Criteria-Based Return to Sport Decision-Making Following Lateral Ankle Sprain Injury: a Systematic Review and Narrative Synthesis

Objective The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. Design Systematic review and narrative synthesis. Data sources The PubMed (MEDLINE), Web of Sc...

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Vydáno v:Sports medicine (Auckland) Ročník 49; číslo 4; s. 601 - 619
Hlavní autoři: Tassignon, Bruno, Verschueren, Jo, Delahunt, Eamonn, Smith, Michelle, Vicenzino, Bill, Verhagen, Evert, Meeusen, Romain
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cham Springer International Publishing 01.04.2019
Springer Nature B.V
Témata:
Ankle
Ankle Injuries - rehabilitation
Clinical decision making
Decision Making
Evidence-Based Medicine
Exercise Test
Humans
Joint Instability
Knee
Medicine
Medicine & Public Health
Recovery of function
Return to Sport
Sports injuries
Sports Medicine
Sprains and Strains - rehabilitation
Student athletes
Surveys and Questionnaires
Systematic Review
ISSN:0112-1642, 1179-2035, 1179-2035
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Abstract Objective The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. Design Systematic review and narrative synthesis. Data sources The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018. Eligibility criteria for selecting studies Studies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point. Studies were also excluded if patients were recovering from ankle fracture, high ankle sprain, medial ankle sprain, chronic ankle instability or complex ankle injury. Results No studies were identified that used a criteria-based RTS decision-making process for patients with LAS injury. We were unable to conduct a quantitative synthesis or meta-analysis, therefore we provide a narrative synthesis of relevant questionnaires, as well as clinical and functional assessments commonly used in studies retrieved in the search. Conclusion There are currently no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. Based on our narrative synthesis, we propose a number of variables that could be used to develop a criteria-based RTS decision paradigm. Future research should aim to reach consensus on these variables and apply them to actual RTS decisions within prospective study designs. Furthermore, we suggest that complex systems theory and the RTS continuum could be used to inform the development of an RTS decision-making paradigm for athletes with LAS injury.
AbstractList The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. Systematic review and narrative synthesis. The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018. Studies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point. Studies were also excluded if patients were recovering from ankle fracture, high ankle sprain, medial ankle sprain, chronic ankle instability or complex ankle injury. No studies were identified that used a criteria-based RTS decision-making process for patients with LAS injury. We were unable to conduct a quantitative synthesis or meta-analysis, therefore we provide a narrative synthesis of relevant questionnaires, as well as clinical and functional assessments commonly used in studies retrieved in the search. There are currently no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. Based on our narrative synthesis, we propose a number of variables that could be used to develop a criteria-based RTS decision paradigm. Future research should aim to reach consensus on these variables and apply them to actual RTS decisions within prospective study designs. Furthermore, we suggest that complex systems theory and the RTS continuum could be used to inform the development of an RTS decision-making paradigm for athletes with LAS injury.
Objective The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. Design Systematic review and narrative synthesis. Data sources The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018. Eligibility criteria for selecting studies Studies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point. Studies were also excluded if patients were recovering from ankle fracture, high ankle sprain, medial ankle sprain, chronic ankle instability or complex ankle injury. Results No studies were identified that used a criteria-based RTS decision-making process for patients with LAS injury. We were unable to conduct a quantitative synthesis or meta-analysis, therefore we provide a narrative synthesis of relevant questionnaires, as well as clinical and functional assessments commonly used in studies retrieved in the search. Conclusion There are currently no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. Based on our narrative synthesis, we propose a number of variables that could be used to develop a criteria-based RTS decision paradigm. Future research should aim to reach consensus on these variables and apply them to actual RTS decisions within prospective study designs. Furthermore, we suggest that complex systems theory and the RTS continuum could be used to inform the development of an RTS decision-making paradigm for athletes with LAS injury.
The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury.OBJECTIVEThe aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury.Systematic review and narrative synthesis.DESIGNSystematic review and narrative synthesis.The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018.DATA SOURCESThe PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018.Studies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point. Studies were also excluded if patients were recovering from ankle fracture, high ankle sprain, medial ankle sprain, chronic ankle instability or complex ankle injury.ELIGIBILITY CRITERIA FOR SELECTING STUDIESStudies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point. Studies were also excluded if patients were recovering from ankle fracture, high ankle sprain, medial ankle sprain, chronic ankle instability or complex ankle injury.No studies were identified that used a criteria-based RTS decision-making process for patients with LAS injury. We were unable to conduct a quantitative synthesis or meta-analysis, therefore we provide a narrative synthesis of relevant questionnaires, as well as clinical and functional assessments commonly used in studies retrieved in the search.RESULTSNo studies were identified that used a criteria-based RTS decision-making process for patients with LAS injury. We were unable to conduct a quantitative synthesis or meta-analysis, therefore we provide a narrative synthesis of relevant questionnaires, as well as clinical and functional assessments commonly used in studies retrieved in the search.There are currently no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. Based on our narrative synthesis, we propose a number of variables that could be used to develop a criteria-based RTS decision paradigm. Future research should aim to reach consensus on these variables and apply them to actual RTS decisions within prospective study designs. Furthermore, we suggest that complex systems theory and the RTS continuum could be used to inform the development of an RTS decision-making paradigm for athletes with LAS injury.CONCLUSIONThere are currently no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. Based on our narrative synthesis, we propose a number of variables that could be used to develop a criteria-based RTS decision paradigm. Future research should aim to reach consensus on these variables and apply them to actual RTS decisions within prospective study designs. Furthermore, we suggest that complex systems theory and the RTS continuum could be used to inform the development of an RTS decision-making paradigm for athletes with LAS injury.
Objective The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury. Design Systematic review and narrative synthesis. Data sources The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018. Eligibility criteria for selecting studies Studies were included if they prospectively applied a criteria-based RTS decision-making process for patients with LAS injury, but were excluded if they merely gathered outcome measures at the RTS time point. Studies were also excluded if patients were recovering from ankle fracture, high ankle sprain, medial ankle sprain, chronic ankle instability or complex ankle injury. Results No studies were identified that used a criteria-based RTS decision-making process for patients with LAS injury. We were unable to conduct a quantitative synthesis or meta-analysis, therefore we provide a narrative synthesis of relevant questionnaires, as well as clinical and functional assessments commonly used in studies retrieved in the search. Conclusion There are currently no published evidence-based criteria to inform RTS decisions for patients with an LAS injury. Based on our narrative synthesis, we propose a number of variables that could be used to develop a criteria-based RTS decision paradigm. Future research should aim to reach consensus on these variables and apply them to actual RTS decisions within prospective study designs. Furthermore, we suggest that complex systems theory and the RTS continuum could be used to inform the development of an RTS decision-making paradigm for athletes with LAS injury.
Author Delahunt, Eamonn
Vicenzino, Bill
Meeusen, Romain
Verschueren, Jo
Smith, Michelle
Verhagen, Evert
Tassignon, Bruno
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  orcidid: 0000-0003-3216-4045
  surname: Tassignon
  fullname: Tassignon, Bruno
  organization: Faculty of Physical Education and Physiotherapy, Human Physiology Research Group, Vrije Universiteit Brussel
– sequence: 2
  givenname: Jo
  orcidid: 0000-0002-4971-3971
  surname: Verschueren
  fullname: Verschueren, Jo
  organization: Faculty of Physical Education and Physiotherapy, Human Physiology Research Group, Vrije Universiteit Brussel
– sequence: 3
  givenname: Eamonn
  orcidid: 0000-0001-5449-5932
  surname: Delahunt
  fullname: Delahunt, Eamonn
  organization: School of Public Health, Physiotherapy and Sports Science, University College Dublin, Institute for Sport and Health, University College Dublin
– sequence: 4
  givenname: Michelle
  orcidid: 0000-0002-7860-1581
  surname: Smith
  fullname: Smith, Michelle
  organization: Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland
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  givenname: Bill
  orcidid: 0000-0003-0253-5933
  surname: Vicenzino
  fullname: Vicenzino, Bill
  organization: Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland
– sequence: 6
  givenname: Evert
  orcidid: 0000-0001-9227-8234
  surname: Verhagen
  fullname: Verhagen, Evert
  organization: Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam
– sequence: 7
  givenname: Romain
  orcidid: 0000-0001-7553-9957
  surname: Meeusen
  fullname: Meeusen, Romain
  email: romain.meeusen@vub.be
  organization: Faculty of Physical Education and Physiotherapy, Human Physiology Research Group, Vrije Universiteit Brussel
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30747379$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
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Snippet Objective The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for...
The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients...
Objective The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for...
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SubjectTerms Ankle
Ankle Injuries - rehabilitation
Clinical decision making
Decision Making
Evidence-Based Medicine
Exercise Test
Humans
Joint Instability
Knee
Medicine
Medicine & Public Health
Recovery of function
Return to Sport
Sports injuries
Sports Medicine
Sprains and Strains - rehabilitation
Student athletes
Surveys and Questionnaires
Systematic Review
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Title Criteria-Based Return to Sport Decision-Making Following Lateral Ankle Sprain Injury: a Systematic Review and Narrative Synthesis
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