A Comparison of Early Mobilization Versus Traditional Treatment for Acute Ankle Sprains.

Study Overview
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Brief Summary
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Acute ankle sprain is one of the most common musculoskeletal injuries, accounting for an estimated 2 million injuries per year and 20% of all sports injuries in the United States. Ankle sprains can lead to prolonged periods of pain, difficulty with mobility, and lost work or play time. Current best practice guidelines for treatment of an acute ankle sprain are protection, rest, ice, compression and elevation (PRICE). However recent systematic reviews for ankle sprains call into question this treatment. Two critical components; immobilization and ice, have little or no evidence of efficacy for ankle sprain. Interestingly, mobilization appears to be more effective at reducing the pain, swelling and stiffness of musculoskeletal injuries including ankle sprains. Historically the limitation to early mobilization has been pain. Recently developed stretch bands have been introduced to the therapy market as a tool that allows pain-free active and resisted ankle movement after acute ankle sprain. The investigators propose a double blind randomized controlled study to compare 2 ankle sprain treatments on their ability to speed recovery and reduce morbidities such as pain, swelling and weakness.

Official Title
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Efficacy of Stretch Band Ankle Traction Technique in the Treatment of Acute Ankle Sprains.

Conditions
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Ankle Sprain

Intervention / Treatment
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* Other: Jump Stretch


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 3 day post injury Exclusion Criteria: fracture chronic sprain

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Jump stretch<br>Distraction with early mobilization | Other: Jump Stretch<br>* distraction with early mobilization<br>|
| Active Comparator: RICE<br>Subject receive standard ankle sprain treatment of Rest Ice compression and elevation for one week. This is followed by traditional strength and range of motion therapy. The subject does not receive distraction treatments. | Other: Jump Stretch<br>* distraction with early mobilization<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| days until return to activities | days until return to activities | discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| VAS scale | scale to measure pain 1 week post enrollment | 1 week | 
| strength | change in strength | 1 week | 
| Figure of Eight Measurement | change in size of ankle in figure 8 measurement to swelling | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Acute ankle sprain in children and young adults