Skip to main content

Lateral Ankle Sprains: Injury Epidemiology and Nonoperative Treatment

  • Chapter
  • First Online:
Ligamentous Injuries of the Foot and Ankle
  • 1259 Accesses

Abstract

Acute ankle sprains are considered to be one of the most commonly occurring musculoskeletal injuries, and this incidence seems to be particularly high in physically active individuals. Sprains of the lateral ligament complex are the most commonly occurring sprains in the ankle. The epidemiological statistics available might not even be accurate enough since not all individuals sustaining an acute ankle sprain might present to an emergency department or even seek medical care. The incidence of these injuries might vary slightly from the general population to the athletic population and indeed might even vary more in sport-specific activities. These injuries and more so the complications or long-term sequelae associated with them might pose a significant socioeconomic burden on the society. It appears that acute, first time, and recurrent ankle sprains all play a role in the incidence rates of this injury, and consequently, these factors should be taken into consideration when planning injury prevention intervention protocols. In spite of these facts, the initial management of acute ankle sprains is still not yet scientifically validated or proven. Early and staged functional rehabilitation exercises and programs have been shown to be of great value. Generally, the ultimate management goal should be to control the inflammatory process, regain full range of motion (ROM), and improve muscle strength and power while maintaining and improving proprioceptive abilities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont PJ Jr. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am. 2010;92(13):2279–84.

    Article  PubMed  Google Scholar 

  2. Cumps E, Verhagen E, Meeusen R. Prospective epidemiological study of basketball injuries during one competitive season: ankle sprains and overuse knee injuries. J Sports Sci Med. 2007;6(2):204–11.

    PubMed  PubMed Central  Google Scholar 

  3. Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94.

    Article  PubMed  Google Scholar 

  4. Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, Verhagen EA, Vicenzino BT, Wikstrom EA, Delahunt E. Evidence review for the 2016 international ankle consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016;50(24):1496–505.

    Article  PubMed  Google Scholar 

  5. McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001;35(2):103–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Nelson AJ, Collins CL, Yard EE, Fields SK, Comstock RD. Ankle injuries among United States high school sports athletes, 2005–2006. J Athl Train. 2007;42(3):381–7.

    PubMed  PubMed Central  Google Scholar 

  7. Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports. Am J Sports Med. 2017;45(1):201–9.

    Article  PubMed  Google Scholar 

  8. Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, Verhagen EA, Vicenzino BT, Wikstrom EA, Delahunt E. 2016 consensus statement of the International Ankle Consortium: prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016;50(24):1493–5.

    Article  PubMed  Google Scholar 

  9. Waterman BR, Belmont PJ Jr, Cameron KL, Deberardino TM, Owens BD. Epidemiology of ankle sprain at the United States Military Academy. Am J Sports Med. 2010;38(4):797–803.

    Article  PubMed  Google Scholar 

  10. Hertel J. Functional anatomy pathomechanics and pathophysiology of lateral instability. J Athl Train. 2002;37:364–75.

    PubMed  PubMed Central  Google Scholar 

  11. Waterman BR, Belmont PJ Jr, Cameron KL, Svoboda SJ, Alitz CJ, Owens BD. Risk factors for syndesmotic and medial ankle sprain: role of sex, sport, and level of competition. Am J Sports Med. 2011;39(5):992–8.

    Article  PubMed  Google Scholar 

  12. Shah S, Thomas AC, Noone JM, Blanchette CM, Wikstrom EA. Incidence and cost of ankle sprains in United States Emergency Departments. Sports Health. 2016;8(6):547–52.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Holmer P, Sondergaard L, Kondradsen L, Nielsen PT, Jørgensen LN. Epidemiology of sprains in the lateral ankle and foot. Foot Ankle Int. 1994;15(2):72–4.

    Article  CAS  PubMed  Google Scholar 

  14. Bridgman SA, Clement D, Downing A, Walley G, Phair I, Maffulli N. Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains. Emerg Med J. 2003;20(6):508–10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Kemler E, van de Port I, Valkenberg H, Hoes AW, Backx FJ. Ankle injuries in the Netherlands: trends over 10–25 years. Scand J Med Sci Sports. 2015;25(3):331–7.

    Article  CAS  PubMed  Google Scholar 

  16. Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014;44(1):123–40.

    Article  PubMed  Google Scholar 

  17. Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of ankle sprains and chronic ankle instability. J Athl Train. 2019;54(6):603–10. https://doi.org/10.4085/1062-6050-447-17.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Cloke DJ, Ansell P, Avery P, Deehan D. Ankle injuries in football academies: a three-centre prospective study. Br J Sports Med. 2011;45(9):702–8.

    Article  PubMed  Google Scholar 

  19. Giza E, Fuller C, Junge A, Dvorak J. Mechanisms of foot and ankle injuries in soccer. Am J Sports Med. 2003;31(4):550–4.

    Article  PubMed  Google Scholar 

  20. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311–9.

    PubMed  PubMed Central  Google Scholar 

  21. Swenson DM, Collins CL, Fields SK, Comstock RD. Epidemiology of U.S. high school sports-related ligamentous ankle injuries, 2005/06–2010/11. Clin J Sport Med. 2013;23(3):190–6.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Junge A, Langevoort G, Pipe A, Peytavin A, Wong F, Mountjoy M, Beltrami G, Terrell R, Holzgraefe M, Charles R, Dvorak J. Injuries in team sport tournaments during the 2004 Olympic Games. Am J Sports Med. 2006;34(4):565–76.

    Article  PubMed  Google Scholar 

  23. Junge A, Dvorak J. Injury surveillance in the World Football Tournaments 1998-2012. Br J Sports Med. 2013;47(12):782–8. https://doi.org/10.1136/bjsports-2013-092205.

    Article  PubMed  Google Scholar 

  24. Deitch JR, Starkey C, Walters SL, Moseley JB. Injury risk in professional basketball players: a comparison of Women’s National Basketball Association and National Basketball Association athletes. Am J Sports Med. 2006;34(7):1077–83.

    Article  PubMed  Google Scholar 

  25. Drakos MC, Domb B, Starkey C, Callahan L, Allen AA. Injury in the National Basketball Association: a 17-year overview. Sports Health. 2010;2(4):284–90.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Starkey C. Injuries and illnesses in the National Basketball Association: a 10-year perspective. J Athl Train. 2000;35(2):161–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Herzog MM, Mack CD, Dreyer NA, Wikstrom EA, Padua DA, Kocher MS, DiFiori JP, Marshall SW. Ankle sprains in the National Basketball Association, 2013-2014 through 2016-2017. Am J Sports Med. 2019;47(11):2651–8. https://doi.org/10.1177/0363546519864678.

    Article  PubMed  Google Scholar 

  28. Osbahr DC, Drakos MC, O’Loughlin PF, et al. Syndesmosis and lateral ankle sprains in the National Football League. Orthopedics. 2013;36(11):1378–84.

    Article  Google Scholar 

  29. Mack CD, Kent RW, Coughlin MJ, Shiue KY, Weiss LJ, Jastifer JR, Wojtys EM, Anderson RB. Incidence of lower extremity injury in the National Football League: 2015 to 2018. Am J Sports Med. 2020;48(9):2287–94. https://doi.org/10.1177/0363546520922547.

    Article  PubMed  Google Scholar 

  30. Camp CL, Dines JS, van der List JP, Conte S, Conway J, Altchek DW, Coleman SH, Pearle AD. Summative report on time out of play for major and minor league baseball: an analysis of 49,955 injuries from 2011 through 2016. Am J Sports Med. 2018;46(7):1727–32.

    Article  PubMed  Google Scholar 

  31. Lucasti CJ, Dworkin M, Warrender WJ, Winters B, Cohen S, Ciccotti M, Pedowitz D. Ankle and lower leg injuries in professional baseball players. Am J Sports Med. 2020;48(4):908–15. https://doi.org/10.1177/0363546520902135.

    Article  PubMed  Google Scholar 

  32. Edouard P, Steffen K, Junge A, Leglise M, Soligard T, Engebretsen L. Gymnastics injury incidence during the 2008, 2012 and 2016 Olympic Games: analysis of prospectively collected surveillance data from 963 registered gymnasts during Olympic Games. Br J Sports Med. 2018;52(7):475–81.

    Article  PubMed  Google Scholar 

  33. Horsley Dr IG, O'Donnell V, Leeder J. The epidemiology of injuries in English professional squash; a retrospective analysis between 2004 and 2015. Phys Ther Sport. 2020;46:1–6. https://doi.org/10.1016/j.ptsp.2020.07.009.

    Article  Google Scholar 

  34. Jain N, Murray D, Kemp S, Calder J. Frequency and trends in foot and ankle injuries within an English Premier League Football Club using a new impact factor of injury to identify a focus for injury prevention. Foot Ankle Surg. 2014;20:237–40.

    Article  PubMed  Google Scholar 

  35. Pasanen K, Ekola T, Vasankari T, Kannus P, Heinonen A, Kujala UM, Parkkari J. High ankle injury rate in adolescent basketball: a 3-year prospective follow-up study. Scand J Med Sci Sports. 2017;27(6):643–9.

    Article  CAS  PubMed  Google Scholar 

  36. Lee I, Jeong HS, Lee SY. Injury profiles in Korean youth soccer. Int J Environ Res Public Health. 2020;17(14):5125. https://doi.org/10.3390/ijerph17145125.

    Article  PubMed Central  Google Scholar 

  37. Attenborough AS, Hiller CE, Smith RM, Stuelcken M, Greene A, Sinclair PJ. Chronic ankle instability in sporting populations. Sports Med. 2014;44(11):1545–56.

    Article  PubMed  Google Scholar 

  38. Kemler E, Thijs KM, Badenbroek I, van de Port IG, Hoes AW, Backx FJ. Long-term prognosis of acute lateral ankle ligamentous sprains: high incidence of recurrences and residual symptoms. Fam Pract. 2016;33(6):596–600.

    Article  PubMed  Google Scholar 

  39. Beynnon BD, Murphy DF, Alosa DM. Predictive factors for lateral ankle sprains: a literature review. J Athl Train. 2002;37(4):376–80.

    PubMed  PubMed Central  Google Scholar 

  40. Clifton DR, Koldenhoven RM, Hertel J, Onate JA, Dompier TP, Kerr ZY. Epidemiological patterns of ankle sprains in youth, high school, and college football. Am J Sports Med. 2017;45(2):417–25.

    Article  PubMed  Google Scholar 

  41. Kucera KL, Marshall SW, Wolf SH, Padua DA, Cameron KL, Beutler AI. Association of injury history and incident injury in cadet basic military training. Med Sci Sports Exerc. 2016;48(6):1053–61.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Yeung MS, Chan KM, So CH, Yuan WY. An epidemiological survey on ankle sprain. Br J Sports Med. 1994;28(2):112–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Woods C, Hawkins R, Hulse M, Hodson A. The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med. 2003;37(3):233–2388.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Thompson C, Schabrun S, Romero R, Bialocerkowski A, van Dieen J, Marshall P. Factors contributing to chronic ankle instability: a systematic review and meta-analysis of systematic reviews. Sports Med. 2018;48(1):189–205.

    Article  PubMed  Google Scholar 

  45. Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis. Am J Sports Med. 2016;44(4):995–1003.

    Article  PubMed  Google Scholar 

  46. Tanen L, Docherty CL, Van Der Pol B, Simon J, Schrader J. Prevalence of chronic ankle instability in high school and division I athletes. Foot Ankle Spec. 2014;7(1):37–44.

    Article  PubMed  Google Scholar 

  47. Baydogan SN, Tarakci E, Kasapcopur O. Effect of strengthening versus balance-proprioceptive exercises on lower extremity function in patients with juvenile idiopathic arthritis: a randomized, single blind clinical trial. Am J Phys Med Rehabil. 2015;94(6):417–24.

    Article  PubMed  Google Scholar 

  48. Collins NJ, Bisset LM, Crossley KM, Vicenzino B. Efficacy of nonsurgical interventions for anterior knee pain: systematic review and meta-analysis of randomized trials. Sports Med. 2012;42(1):31–49.

    Article  PubMed  Google Scholar 

  49. Emery CA, Rose MS, McAllister JR, Meeuwisse WH. A prevention strategy to reduce the incidence of injury in high school basketball: a cluster randomized controlled trial. Clin J Sport Med. 2007;17(1):17–24.

    Article  PubMed  Google Scholar 

  50. Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med. 1999;27(6):699–706.

    Article  CAS  PubMed  Google Scholar 

  51. LaBella CR, Huxford MR, Grissom J, Kim KY, Peng J, Christoffel KK. Effect of neuromuscular warm-up on injuries in female soccer and basketball athletes in urban public high schools: cluster randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165(11):1033–40.

    Article  PubMed  Google Scholar 

  52. Longo UG, Loppini M, Berton A, Marinozzi A, Maffulli N, Denaro V. The FIFA 11 program is effective in preventing injuries in elite male basketball players: a cluster randomized controlled trial. Am J Sports Med. 2012;40(5):996–1005.

    Article  PubMed  Google Scholar 

  53. Rathleff MS, Roos EM, Olesen JL, Rasmussen S. Exercise during school hours when added to patient education improves outcome for 2 years in adolescent patellofemoral pain: a cluster randomized trial. Br J Sports Med. 2015;49(6):406–12.

    Article  CAS  PubMed  Google Scholar 

  54. Taylor JB, Ford KR, Nguyen AD, Terry LN, Hegedus EJ. Prevention of lower extremity injuries in basketball: a systematic review and meta-analysis. Sports Health. 2015;7(5):392–8.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Eils E, Schroter R, Schr¨oder M, Gerss J, Rosenbaum D. Multistation proprioceptive exercise program prevents ankle injuries in basketball. Med Sci Sports Exerc. 2010;42(11):2098–105.

    Article  PubMed  Google Scholar 

  56. Riva D, Bianchi R, Rocca F, Mamo C. Proprioceptive training and injury prevention in a professional men’s basketball team: a six-year prospective study. J Strength Cond Res. 2016;30(2):461–75.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Hupperets MD, Verhagen EA, Heymans MW, Bosmans JE, van Tulder MW, van Mechelen W. Potential savings of a program to prevent ankle sprain recurrence: economic evaluation of a randomized controlled trial. Am J Sports Med. 2010;38(11):2194–200.

    Article  PubMed  Google Scholar 

  58. McGuine TA, Keene JS. The effect of a balance training program on the risk of ankle sprains in high school athletes. Am J Sports Med. 2006;34(7):1103–11.

    Article  PubMed  Google Scholar 

  59. van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Med. 1992;14(2):82–99.

    Article  PubMed  Google Scholar 

  60. McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing? J Athl Train. 2008;43(3):293–304.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Zeegers AVCM. Supination injury of the ankle joint [dissertation]. Utrecht, The Netherlands: University of Utrecht; 1995.

    Google Scholar 

  62. Verhagen EA, van Tulder M, van der Beek AJ, Bouter LM, van Mechelen W. An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball. Br J Sports Med. 2005;39(2):111–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Cooke MW, Marsh JL, Clark M, Nakash R, Jarvis RM, Hutton JL, Szczepura A, Wilson S, Lamb SE, CAST trial group. Treatment of severe ankle sprain: a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial. Health Technol Assess. 2009;13(13):iii, ix-x, 1-121

    Article  CAS  PubMed  Google Scholar 

  64. van den Bekerom MP, Struijs PA, Blankevoort L, Welling L, van Dijk CN, Kerkhoffs GM. What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults? J Athl Train. 2012;47(4):435–43.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Acupuncture for treating acute ankle sprains in adults. Cochrane Database Syst Rev. 2014;6:1.

    Google Scholar 

  66. Van der Windt D, Van der Heijden G, Van den Berg S, Ter Riet G, De Winter AF, Bouter LM. Ultrasound therapy for acute ankle sprains. Cochrane Database Syst Rev. 2002;1:1.

    Google Scholar 

  67. van den Bekerom MP, van der Windt DA, ter Riet G, van der Heijden GJ, Bouter LM. Therapeutic ultrasound for acute ankle sprains. Cochrane Database Syst Rev. 2011;6:325.

    Google Scholar 

  68. Kerkhoffs G, Rowe BH, Assendelft W, Kelly K, Struijs P, Van Dijk C. Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev. 2002;3:3.

    Google Scholar 

  69. Vuurberg G, Hoorntje A, Wink LM, van der Doelen BFW, van den Bekerom MP, Dekker R, van Dijk CN, Krips R, Loogman MCM, Ridderikhof ML, Smithuis FF, Stufkens SAS, Verhagen EALM, de Bie RA, Kerkhoffs GMMJ. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. Br J Sports Med. 2018;52(15):956.

    Article  PubMed  Google Scholar 

  70. Naeem M, Rahimnajjad MK, Rahimnajjad NA, et al. Assessment of functional treatment versus plaster of Paris in the treatment of grade 1 and 2 lateral ankle sprains. J Orthop Traumatol. 2015;16:41–6.

    Article  PubMed  Google Scholar 

  71. Prado MP, Mendes AA, Amodio DT, Camanho GL, Smyth NA, Fernandes TD. A comparative, prospective, and randomized study of two conservative treatment protocols for first-episode lateral ankle ligament injuries. Foot Ankle Int. 2014;35(3):201–6.

    Article  PubMed  Google Scholar 

  72. Bilgic S, Durusu M, Aliyev B, Akpancar S, Ersen O, Yasar SM, Ardic S. Comparison of two main treatment modalities for acute ankle sprain. Pak J Med Sci. 2015;31(6):1496–9.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Pijnenburg AC, Van Dijk CN, Bossuyt PM, Marti RK. Treatment of ruptures of the lateral ankle ligaments: a meta-analysis. J Bone Joint Surg Am. 2000;82(6):761–73.

    Article  CAS  PubMed  Google Scholar 

  74. Kerkhoffs GM, Struijs PA, Marti RK, Assendelft WJ, Blankevoort L, van Dijk CN. Different functional treatment strategies for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev. 2002;(3):CD002938; Update in: Cochrane Database Syst Rev. 2013;3:CD002938

    Google Scholar 

  75. van den Bekerom MP, van Kimmenade R, Sierevelt IN, Eggink K, Kerkhoffs GM, van Dijk CN, Raven EE. Randomized comparison of tape versus semi-rigid and versus lace-up ankle support in the treatment of acute lateral ankle ligament injury. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):978–84.

    Article  PubMed  Google Scholar 

  76. Kemler E, van de Port I, Schmikli S, Huisstede B, Hoes A, Backx F. Effects of soft bracing or taping on a lateral ankle sprain: a non-randomised controlled trial evaluating recurrence rates and residual symptoms at one year. J Foot Ankle Res. 2015;8:13.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Zech A, Hübscher M, Vogt L, Banzer W, Hänsel F, Pfeifer K. Neuromuscular training for rehabilitation of sports injuries: a systematic review. Med Sci Sports Exerc. 2009;41(10):1831–41.

    Article  PubMed  Google Scholar 

  78. van der Wees PJ, Lenssen AF, Hendriks EJ, Stomp DJ, Dekker J, de Bie RA. Effectiveness of exercise therapy and manual mobilisation in ankle sprain and functional instability: a systematic review. Aust J Physiother. 2006;52(1):27–37.

    Article  PubMed  Google Scholar 

  79. Bleakley CM, McDonough SM, MacAuley DC. Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review. Aust J Physiother. 2008;54(1):7–20.

    Article  PubMed  Google Scholar 

  80. Postle K, Pak D, Smith TO. Effectiveness of proprioceptive exercises for ankle ligament injury in adults: a systematic literature and meta-analysis. Man Ther. 2012;17(4):285–91.

    Article  CAS  PubMed  Google Scholar 

  81. Feger MA, Herb CC, Fraser JJ, Glaviano N, Hertel J. Supervised rehabilitation versus home exercise in the treatment of acute ankle sprains: a systematic review. Clin Sports Med. 2015;34(2):329–46.

    Article  PubMed  Google Scholar 

  82. Loudon JK, Reiman MP, Sylvain J. The efficacy of manual joint mobilization/manipulation in treatment of lateral ankle sprains: a systematic review. Br J Sports Med. 2014;48:365–70.

    Article  PubMed  Google Scholar 

  83. Cleland JA, Mintken PE, McDevitt A, Bieniek ML, Carpenter KJ, Kulp K, Whitman JM. Manual physical therapy and exercise versus supervised home exercise in the management of patients with inversion ankle sprain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2013;43(7):443–55.

    Article  PubMed  Google Scholar 

  84. de Bie RA, de Vet HC, Lenssen TF, van den Wildenberg FA, Kootstra G, Knipschild PG. Low-level laser therapy in ankle sprains: a randomized clinical trial. Arch Phys Med Rehabil. 1998;79(11):1415–20.

    Article  PubMed  Google Scholar 

  85. Feger MA, Goetschius J, Love H, Saliba SA, Hertel J. Electrical stimulation as a treatment intervention to improve function, edema or pain following acute lateral ankle sprains: a systematic review. Phys Ther Sport. 2015;16(4):361–9.

    Article  PubMed  Google Scholar 

  86. Barker AT, Barlow PS, Porter J. A double-blind clinical trial of lower power pulsed shortwave therapy in the treatment of a soft tissue injury. Phys Ther. 1985;71:500–4.

    Google Scholar 

  87. Park J, Hahn S, Park JY, Park HJ, Lee H. Acupuncture for ankle sprain: systematic review and meta-analysis. BMC Complement Altern Med. 2013;13:55.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Kim TH, Lee MS, Kim KH, Kang JW, Choi TY, Ernst E. Acupuncture for treating acute ankle sprains in adults. Cochrane Database Syst Rev. 2014;(6):CD009065. https://doi.org/10.1002/14651858.CD009065.pub2.

  89. Peer KS, Barkley JE, Knapp DM. The acute effects of local vibration therapy on ankle sprain and hamstring strain injuries. Phys Sportsmed. 2009;37(4):31–8.

    Article  PubMed  Google Scholar 

  90. Stasinopoulos D, Papadopoulos C, Lamnisos D, Stasinopoulos I. The use of Bioptron light (polarized, polychromatic, non-coherent) therapy for the treatment of acute ankle sprains. Disabil Rehabil. 2017;39(5):450–7.

    Article  PubMed  Google Scholar 

  91. van den Bekerom MP, Kerkhoffs GM, McCollum GA, Calder JD, van Dijk CN. Management of acute lateral ankle ligament injury in the athlete. Knee Surg Sports Traumatol Arthrosc. 2013;21:1390–5.

    Article  PubMed  Google Scholar 

  92. Kerkhoffs GM, van den Bekerom M, Elders LA, van Beek PA, Hullegie WA, Bloemers GM, de Heus EM, Loogman MC, Rosenbrand KC, Kuipers T, Hoogstraten JW, Dekker R, Ten Duis HJ, van Dijk CN, van Tulder MW, van der Wees PJ, de Bie RA. Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. Br J Sports Med. 2012;46(12):854–60. https://doi.org/10.1136/bjsports-2011-090490.

    Article  PubMed  Google Scholar 

  93. Brison RJ, Day AG, Pelland L, Pickett W, Johnson AP, Aiken A, Pichora DR, Brouwer B. Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. BMJ. 2016;355:i5650. https://doi.org/10.1136/bmj.i5650.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Doherty C, Bleakley C, Delahunt E, Holden S. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis. Br J Sports Med. 2017;51(2):113–25. https://doi.org/10.1136/bjsports-2016-096178.

    Article  PubMed  Google Scholar 

  95. Bleakley CM, Taylor JB, Dischiavi SL, Doherty C, Delahunt E. Rehabilitation exercises reduce reinjury post ankle sprain, but the content and parameters of an optimal exercise program have yet to be established: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2019;100(7):1367–75. https://doi.org/10.1016/j.apmr.2018.10.005.

    Article  PubMed  Google Scholar 

  96. Salim MNS, Umar MA, Shaharudin S. Effects of the standard physiotherapy programme on pain and isokinetic ankle strength in individuals with grade I ankle sprain. J Taibah Univ Med Sci. 2018;13(6):576–81.

    Google Scholar 

  97. Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train. 2002;37(4):413–29.

    PubMed  PubMed Central  Google Scholar 

  98. Thacker SB, Stroup DF, Branche CM, Gilchrist J, Goodman RA, Weitman EA. The prevention of ankle sprains in sports. A systematic review of the literature. Am J Sports Med. 1999;27:753–60.

    Article  CAS  PubMed  Google Scholar 

  99. Verhagen EA, van der Beek A, Twisk J, Bouter L, Bahr R, van Mechelen W. The effect of a proprioceptive balance board training program for the prevention of ankle sprains: a prospective controlled trial. Am J Sports Med. 2004;32(6):1385–93.

    Article  PubMed  Google Scholar 

  100. Knight KL. Knee rehabilitation by the daily adjustable progressive resistive exercise technique. Am J Sports Med. 1979;7:336–7.

    Article  CAS  PubMed  Google Scholar 

  101. Perrin DH, Gieck JH. Principles of therapeutic exercise. In: Perrin DH, editor. The injured athlete. 3rd ed. Philadelphia, PA: Lippincott-Raven; 1999. p. 123–39.

    Google Scholar 

  102. Hartsell HD, Spaulding SJ. Eccentric/concentric ratios at selected velocities for the invertor and evertor muscles of the chronically unstable ankle. Br J Sports Med. 1999;33:255–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  103. Hintermann B. Biomechanics of the unstable ankle joint and clinical implications. Med Sci Sports Exerc. 1999;31(7 suppl):459–69.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nasef Mohamed Nasef Abdelatif .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Abdelatif, N.M.N. (2022). Lateral Ankle Sprains: Injury Epidemiology and Nonoperative Treatment. In: D’Hooghe, P., Hunt, K.J., McCormick, J.J. (eds) Ligamentous Injuries of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-08682-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-08682-3_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08681-6

  • Online ISBN: 978-3-031-08682-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics