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Ankle Injuries: Prevention & Management Through Taping & Bracing

Ankle Injuries: Prevention & Management Through Taping & Bracing. Lauren Stephenson, MA, ATC Clinical Assistant Professor Stony Brook University Athletic Training Program. Nicole Cuccurullo Senior Athletic Training Student Stony Brook University Athletic Training Program. May 11, 2012.

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Ankle Injuries: Prevention & Management Through Taping & Bracing

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  1. Ankle Injuries:Prevention & ManagementThroughTaping & Bracing Lauren Stephenson, MA, ATC Clinical Assistant Professor Stony Brook University Athletic Training Program Nicole Cuccurullo Senior Athletic Training Student Stony Brook University Athletic Training Program May 11, 2012

  2. Ankle Injuries • Sprains occur 7x more than other ankle injuries. (Garrick JG, 1982) • ~25,000 ankle sprains occur per day in the U.S. (Kannus P, 1991) • Can result in disability • Pain • Inflammation • Loss of ROM • Residual Disability • ↑ $ for treatment • ↑ Return to play time http://www.ankleandfootnorthwest.com/ankle-sprain.html

  3. Epidemiology: NCAA ISS • Ankle Ligament Sprains (Hootman, 2007) • 27, 117 Total • ~ 1,700 per year • 14.9% of all injuries • .83 rate per 1000 athlete-exposures

  4. Preventing Ankle Ligament Injuries • Those with a history of ankle injury have increased risk of reoccurrence • Bracing is more cost effective than taping

  5. Ankle Taping http://www.geocities.jp/yoshiatc/classroom/exsc158/ankle.html

  6. Taping Materials

  7. Taping Studies • Limited literature on the effectiveness of taping or bracing in reducing ankle sprains • Studies look at the effects of taping on specific outcome variables (Cordova, 2002) • Sensorimotor • Range of motion • Functional testing

  8. Types of Ankle Stabilizers • May Include: (Eils, 2002) • Soft • Semi-Rigid • Rigid

  9. Soft Ankle Stabilizers http://www.justyhomecare.com/splint&Brace.html http://www.gobros.com/mcdavid/mcdavid-ankle-brace.php

  10. Semi-Rigid Ankle Stabilizers http://www.activeankle.com/products/rigid-vs-lace-up http://www.aircast.com/index.asp/fuseaction/products.detail/cat/1/id/109

  11. Rigid Ankle Stabilizers http://www.bauerfeind-store.com/bauerfeind_caligaloc.html

  12. Bracing Effectiveness • Studies have shown that bracing reduces the incidence of ankle sprains by 50-70% (McKeon, 2008) • Ankle stabilizers have also been shown to decrease the time needed to return to work/sport after an ankle injury (Kerkhoffs, 2002)

  13. Rehabilitation vs. Bracing/Taping • Should be used conjunction (McKeon, 2008) • Use prophylactic braces and functional exercises (McKeon, 2008) • Studies show bracing is better in the early phases of ankle injury (Wilkerson, 2002)

  14. http://wolfieseawolf.blogspot.com/2011/09/to-all-stony-brook-students-interested.htmlhttp://wolfieseawolf.blogspot.com/2011/09/to-all-stony-brook-students-interested.html

  15. Results 2010 2011 10 Ankle Injuries ATFL = 16.1% DELT = 6.5% AntTF = 9.7% * Of the 31 athletes 67% did not sustain an ankle injury • 25 Ankle Injuries • ATFL = 32.3% • DELT = 12.9% • AntTF = 12.9% • Talus, anterior capsule, posterior tibialis, and CF = 16.1% * Of the 31 athletes 19% did not sustain an ankle injury

  16. SBU Study Results

  17. SBU Study Results

  18. Overall.. • There was a 48.4% decrease in ankle injuries from the 2010 to the 2011 season • Significantly less ankle injuries occurred in 2011 when compared to 2010 • t30=4.213, p<.001

  19. References • Garrick JG. Epidemiologic Perspective. Clin Sports Med. 1982;1:13-18. • Kannus P, Resntrop P. Treatment for acute tears of the lateral ligaments of the ankle: operation, cast, or early controlled mobilization. J Bone Joint Surg Am. 1991; 73:305-312. • Hootman JM, Dick R, AgelJ. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311-319. • Cordova ML, Ingersoll CD, Palmieri RM. Efficacy of prophylactic ankle support: an experimental perspective. J Athl Train. 2002;37:446-457. • Wilkerson GB. Biomechanical and Neuromuscular Effects of Ankle Taping and Bracing. J Athl Train. 2002;37(4). • Eils E, Demming C, Kollmeier G, Thorwesten L, Völker K, Rosenbaum D. Comprehensive testing of 10 different ankle braces: Evaluation of passive and rapidly induced stability in subjects with chronic ankle instability. ClinBiomech. 2002;17(7):526-535. • McKeon PO, Mattacola CG. Interventions for the prevention of first time and recurrent ankle sprains. Clin. Sports Med. 2008;27(3):371-382. • Kerkhoffs GMMJ, Rowe BH, Assendelft WJJ, Kelly KD, Struijs PAA, van Dijk CN. Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD003762. DOI: 10.1002/14651858.CD003762.

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