Evaluation of the Effects of Tecar Therapy on Acute Symptoms of Athletes Following Lateral Ankle Ligament Sprain

Background and Objectives: Tecar therapy as a modality has been considered due to its reported effects on reducing pain and swelling and finally increasing range of motion and improving function. The aim of this study was to evaluate the effects of tecar therapy on acute symptoms of athletes following lateral ankle ligament sprain in the treatment and control groups between pre-treatment periods, after 6 sessions, and after 12 sessions of treatment. Methods: In this study, 23 patients in each group including athletes with an acute lateral ankle ligament sprain in the acute stage in Tehran. The participant of this study were divided into 2 groups of control with normal treatment and the second group with normal treatment + tecar treatment. Participants were homogenized in terms of age, height, weight, and level of exercise. To evaluate the pain intensity of patients in the two groups and to measure the swelling of the ankle joint, a tape measure (mm) was used. A goniometer was used to measure the degree of ankle motions. The Foot and Ankle Ability Measure (FAAM) questionnaire was also used to collect data. Results: Statistical analyzes showed that the mean numerical visual criterion of pain in both groups was significantly lower after 6 and 12 sessions of treatment (P<0.001). The results of the analysis of variance showed that the mean swelling in the treatment group and in the control group after 6 and 12 sessions of treatment (P<0.001) was significantly lower than the mean swelling before treatment. Also, the mean swelling after 12 sessions of treatment was significantly lower than after 6 sessions of treatment (P<0.001). Regarding daily life activities and the percentage of athlete satisfaction in performing the activity, the test results showed that the athlete’s scores after 6 and 12 sessions of treatment (P<0.001) were significantly higher than before treatment. Also, their scores after 12 sessions of treatment were significantly higher than 6 sessions (P<0.001). The performance scores in both groups after 6 and 12 sessions of treatment (P<0.001) were significantly higher than performance scores before treatment. Also, the performance scores after 12 sessions of treatment were significantly higher than 6 sessions of treatment (P<0.001). Conclusion: The results of the present study showed that tecar therapy in patients with lateral ligament sprain of the ankle joint improves the condition of symptoms after an injury, including swelling, pain, daily life activities, percentage of athlete satisfaction with daily activities, and finally his performance and it can be used as a complementary treatment along with common therapies.

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Donor Site Morbidity After Lateral Ankle Ligament Reconstruction Using the Anterior Half of the Peroneus Longus Tendon Autograft

The American Journal of Sports Medicine ◽

10.1177/0363546516675167 ◽

2016 ◽

Vol 45 (4) ◽

pp. 922-928 ◽

Cited By ~ 11

Author(s):

Chul Hyun Park ◽

Woo-Chun Lee

Keyword(s):

Ligament Reconstruction ◽

Plantar Flexion ◽

Lateral Ligament ◽

Lateral Ankle ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

The Mean ◽

Lateral Ankle Ligament Reconstruction ◽

Ankle Plantar Flexion

Background: The anterior half of the peroneus longus tendon (AHPLT) has been reported to be an effective autograft for ligament reconstruction with respect to strength and safety. However, there is little information regarding donor site morbidity after harvesting the AHPLT. Furthermore, to the best of our knowledge, there has not been a study on the isokinetic evaluation of ankle plantar flexion and eversion after AHPLT harvesting. Purpose: To evaluate the clinical and radiographic results after lateral ankle ligament reconstruction using the AHPLT. We further investigated whether harvesting the AHPLT for lateral ankle ligament reconstruction decreases the strength of ankle plantar flexion and eversion. Study Design: Case series; Level of evidence, 4. Methods: Thirty consecutive patients (31 cases) were treated by anatomic lateral ligament reconstruction using the AHPLT. For the clinical assessment, visual analog scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS), and Karlsson-Peterson scores were evaluated preoperatively and at the last follow-up. For the radiographic assessment, talar tilt angle and anterior talar displacement were measured preoperatively and at the last follow-up. The peak isokinetic torques for ankle plantar flexion at angular velocities of 30 and 120 deg/s and eversion at angular velocities of 30 and 60 deg/s were measured at a minimum of 1 year after surgery. Results: The mean VAS score improved significantly from 6.4 ± 1.7 preoperatively to 1.6 ± 1.5 at the last follow-up ( P < .001). The mean respective AOFAS and Karlsson-Peterson scores improved significantly from 57.2 ± 12.8 and 66.9 ± 13.6 preoperatively to 89.0 ± 10.0 and 93.3 ± 5.7 at the last follow-up ( P < .001). The mean talar tilt angle improved significantly from 15.3° ± 6.2° preoperatively to 3.4° ± 3.0° at the last follow-up ( P < .001), and the mean anterior talar displacement improved significantly from 10.2 ± 3.3 mm preoperatively to 6.3 ± 1.9 mm at the last follow-up ( P < .001). No significant differences were observed between the uninvolved and involved legs in the mean peak torque for plantar flexion at angular speeds of 30 deg/s ( P = .517) and 120 deg/s ( P = .347) or for eversion at angular speeds of 30 deg/s ( P = .913) and 60 deg/s ( P = .983). Conclusion: Anatomic lateral ligament reconstruction using the AHPLT showed good clinical and radiographic results without a significant decrease in the peroneus longus strength. Lateral ligament reconstruction using the AHPLT may be a good surgical option for the treatment of chronic ankle instability.

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The Air-Stirrup brace with elastic wrap improved function in first incident grade 1 or 2 lateral ankle ligament sprain

Evidence-Based Medicine ◽

10.1136/ebm.12.2.48 ◽

2007 ◽

Vol 12 (2) ◽

pp. 48-48 ◽

Cited By ~ 1

Author(s):

K. Margo

Keyword(s):

Lateral Ankle ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

Ligament Sprain ◽

Improved Function

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A Radiographic Investigation to Determine the Safety of Suture Anchor Systems for Pediatric Modified Broström Ankle Ligament Reconstruction

The American Journal of Sports Medicine ◽

10.1177/0363546504268136 ◽

2005 ◽

Vol 33 (3) ◽

pp. 435-438 ◽

Cited By ~ 12

Author(s):

Kaushik Hazratwala ◽

Alistair Best ◽

Matthew Kopplin ◽

Eric Giza ◽

Martin Sullivan

Keyword(s):

Ligament Reconstruction ◽

Suture Anchor ◽

Clinical Success ◽

Suture Anchors ◽

Adult Group ◽

Lateral Ankle ◽

Adolescent Group ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

The Mean

Background The modified Broström ligament reconstruction using anchor sutures has been performed in adults with clinical success; however, the safety parameters for the use of suture anchors in adolescent lateral ankle ligament reconstruction have not been established. Purpose To perform a radiographic analysis comparing the depth of penetration of suture anchors in adult ankle ligament reconstruction with the average distance of the physis from the tip of the fibula in adolescents. Study Design Cross-sectional study, Level of evidence, 4. Methods Forty postoperative ankle radiographs of adult patients who had a modified Broström procedure were compared with 40 normal adolescent ankle radiographs. In the adult group, the distance of the suture anchor penetration from the distal tip of the fibula was measured; in the adolescent group, the distance of the physis from the distal tip of the fibula was measured. Results The mean depth of the suture anchors was 17 mm (range, 14-21 mm) from the tip of the fibula in the adult group, and the mean distance of the growth plate was 23 mm (range, 18-29 mm) in the adolescent group. Eight radiographs from the adolescent group (20%) had a physis measurement of <22 mm on the anteroposterior or mortise view. Conclusions Using careful preoperative planning and intraoperative technique, it is possible to safely perform lateral ankle ligament repair in the skeletally immature patient using suture anchors.

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Prognostic factors for outcome following acute lateral ankle ligament sprain: a systematic review

Physiotherapy ◽

10.1016/j.physio.2017.11.210 ◽

2017 ◽

Vol 103 ◽

pp. e44-e45

Author(s):

J. Thompson ◽

C. Byrne ◽

M. Williams ◽

D. Keene ◽

M. Schlussel ◽

...

Keyword(s):

Systematic Review ◽

Prognostic Factors ◽

Lateral Ankle ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

Ligament Sprain

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Prognostic factors for recovery following acute lateral ankle ligament sprain: a systematic review

BMC Musculoskeletal Disorders ◽

10.1186/s12891-017-1777-9 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 10

Author(s):

Jacqueline Yewande Thompson ◽

Christopher Byrne ◽

Mark A. Williams ◽

David J. Keene ◽

Micheal Maia Schlussel ◽

...

Keyword(s):

Systematic Review ◽

Prognostic Factors ◽

Lateral Ankle ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

Ligament Sprain

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A qualitative study of health professions curricula and management of lateral ankle ligament sprain demonstrates inconsistency

BMC Medical Education ◽

10.1186/s12909-020-02013-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Toni Green ◽

Grant Willson ◽

Kieran Fallon

Keyword(s):

Qualitative Study ◽

Health Professions ◽

Lateral Ankle ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

Ligament Sprain

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Quantitative Analysis of the Deltoid Ligament Degradation in Chronic Ankle Instability Patients using the CT Value

Foot & Ankle Orthopaedics ◽

10.1177/2473011420s00268 ◽

2020 ◽

Vol 5 (4) ◽

pp. 2473011420S0026

Author(s):

Yasunari Ikuta ◽

Tomoyuki Nakasa ◽

Junichi Sumii ◽

Akinori Nekomoto ◽

Nobuo Adachi

Keyword(s):

Ankle Instability ◽

Ligament Injury ◽

Control Group ◽

Deltoid Ligament ◽

Ankle Osteoarthritis ◽

Lateral Ankle ◽

Ct Value ◽

Ankle Ligament ◽

Lateral Ankle Ligament ◽

Ankle Ligament Injury

Category: Ankle; Other Introduction/Purpose: Chronic lateral ankle instability (CLAI) that is developed after multiple lateral ankle ligament injury lead to ankle osteoarthritis. Although isolated deltoid ligament injury is rare compared to lateral ankle ligament injury, deltoid ligament tear, especially deep posterior tibiotalar ligament (PTT) can be observed arthroscopically in CLAI patients. Unphysiological loading of the ankle joint with CLAI might cause degradation of the deltoid ligament. This study aimed to investigate image findings of the deltoid ligament using computed tomography (CT) value for quantitative analysis of degenerative ligament changes in CLAI patients. Methods: Among the enrolled patients who underwent ankle magnetic resonance imaging (MRI) and CT scans of the ankle, this retrospective analysis included 24 ankles without ankle osteoarthritis, osteochondral lesion of the talus (OLT), flatfoot and ankle fractures (14 males and 10 females; mean age, 42.8 years) as a control group, and 14 CLAI ankles without OLT (7 males and 7 females; mean age, 31.1 years) as CLAI group. The CT scans were performed using a 64-slice multidetector row CT. Deep PTT was detected on coronal T2-weighted MR images. Both the coronal MR and CT images were matched for analysis, then average CT values were measured using the region of interest that was applied to the detected area of deep PTT on the CT images. Spearman’s correlation coefficient was used to evaluate the correlation between age and CT value in the control group. Results: The strong negative correlation was identified between age and CT value in the control group (Spearman ρ= -0.88; p < 0.001). The CT value of the deep PTT are degraded with aging. Mean CT value of deep PTT in participants under 60 years old were 79.9 HU (95% CI, 75.1-84.8) in the control group (18 ankles), and 66.5 HU (95% CI, 58.6-74.5) in the CLAI group (14 ankles) (Welch’s t test; p = 0.005). Conclusion: MRI techniques and protocols recently have been developed, however, some limitations remain such as a quantitative evaluation of the ligament. Our findings suggest that the CLAI can lead to degradation of the deltoid ligament via an overloading of medial ankle structures. Additionally, CT values should be useful for quantitatively evaluating ligament status including degenerative changes.

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