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Physiotherapy for patients with lateral ankle sprains: a prospective survey of practice patterns in Dutch primary health care.
Roebroeck, M.E., Dekker, J., Oostendorp, R.A.B., Bosveld, W. Physiotherapy for patients with lateral ankle sprains: a prospective survey of practice patterns in Dutch primary health care. Physiotherapy: 1998, 84(9), 421-432
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The goal of this study is to describe treatment patterns by Dutch physiotherapists for patients with lateral ankle sprains, and to compare them with assumptions on expected treatment that are derived from the literature. For this purpose, data of 251 patients with a sprain of the ankle were compared with a reference group of 16,823 patients with different medical diagnoses. Data concerned patient characteristics, treatment sessions, goals pursued (defined in terms of impairments and disabilities), and interventions applied by physiotherapists. As expected, important treatment goals for these patients were to reduce swelling, improve stability of the joint and muscle power, and enhance mobility. Bandaging and exercise were frequently used. Contrary to expectations, little emphasis was found on instructions for home exercises and on reduction of disability in the last phase of treatment. Ultrasound and shortwave therapy were applied more frequently than expected. Regarding the essential aspects of functional treatments, a moderate degree of correspondence was found between actual treatment of patients with sprained ankles and assumptions on expected treatment. The discrepancies found between theory and practice may stimulate physiotherapists to reconsider these aspects of their treatment. (aut.ref.)
The goal of this study is to describe treatment patterns by Dutch physiotherapists for patients with lateral ankle sprains, and to compare them with assumptions on expected treatment that are derived from the literature. For this purpose, data of 251 patients with a sprain of the ankle were compared with a reference group of 16,823 patients with different medical diagnoses. Data concerned patient characteristics, treatment sessions, goals pursued (defined in terms of impairments and disabilities), and interventions applied by physiotherapists. As expected, important treatment goals for these patients were to reduce swelling, improve stability of the joint and muscle power, and enhance mobility. Bandaging and exercise were frequently used. Contrary to expectations, little emphasis was found on instructions for home exercises and on reduction of disability in the last phase of treatment. Ultrasound and shortwave therapy were applied more frequently than expected. Regarding the essential aspects of functional treatments, a moderate degree of correspondence was found between actual treatment of patients with sprained ankles and assumptions on expected treatment. The discrepancies found between theory and practice may stimulate physiotherapists to reconsider these aspects of their treatment. (aut.ref.)