Effectiveness of Orthotic Approaches Used in Rehabilitation of Lateral Ankle Sprain

Öz

Lateral ankle sprains are among the most common lower extremity injuries. Although lateral ankle sprain is generally considered to be injuries that heal quickly, patients who are not followed up with effective treatment and prevention strategies may experience several related problems such as chronic pain, recurrent sprains, and osteochondral lesions of the talus, and early osteoarthritis. Inadequate treatment of ankle injuries prolongs the time to return to work or sports and may reduce the quality of life of physically active individuals by preventing them from participating in daily life roles. Orthoses are frequently used to allow tissue healing and immobilization in the acute phase of a lateral ankle sprain, as well as in the functional recovery phase. There are many different ankle orthoses designed for use in the rehabilitation of lateral ankle ligament sprains. Knowing the effectiveness of evidence-based treatment options in the rehabilitation of lateral ankle sprain by health professionals is of great importance in the prevention of these sprains, which pose a significant cost to the health system with their high incidence and prevalence. This study aims to review the effectiveness of orthotic approaches that are frequently used in the rehabilitation of lateral ankle ligament sprain.

Anahtar Kelimeler

• Ankle Sprains
• Treatment Effectiveness
• Orthosis

Lateral Ayak Bileği Yaralanmasının Rehabilitasyonunda Kullanılan Ortez Yaklaşımlarının Etkinliği

Öz

Lateral ayak bileği bağ yaralanmaları en sık karşılaşılan alt ekstremite yaralanmalarındandır. Genellikle çabuk iyileşen yaralanmalar olarak kabul edilse de etkin tedavi ve korunma stratejileri ile takip edilmeyen hastalar kronik ağrı, tekrarlayan ayak bileği yaralanmaları, talusun osteokondral lezyonları, erken osteoartrit gibi bir takım ilişkili problemler yaşayabilirler. Ayak bileği yaralanmalarının yetersiz tedavisi, işe veya spora dönüş süresini uzatır, fiziksel aktif bireylerin günlük yaşam rollerine katılımını engelleyerek yaşam kalitelerini düşürebilir. Ortezleme, lateral ayak bileği yaralanmasının hem akut evresinde doku iyileşmesine izin vermek ve immobilizasyonu sağlamak, hem de fonksiyonel iyileşme evresinde sıklıkla kullanılmaktadır. Lateral ayak bileği bağ yaralanmalarının rehabilitasyonunda kullanılmak üzere tasarlanmış çok sayıda farklı ayak bileği ortezi vardır. Rehabilitasyonda kanıta dayalı tedavi seçeneklerinin etkinliğinin sağlık profesyonellerince bilinmesi yüksek insidans ve prevalansı ile sağlık sistemi üzerine önemli maliyet oluşturan bu yaralanmaların önlenmesinde büyük önem arz etmektedir. Bu çalışmanın amacı lateral ayak bileği bağ yaralanmasının rehabilitasyonunda sıklıkla kullanılan ortez yaklaşımlarının etkinliğinin derlenmesidir.

Anahtar Kelimeler

• Ayak Bileği Yaralanması
• Tedavi Etkinliği
• Ortez

Kaynakça

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