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Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium

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posted on 01.11.2018 by Eamonn Delahunt, Christopher M. Bleakley, Daniela S. Bossard, Brian Caulfield, Carrie L. Docherty, Cailbhe Doherty, Francois Fourchet, Daniel Fong, Jay Hertel, Claire E. Hiller, Thomas W. Kaminski, Patrick O. McKeon, Kathryn M. Refshauge, Alexandria Remus, Evert A. Verhagen, William Vicenzino, Erik A. Wikstrom, Phillip A. Gribble
Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments. This modified Delphi study was undertaken under the auspices of the executive committee of the International Ankle Consortium. The primary aim was to develop recommendations, based on expert (n=14) consensus, for structured clinical assessment of acute lateral ankle sprain injuries. After two modified Delphi rounds, consensus was achieved on the clinical assessment of acute lateral ankle sprain injuries. Consensus was reached on a minimum standard clinical diagnostic assessment. Key components of this clinical diagnostic assessment include: establishing the mechanism of injury, as well as the assessment of ankle joint bones and ligaments. Through consensus, the expert panel also developed the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST). The International Ankle Consortium ROAST will help clinicians identify mechanical and/or sensorimotor impairments that are associated with chronic ankle instability. This consensus statement from the International Ankle Consortium aims to be a key resource for clinicians who regularly assess individuals with acute lateral ankle sprain injuries.

History

School

  • Sport, Exercise and Health Sciences

Published in

British Journal of Sports Medicine

Pages

bjsports-2017-098885 - bjsports-2017-098885

Citation

DELAHUNT, E. ... et al, 2018. Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium. British Journal of Sports Medicine, 52, pp.1304-1310.

Publisher

BMJ Publishing group © The Authors

Version

AM (Accepted Manuscript)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2018-06-09

Notes

This article has been accepted for publication in British Journal of Sports Medicine, 2018 following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/bjsports-2017-098885.

ISSN

0306-3674

eISSN

1473-0480

Language

en

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