scholarly journals TERAPI LATIHAN FISIK SEBAGAI TATA LAKSANA CEDERA SPRAIN PERGELANGAN KAKI BERULANG: LAPORAN KASUS

2018 ◽  
Vol 14 (2) ◽  
pp. 137-148
Author(s):  
Alvin Wiharja ◽  
Sri Nilawati
Keyword(s):  
Systematic Review ◽  
Exercise Therapy ◽  
Ankle Sprain ◽  
Conservative Management ◽  
Scientific Evidence ◽  
Athletic Trainers ◽  
Research Question ◽  
Treatment Options ◽  
Position Statement ◽  
Ankle Sprains

Cedera sprain pada pergelangan kaki merupakan cedera yang sering terjadi pada saat melakukan latihan fisik (Terada et al., 2013; Kaminski et al., 2013; Ktaiche et al., 2015; Lin et al., 2012). Para klinisi telah mengupayakan berbagai metode tata laksana untuk menangani cedera ini. Terdapat keanekaragaman pilihan terapi dan strategi penanganan masalah kesehatan pada pasien dengan keluhan nyeri pada pergelangan pasien (Kaminski et al., 2013; Terada et al., 2013). Namun demikian, kombinasi ataupun pilihan terapi yang paling efektif pada cedera ini masih belum dapat ditentukan secara pasti (Terada et al., 2013). Langkah pertama yang dilakukan adalah menentukan pertanyaan penelitian, yaitu: “Jenis terapi pilihan apakah yang sesuai untuk cedera sprain pergelangan kaki?” Kemudian dilakukan systematic review untuk mengumpulkan bukti-bukti ilmiah terbaru agar membantu menjelaskan tata laksana dan pencegahan cedera sprain pergelangan kaki. Didapatkan 2 manuskrip yang membahas isu yang hampir serupa dengan berjudul “Theurapetic Intervention for Increasing Ankle Dorsoflexion After Ankle Sprain: A Systematic Review” dan “National Athletic Trainers’ Associations Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes”. Pada manuskrip tersebut menjabarkan kombinasi latihan peregangan, latihan kekuatan, latihan propioseptif dalam terapi latihan fisik sebagai prosedur tata laksana dan pencegahan cedera sprain pergelangan kaki berulang yang paling efektif (Kaminski et al., 2013; Terada et al., 2013). Dapat disimpulkan terapi pilihan berdasarkan penelusuran ilmiah pada pasien dengan keluhan cedera sprain pada pergelangan kaki adalah terapi latihan fisik. Namun perlu diperhatikan pada peresepan latihan fisik setiap pasien akan berbeda disesuaikan dengan kondisi dan keadaan masing-masing individunya.ABSTRACTAnkle sprain is a common injury that often occurs during exercise (Terada et al., 2013; Kaminski et al., 2013; Ktaiche et al., 2015; Lin et al., 2012). Clinicians have been seeking various ways to deal with this injury. There are a variety of treatment options and strategies to manage this health issues in patients (Kaminski et al., 2013; Terada et al., 2013). However, the most effective therapy in these injuries still has not be determined (Terada et al., 2013).Firstable, by determining the research question: "Which is the most appropriate therapy for an ankle sprain injury?" Then conducted a systematic review to gather the latest scientific evidence in order to help in choosing the appropriate the treatment and prevention of ankle sprain injury. Obtained two manuscripts that discuss the similar issue, entitled "Intervention for Increasing Ankle Theurapetic Dorsoflexion After Ankle sprain: A Systematic Review" and "National Athletic Trainers' Associations Position Statement: Conservative Management and Prevention of Ankle sprains in Athletes". In the manuscript describes a combination of stretching exercises, strength training, exercise therapy propioception in exercise is the most effective procedures on managing and preventing recurrent ankle sprains (Kaminski et al., 2013; Terada et al., 2013).We can conclude that the treatment of choice based on scientific searches in ankle sprain injury patients is exercise therapy. However, it should be noted on the prescription of exercise will vary according to the conditions and circumstances of each patients.Keywords: ankle sprain, exercise therapy, recurrent injury, prevention program

scholarly journals TERAPI LATIHAN FISIK SEBAGAI TATALAKSANA CEDERA SPRAIN PERGELANGAN KAKI BERULANG: LAPORAN KASUS

2019 ◽  
Vol 13 (2) ◽  
pp. 106-117
Author(s):  
Alvin Wiharja ◽  
Sri Nilawati
Keyword(s):  
Systematic Review ◽  
Exercise Therapy ◽  
Ankle Sprain ◽  
Conservative Management ◽  
Scientific Evidence ◽  
Athletic Trainers ◽  
Research Question ◽  
Treatment Options ◽  
Position Statement ◽  
Ankle Sprains

Ankle sprain is a common injury that often occurs during exercise. Clinicians have been seeking various ways to deal with this injury. There are a variety of treatment options and strategies to manage this health issues in patients.  However, the most effective therapy in these injuries still has not be determined.Firstable, by determining the research question: "Which is the most appropriate therapy for an ankle sprain injury?" Then conducted a systematic review to gather the latest scientific evidence in order to help in choosing the appropriate the treatment and prevention of ankle sprain injury. Obtained two manuscripts that discuss the similar issue, entitled "Intervention for Increasing Ankle Theurapetic Dorsoflexion After Ankle sprain: A Systematic Review" and "National Athletic Trainers' Associations Position Statement: Conservative Management and Prevention of Ankle sprains in Athletes". In the manuscript describes a combination of stretching exercises, strength training, exercise therapy propioception in exercise is the most effective procedures on managing and preventing recurrent ankle sprains.We can conclude that the treatment of choice based on scientific searches in ankle sprain injury patients is exercise therapy. However, it should be noted on the prescription of exercise will vary according to the conditions and circumstances of each patients.ABSTRAKCedera sprain pada pergelangan kaki merupakan cedera yang sering terjadi pada saat melakukan latihan fisik. Para klinisi telah mengupayakan berbagai metode tatalaksana untuk menangani cedera ini. Terdapat keanekaragaman pilihan terapi dan strategi penanganan masalah kesehatan pada pasien dengan keluhan nyeri pada pergelangan pasien. Namun demikian, kombinasi ataupun pilihan terapi yang paling efektif pada cedera ini masih belum dapat ditentukan secara pasti.Langkah pertama yang dilakukan adalah menentukan pertanyaan penelitian, yaitu: “Jenis terapi pilihan apakah yang sesuai untuk cedera sprain pergelangan kaki?” Kemudian dilakukan systematic review untuk mengumpulkan bukti-bukti ilmiah terbaru agar membantu menjelaskan tatalaksana dan pencegahan cedera sprain pergelangan kaki. Didapatkan 2 manuskrip yang membahas isu yang hampir serupa dengan berjudul “Theurapetic Intervention for Increasing Ankle Dorsoflexion After Ankle Sprain: A Systematic Review” dan “National Athletic Trainers’ Associations Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes”. Pada manuskrip tersebut menjabarkan kombinasi latihan peregangan, latihan kekuatan, latihan propioseptif dalam terapi latihan fisik sebagai prosedur tatalaksana dan pencegahan cedera sprain pergelangan kaki berulang yang paling efektif. Dapat disimpulkan terapi pilihan berdasarkan penelusuran ilmiah pada pasien dengan keluhan cedera sprain pada pergelangan kaki adalah terapi latihan fisik. Namun perlu diperhatikan pada peresepan latihan fisik setiap pasien akan berbeda disesuaikan dengan kondisi dan keadaan masing-masing individunya.

scholarly journals Athletic Trainers' Perception on Treating and Managing Ankle Sprains

2020 ◽  
Author(s):  
Revay O. Corbett ◽  
Luzita Vela ◽  
Paul C. Harris ◽  
Susan Saliba ◽  
Jay Hertel
Keyword(s):  
Patient Education ◽  
Athletic Training ◽  
Ankle Sprain ◽  
Online Survey ◽  
Athletic Trainers ◽  
Position Statement ◽  
Group Differences ◽  
Ankle Sprains ◽  
Long Term Effects ◽  
Cross Sectional

Abstract Context: Ankle sprains common occurrences in athletic and general populations. High volumes of ankle sprains elevate the clinical burden on Athletic Trainers (AT). While there is a position statement from the National Athletic Trainers' Association (NATA) regarding the treatment and management of ankle sprains, there may be factors impacting an AT's ability to effectively implement the recommendations. Objective: To evaluate current understanding, perceptions and difficulties ATs have regarding the treatment, management, and long-term effects of ankle sprains. Design: Cross-sectional study. Setting: Online survey instrument. Patients or Other Participants: Seven hundred and ninety-six ATs across all athletic training job settings (years certified=12.1±9.2 years). Interventions: None. Main Outcome Measures: Participants completed a thirty-eight-question survey that recorded demographics, perceptions and knowledge on epidemiology, treatment, and management of ankle sprains. The survey also documented participants' patient education practices, attitudes towards the NATA position statement regarding ankle sprains, along with challenges and pressures against implementation. Descriptive statistics, correlations, and analyses of variance were used to analyze the data and evaluate group differences and relationships. Results: Eighty-three percent of participants demonstrated a moderate understanding of fundamental ankle sprain epidemiology. Group differences were seen between education levels, years certified, and job setting regarding patient education. Overall, 38.1% of ATs were either unsure or unaware of the NATA position statement, but those aware of it expressed it to be a 3.89 on a scale to five, regarding usefulness; with one being “Not Useful at All”, three being “Neutral” and five “Very Useful”. On average, 1.9±0.88 challenges were documented to implementing effective treatment practices, and an average of 2.0±0.95 pressures reported to returning athletes to play following an ankle sprain. Conclusion: Nearly 40% of ATs were either unaware or unsure of current recommendations available to inform how ankle sprains are treated, which could impact how care is delivered.

scholarly journals National Athletic Trainers' Association Position Statement: Conservative Management and Prevention of Ankle Sprains in Athletes

2013 ◽  
Vol 48 (4) ◽  
pp. 528-545 ◽  
Author(s):  
Thomas W. Kaminski ◽  
Jay Hertel ◽  
Ned Amendola ◽  
Carrie L. Docherty ◽  
Michael G. Dolan ◽  
...  
Keyword(s):  
Health Care ◽  
Conservative Management ◽  
Health Care Professionals ◽  
Preventive Measures ◽  
Athletic Trainers ◽  
Position Statement ◽  
Return To Play ◽  
Initial Assessment ◽  
Ankle Sprains ◽  
National Athletic Trainers Association

Objective: To present recommendations for athletic trainers and other allied health care professionals in the conservative management and prevention of ankle sprains in athletes. Background: Because ankle sprains are a common and often disabling injury in athletes, athletic trainers and other sports health care professionals must be able to implement the most current and evidence-supported treatment strategies to ensure safe and rapid return to play. Equally important is initiating preventive measures to mitigate both first-time sprains and the chance of reinjury. Therefore, considerations for appropriate preventive measures (including taping and bracing), initial assessment, both short- and long-term management strategies, return-to-play guidelines, and recommendations for syndesmotic ankle sprains and chronic ankle instability are presented. Recommendations: The recommendations included in this position statement are intended to provide athletic trainers and other sports health care professionals with guidelines and criteria to deliver the best health care possible for the prevention and management of ankle sprains. An endorsement as to best practice is made whenever evidence supporting the recommendation is available.

Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis

2011 ◽  
Vol 45 (8) ◽  
pp. 660-672 ◽  
Author(s):  
Claire E Hiller ◽  
Elizabeth J Nightingale ◽  
Chung-Wei Christine Lin ◽  
Garrett F Coughlan ◽  
Brian Caulfield ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ankle Sprain ◽  
Test Performance ◽  
Postural Sway ◽  
Meta Analysis ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Eyes Closed ◽  
Recurrent Ankle Sprain

ObjectiveTo examine whether people with recurrent ankle sprain, have specific physical and sensorimotor deficits.DesignA systematic review of journal articles in English using electronic databases to September 2009. Included articles compared physical or sensorimotor measures in people with recurrent (≥2) ankle sprains and uninjured controls.Main outcome groupsOutcome measures were grouped into: physical characteristics, strength, postural stability, proprioception, response to perturbation, biomechanics and functional tests. A meta-analysis was undertaken where comparable results within an outcome group were inconsistent.ResultsFifty-five articles met the inclusion criteria. Compared with healthy controls, people with recurrent sprains demonstrated radiographic changes in the talus, changes in foot position during gait and prolonged time to stabilisation after a jump. There were no differences in ankle range of motion or functional test performance. Pooled results showed greater postural sway when standing with eyes closed (SMD=0.9, 95% CI 0.4 to 1.4) or on unstable surfaces (0.5, 0.1 to 1.0) and decreased concentric inversion strength (1.1, 0.2 to 2.1) but no difference in evertor strength, inversion joint position sense or peroneal latency in response to a perturbation.ConclusionThere are specific impairments in people with recurrent ankle sprain but not necessarily in areas commonly investigated.

scholarly journals National Athletic Trainers' Association Position Statement: Preparticipation Physical Examinations and Disqualifying Conditions

2014 ◽  
Vol 49 (1) ◽  
pp. 102-120 ◽  
Author(s):  
Kevin M. Conley ◽  
Delmas J. Bolin ◽  
Peter J. Carek ◽  
Jeff G. Konin ◽  
Timothy L. Neal ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Scientific Evidence ◽  
Athletic Trainers ◽  
Health And Safety ◽  
Sports Participation ◽  
Position Statement ◽  
Organized Sports ◽  
Physical Examinations ◽  
National Athletic Trainers Association ◽  
Medicine Community

Objective To present athletic trainers with recommendations for the content and administration of the preparticipation physical examination (PPE) as well as considerations for determining safe participation in sports and identifying disqualifying conditions. Background Preparticipation physical examinations have been used routinely for nearly 40 years. However, considerable debate exists as to their efficacy due to the lack of standardization in the process and the lack of conformity in the information that is gathered. With the continuing rise in sports participation at all levels and the growing number of reported cases of sudden death in organized athletics, the sports medicine community should consider adopting a standardized process for conducting the PPE to protect all parties. Recommendations Recommendations are provided to equip the sports medicine community with the tools necessary to conduct the PPE as effectively and efficiently as possible using available scientific evidence and best practices. In addition, the recommendations will help clinicians identify those conditions that may threaten the health and safety of participants in organized sports, may require further evaluation and intervention, or may result in potential disqualification.

scholarly journals Systematic Review of Fire Needling or Warm Needling Treatment for Ankle Sprain

2020 ◽  
Vol 37 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Hong Je Ko ◽  
Jae Hee Yoo ◽  
Min Wook Kim ◽  
Jeong Cheol Shin
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Ankle Sprain ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Ankle Sprains ◽  
Control Groups ◽  
Beneficial Effects ◽  
Randomized Controlled ◽  
Warm Needling

The effectiveness of fire needling or warm needling treatment in clinical studies for the treatment of ankle sprains was reviewed using 4 international (PubMed, Cochrane library, EMBASE, CNKI) and 5 Korean databases (NDSL, RISS, KISS, OASIS, KTKP). Randomized controlled trials, that performed fire needling or warm needling treatment for ankle sprains until October, 2018 were retrieved (<i>n</i> = 8). All studies were performed in China, and 7 out of 8 studies were published within the last 5 years. There were 4 studies that used fire needling treatment, 3 studies used warm needling treatment, and 1 study used fire and warm needling treatment. The ashi-points and gallbladder meridian were the most frequently selected acupoint and meridian each. All intervention groups in the 8 studies showed statistically significant beneficial effects compared with control groups. The results of this study could provide preliminary data as the basis for welldesigned randomized controlled trials on fire needling or warm needling treatment for ankle sprains.

Stress Urinary Incontinence Assessment and Conservative Treatments

2017 ◽  
Author(s):  
Sidhartha Kalra ◽  
Benjamin M Brucker
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Conservative Management ◽  
Treatment Plan ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Well Being ◽  
Surgical Approaches ◽  
Management Options ◽  
Assessment And Treatment

Stress urinary incontinence (SUI) is a prevailing condition affecting women’s physical, psychological, and social well-being. SUI is the most common type of urinary incontinence, with an estimated prevalence of 8 to 33%. Despite increased awareness, it is still commonly underreported. Identifying the problem and developing an individualized assessment and treatment plan are essential for achieving the best outcome and quality of life for these women. Numerous tools exist that may aid clinicians in making an appropriate diagnosis and then selecting the optimal treatment, including behavioral, medical, and surgical approaches. Although a plethora of treatment options exist for SUI, conservative management is considered an effective first-line option for most patients. The purpose of this review is to discuss the current understanding of SUI in women and to outline the evaluations and conservative management options with the best available scientific evidence. This review contains 3 highly rendered figures, 2 tables, and 57 references Key words: Stress Urinary Incontinence, Conservative management, Pelvic Floor Exercises, Pessary, Vaginal inserts, medical treatment

scholarly journals Therapeutics of xeroderma pigmentosum: A PRISMA-compliant systematic review

2021 ◽  
Vol 0 ◽  
pp. 1-14
Author(s):  
Fernando Antônio Gomes de Andrade ◽  
Claudio Eduardo de Oliveira Cavalcanti ◽  
Felipe Contoli Isoldi ◽  
Lydia Masako Ferreira
Keyword(s):  
Systematic Review ◽  
Xeroderma Pigmentosum ◽  
Meta Analysis ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Skin Lesions ◽  
Medical Subject Headings ◽  
Level Of Evidence ◽  
Therapeutic Modalities ◽  
Surgical Treatments

Xeroderma pigmentosum is a rare hereditary autosomal recessive genodermatosis. At present, there are many treatment options for xeroderma pigmentosum, covering medical/procedural, surgical and combined modalities. However, the quality of these interventions has not been assessed. Our study aimed to perform a systematic review of the literature regarding the treatment of xeroderma pigmentosum. Multiple medical databases were accessed with the Medical Subject Headings terms; “xeroderma pigmentosum,” “therapeutics” and “surgical procedures, operative” from January 2000 to April 2019, including articles published in Portuguese, Spanish and English (PROSPERO-CRD42018114858). Two hundred and ninety-eight studies were found in the databases researched, of which, after applying the inclusion criteria, only 33 studies remained. The 33 complete articles were read by three of the authors, having been found: 16 reported medical/procedural and 17 reported surgical treatments. Only one clinical study presented a good level of evidence (EL: 2): a randomized clinical trial using a T4 endonuclease V (T4N5) liposome lotion which reduced the development of skin lesions in patients with xeroderma pigmentosum. Amongst surgical modalities, all studies presented low evidence level (EL: 4). Three illustrative cases are also presented, to emphasize the multiple number of times that surgical modalities may be required in these patients. The therapeutic modalities, both clinical and surgical, for xeroderma pigmentosum presented a low level of scientific evidence which did not allow meta-analysis. More therapeutic studies, both clinical and surgical, with better scientific evidence are needed.

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