Article

To assess the impact of rehabilitation on healing and recurrence rate of ankle
sprain, 1year apart, 111 patients, who suffered an ankle sprain (67 men and 44
women; 17 mild sprains, 67 medium and 27 severe), were included by emergency
physicians of four emergency rooms (ER) of Finistere.
The physician was free to
prescribe, or not, further investigations. He prescribed systematically to
patients RICE (rest, ice, compression, elevation) protocol, put an ankle brace,
and gave a prescription of standardized rehabilitation. The prescription was the
same for the four ER. All patients were recalled to 1year. Of the 111 patients
initially included, 21 patients were excluded for lack of response after three
phone calls. In the end, 90 patients were assessable (56 men and 34 women), mean
age 31.4+/-12.6years (range 15-55) at the time of initial trauma. Emergency
physicians had diagnosed, initially, 16 mild sprains (17.8%), 56 medium sprains
(62.2%) and 18 severe sprains (20%). Of the 90 patients, 73 patients have been
rehabilitated (81.1%). Of the 44 accidents of everyday life, 31 were
rehabilitated (70.5%). Of the 27 sports accidents, 25 were rehabilitated (92.6%).
Of the 19 work-related injuries, 17 were rehabilitated (89.5%). There is no
significant relationship between rehabilitation and no recurrence (P=0.45) nor
between rehabilitation and full recovery of the ankle (P=0.59). Conclusion: We
find no association between rehabilitation and prevention of recurrence, nor
between rehabilitation and healing of patients. However, our study is limited by
the small size of the non-rehabilitated group.
CI - Copyright (c) 2013. Published by Elsevier Masson SAS.

Langue : ANGLAIS ; FRANCAIS