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Knee Surgery, Sports Traumatology,... Apr 2016
Topics: Ankle Injuries; Humans; Orthopedic Procedures; Sprains and Strains
PubMed: 27023097
DOI: 10.1007/s00167-016-4043-z -
BMC Complementary and Alternative... Mar 2013Ankle sprain is one of the most frequently encountered musculoskeletal injuries; however, the efficacy of acupuncture in treating ankle sprains remains uncertain. We... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Ankle sprain is one of the most frequently encountered musculoskeletal injuries; however, the efficacy of acupuncture in treating ankle sprains remains uncertain. We therefore performed a systematic review to evaluate the evidence regarding acupuncture for ankle sprains.
METHODS
We searched 15 data sources and two trial registries up to February 2012. Randomized controlled trials of acupuncture were included if they involved patients with ankle sprains and reported outcomes of symptom improvement, including pain. A Cochrane risk of bias assessment tool was used. Risk ratio (RR) or mean difference (MD) was calculated with 95% confidence intervals (CIs) in a random effects model. Subgroup analyses were performed based on acupuncture type, grade of sprain, and control type. Sensitivity analyses were also performed with respect to risk of bias, sample size, and outcomes reported.
RESULTS
Seventeen trials involving 1820 participants were included. Trial quality was generally poor, with just three reporting adequate methods of randomization and only one a method of allocation concealment. Significantly more participants in acupuncture groups reported global symptom improvement compared with no acupuncture groups (RR of symptoms persisting with acupuncture = 0.56, 95% CI 0.42-0.77). However, this is probably an overestimate due to the heterogeneity (I2 = 51%) and high risk of bias of the included studies. Acupuncture as an add-on treatment also improved global symptoms compared with other treatments only, without significant variability (RR 0.61, 95% CI 0.51-0.73, I2 = 1%). The benefit of acupuncture remained significant when the analysis was limited to two studies with a low risk of bias. Acupuncture was more effective than various controls in relieving pain, facilitating return to normal activity, and promoting quality of life, but these analyses were based on only a small number of studies. Acupuncture did not appear to be associated with adverse events.
CONCLUSIONS
Given methodological shortcomings and the small number of high-quality primary studies, the available evidence is insufficient to recommend acupuncture as an evidence-based treatment option. This calls for further rigorous investigations.
Topics: Acupuncture Therapy; Ankle; Ankle Injuries; Ankle Joint; Humans; Sprains and Strains
PubMed: 23496981
DOI: 10.1186/1472-6882-13-55 -
BMJ (Clinical Research Ed.) Sep 1990
Review
Topics: Humans; Neck Injuries; Pain Management; Sprains and Strains; Time Factors; Whiplash Injuries
PubMed: 2282391
DOI: 10.1136/bmj.301.6749.395 -
Physical Therapy Jan 2011
Topics: Activities of Daily Living; Acute Disease; Ankle Injuries; Humans; Lateral Ligament, Ankle; Muscle Stretching Exercises; Muscle Weakness; Pain; Pain Management; Posture; Recovery of Function; Sprains and Strains; Weight-Bearing
PubMed: 21196561
DOI: 10.2522/ptj.20090420.ic -
American Family Physician Nov 2004The shoulder is the most mobile joint in the human body. The cost of such versatility is an increased risk of injury. It is important that family physicians understand... (Review)
Review
The shoulder is the most mobile joint in the human body. The cost of such versatility is an increased risk of injury. It is important that family physicians understand the anatomy of the shoulder, mechanisms of injury, typical physical and radiologic findings, approach to management of injuries, and indications for referral. Clavicle fractures are among the most common acute shoulder injuries, and more than 80 percent of them can be managed conservatively. Humeral head fractures are less common and usually occur in elderly persons; 85 percent of them can be managed nonoperatively. Common acute soft tissue injuries include shoulder dislocations, rotator cuff tears, and acromioclavicular sprains. Acromioclavicular injuries are graded from types I to VI. Types I and II are treated conservatively, types IV to VI are treated surgically, and there is debate about the best approach for type III. Eighty percent of shoulder dislocations are anterior. Diagnosis of this injury is straightforward. The injury usually can be reduced by employing a number of nonsurgical techniques. Traumatic or acute rotator cuff tears can be managed conservatively or surgically, depending on the patient and the degree of injury.
Topics: Acromioclavicular Joint; Acute Disease; Clavicle; Humans; Humeral Fractures; Rotator Cuff Injuries; Shoulder Dislocation; Shoulder Injuries; Sprains and Strains
PubMed: 15571061
DOI: No ID Found -
Strengthening exercise and motor control among football players with ankle sprain: A scoping review.The Medical Journal of Malaysia Mar 2024The ankles and feet of footballers are the most commonly affected areas by acute and chronic injuries, especially sprains. The durability of changes in motor control for... (Meta-Analysis)
Meta-Analysis Review
INTRODUCTION
The ankles and feet of footballers are the most commonly affected areas by acute and chronic injuries, especially sprains. The durability of changes in motor control for the sprained injury strongly suggests that central motor commands have been reorganized and restructured involving the sensorimotor system. Indirectly, providing strength training improves muscular strength and benefits cardiometabolic health, coordination, sensorimotor, and motor performance. Thus, this study aimed to identify the effects of strengthening exercises on motor control among footballers with sprained ankles.
MATERIALS AND METHODS
This scoping review selected studies published from January 2002 to November 2022. The articles were searched through PubMed Central, BMJ Journal, Science Direct, and Scopus using "motor control", "ankle sprain" and "strengthening exercise" as the keywords. After finding the articles, the information extracted included author, year of publication, country, objective, type of study, and motor control analysis summary. The literature search strategy used Preferred Reporting Items for Systematic Review and a meta-analysis (PRISMA) where studies that are related to strengthening exercise and motor control were selected.
RESULTS
From the initial search, 50 articles were found. After processing, only ten articles were further reviewed. The findings demonstrated strengthening exercises provide changes in neurophysiological parameters with motor performance, improved motor control, strength, balance, pain, and functional movement in footballers with sprained ankles.
CONCLUSION
This review suggests the application of strengthening exercise interventions not only improves motor control, but strength, balance, pain, and functional performance among footballers with sprained ankles.
Topics: Humans; Ankle Injuries; Exercise; Exercise Therapy; Pain; Sprains and Strains; Soccer
PubMed: 38555905
DOI: No ID Found -
Canadian Family Physician Medecin de... Mar 1993Bicycle-related injuries have increased as cycling has become more popular. Most injuries to recreational riders are associated with overuse or improper fit of the... (Review)
Review
Bicycle-related injuries have increased as cycling has become more popular. Most injuries to recreational riders are associated with overuse or improper fit of the bicycle. Injuries to racers often result from high speeds, which predispose riders to muscle strains, collisions, and falls. Cyclists contact bicycles at the pedals, seat, and handlebars. Each is associated with particular cycling injuries.
Topics: Accidents; Bicycling; Cumulative Trauma Disorders; Humans; Sprains and Strains
PubMed: 8471908
DOI: No ID Found -
British Medical Journal May 1979
Topics: Back Pain; Female; Humans; Models, Biological; Pregnancy; Pregnancy Complications; Sacroiliac Joint; Sprains and Strains
PubMed: 156573
DOI: 10.1136/bmj.1.6173.1285-d -
British Medical Journal Jun 1979
Topics: Back Pain; Glucocorticoids; Humans; Sacroiliac Joint; Sprains and Strains
PubMed: 88990
DOI: 10.1136/bmj.1.6176.1490-d -
Journal of the American College of... Sep 2011Echocardiographic strain imaging, also known as deformation imaging, has been developed as a means to objectively quantify regional myocardial function. First introduced... (Review)
Review
Echocardiographic strain imaging, also known as deformation imaging, has been developed as a means to objectively quantify regional myocardial function. First introduced as post-processing of tissue Doppler imaging velocity converted to strain and strain rate, strain imaging has more recently also been derived from digital speckle tracking analysis. Strain imaging has been used to gain greater understanding into the pathophysiology of cardiac ischemia and infarction, primary diseases of the myocardium, and the effects of valvular disease on myocardial function, and to advance our understanding of diastolic function. Strain imaging has also been used to quantify abnormalities in the timing of mechanical activation for heart failure patients undergoing cardiac resynchronization pacing therapy. Further advances, such as 3-dimensional speckle tracking strain imaging, have emerged to provide even greater insight. Strain imaging has become established as a robust research tool and has great potential to play many roles in routine clinical practice to advance the care of the cardiovascular patient. This perspective reviews the physiology of myocardial strain, the technical features of strain imaging using tissue Doppler imaging and speckle tracking, their strengths and weaknesses, and the state-of-the-art present and potential future clinical applications.
Topics: Animals; Echocardiography, Doppler; Humans; Myocardial Ischemia; Myocardium; Sprains and Strains; Ventricular Dysfunction, Left
PubMed: 21939821
DOI: 10.1016/j.jacc.2011.06.038