Development and validation of the ankle-GO score for discriminating and predicting return-to-sport outcomes after lateral ankle sprain

Review written by Dr Teddy Willsey info

Key Points

  1. Lateral ankle sprains are the most common osteoarticular injury seen in sports.
All key points available for members only

BACKGROUND & OBJECTIVE

The lateral ankle sprain (LAS) is the most frequent osteoarticular injury seen in sport (1). Re-injury rates can be as high as 70% in high-risk athletes and sports, with nearly 40% going on to develop chronic ankle instability (CAI) within one year following first injury (2, 3). Approximately 90% of athletes return to sport (RTS) within one week of their injury, and 44% within 24 hours, demonstrating the culture of expedient RTS following LAS (4, 5).

In this paper the authors sought to create a composite clinical score called the “Ankle-GO” to provide clinicians with a criterion-based battery of tests and measures for evaluating RTS. They used a recent expert consensus called the PAASS framework for LAS evaluation to inform their clustering of tests and measures (6). PAASS stands for pain severity, ankle impairments, athlete perception, sensorimotor control, and sport functional performance. The objectives of the study evaluate were to evaluate the Ankle GO’s ability to predict RTS and differentiate those with LAS or CAI from healthy persons.

Approximately 90% of athletes return to sport within one week of their injury, and 44% within 24 hours, demonstrating the culture of expedient return to sport following lateral ankle sprain.
bulb
For more severe ankle sprains, the Ankle GO has the potential to be a very helpful tool as it can be administered in about 30 minutes and does not require any expensive equipment.

METHODS

  • This prospective study included 64 patients who had suffered an activity limiting ankle injury within the past month and were previously participating in sports at least once a week as well as a control group of 30 subjects.
to unlock full access to this review and 989 more