan vs
regional) random sample. SETTING: General community. PARTICIPANTS:
Population-based computer-aided telephone survey of people (N=2078) aged 18 to 65
years in New South Wales, Australia. Of those contacted, 751 participants
provided data. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Point
prevalence for no history of ankle injury or chronic ankle problems (no ankle
problems), history of ankle injury without residual problems, and chronic ankle
disorders. Chronic musculoskeletal ankle disorders due to ankle sprain, fracture,
arthritis, or other disorder compared by chi-square test for the presence of
pain, weakness, giving way, swelling and instability, activity limitation, and
health care use in the past year. RESULTS: There were 231 (30.8%) participants
with no ankle problems, 342 (45.5%) with a history of ankle injury but no chronic
problems, and 178 (23.7%) with chronic ankle disorders.
The major component of
chronic ankle disorders was musculoskeletal disorders
(n=147, 19.6% of the total
sample), most of which were due to ankle injury (n=117, 15.6% of the total).
There was no difference among the arthritis, fracture, sprain, and other groups
in the prevalence of the specific complaints, or health care use. Significantly
more participants with arthritis had to limit activity than in the sprain group
(Chi-square test, P=.035). CONCLUSIONS: Chronic musculoskeletal ankle disorders
affected almost 20% of the Australian community. The majority were due to a
previous ankle injury, and most people had to limit or change their physical
activity because of the ankle disorder.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS