Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation
Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation
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DOI：
10.1001/archfami.8.2.143
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发表时间：
1999-03-01
期刊：
影响因子：
--
通讯作者：
Braun, BL
中科院分区：
文献类型：
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作者：
Braun, BL
目的：为了评估一年的结果标准医疗护理急性踝关节扭伤在一般诊所为基础的population.Design：一个自我管理的调查邮寄给所有成年患者谁提出了一个健康系统供应商评估踝关节扭伤。四百六十七从1995年4月1日至1996年3月31日，由系统医生评估的702例踝关节扭伤患者中，有66.5%的患者发生了踝关节扭伤。患病率和严重程度的自我报告踝关节疼痛，肿胀，感知不稳定，并认为薄弱6至18个月后，医疗evaluation.Results：大多数患者寻求医疗评估后不久受伤，并固定或支撑; 32.7%的正式或家庭为基础的物理治疗。伤后6 ~ 18个月，72.6%的患者报告有残留症状。其中，40.4%的患者报告至少有1种中度至重度症状，最常见的是踝关节无力; 40.3%的患者无法行走1英里; 43.3%的患者无法在没有症状的情况下跳跃或以踝关节为轴。与中度至重度残留症状相关的因素是踝关节再损伤（比值比[OR]，7.21; 95%置信区间[CI]，4.14-12.68），活动限制超过1周结论：踝关节扭伤后6 ~ 18个月，生活方式受限症状的残留是常见的。踝关节扭伤可能比通常认为的更有问题，或者标准的医疗治疗可能是不够的。需要进一步的研究评估治疗方案，以确定有效的方法，以减少踝关节扭伤的长期功能限制在一般临床人群。
Objective: To assess the 1-year outcome of standard medical care of acute ankle sprains in a general clinic-based population.Design: A self-administered survey was mailed to all adult patients who presented to a health system provider for evaluation of ankle sprain.Setting: A regional primary care health system.Participants: Four hundred sixty-seven (66.5%) of 702 patients with ankle sprains evaluated by a system physician from April 1, 1995, to March 31, 1996.Main Outcome Measures: Prevalence and severity of self-reported ankle pain, swelling, perceived instability, and perceived weakness 6 to 18 months after medical evaluation.Results: Most patients sought medical evaluation shortly after injury and were immobilized or braced; 32.7% reported formal or home-based physical therapy. Six to 18 months after injury, 72.6% reported residual symptoms. Of these, 40.4% reported at least 1 moderate to severe symptom, most commonly perceived ankle weakness; 40.3% were unable to walk 1 mile; and 43.3% were unable to jump or pivot on the ankle without symptoms. Factors associated with moderate to severe residual symptoms were reinjury of the ankle (odds ratio [OR], 7.21; 95% confidence interval [CI], 4.14-12.68), activity restriction longer than 1 week (OR, 2.04; 95% CI, 1.25-3.32), and limited weight bearing longer than 28 days (OR, 2.16; 95% CI, 1.28-3.63).Conclusions: Residual lifestyle-limiting symptoms are common 6 to 18 months after an ankle sprain. Ankle sprains may be more problematic than generally thought, or standard medical treatment may be inadequate. Further studies evaluating treatment regimens are needed to identify effective methods to reduce the long-term functional limitations of ankle sprain in general clinic populations.