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Clin Sports Med. 2015 Apr;34(2):329-46. doi: 10.1016/j.csm.2014.12.001. Epub 2015 Feb 14.

Supervised rehabilitation versus home exercise in the treatment of acute ankle sprains: a systematic review.

Author information

1
Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA.
2
Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA; US Navy Medicine Professional Development Center, Bethesda, MD, USA.
3
Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA. Electronic address: jhertel@virginia.edu.

Abstract

In competitive sports medicine, supervised rehabilitation is the standard of care; in the general population, unsupervised home exercise is more common. We systematically reviewed randomized, controlled trials comparing outcomes for supervised rehabilitation versus home exercise programs. Supervised rehabilitation programs resulted in (1) less pain and subjective instability, (2) greater gains in ankle strength and joint position sense, and (3) inconclusive results regarding prevention of recurrent ankle sprains. We recommend supervised rehabilitation over home exercise programs owing to the improved short-term patient-recorded evidence with a strength-of-recommendation taxonomy level of evidence of 2B.

KEYWORDS:

Ankle instability; Physical therapy; Therapeutic exercise

PMID:
25818717
DOI:
10.1016/j.csm.2014.12.001
[Indexed for MEDLINE]

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