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Written instructions versus physiotherapist-supervised rehabilitation after acute ankle sprain
Department of Physiotherapy, Rehabilitation Centre, Ryhov County Hospital, Jönköping, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Department of Physiotherapy, Ryhov County Hospital, Jönköping, Sweden.ORCID iD: 0000-0002-3811-7381
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Futurum, Region Jönköping County, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Futurum, Region Jönköping County, Sweden.
2017 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 19, no 2, 76-83 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to compare the effects of written instructions (WIs) versus physiotherapist-supervised rehabilitation on patient-rated ankle function, satisfaction and physical activity ability after an acute ankle sprain. Thirty-nine patients with an acute ankle sprain, recruited from an emergency department, received WIs on functional rehabilitation (WI group). The patients were evaluated six weeks and three months after their injury with the disease-specific Foot and Ankle Outcome Score (FAOS). The patients also rated how satisfied they were with their ankle and physical activity ability using visual analogue scales. The results from the WI group were compared with a group of patients (n ¼ 33) who received physiotherapist-supervised rehabilitation in a previous study (PT group). We found that compared with the PT group, the WI group had significantly worse scores in all of the FAOS subscales six weeks after the injury, and in three of five subscales three months after the injury. They also rated significantly lower satisfaction and significantly lower physical activity ability at both follow-ups. In conclusion, physiotherapist-supervised rehabilitation was more effective than WIs on improving patient-rated ankle function, satisfaction and physical activity ability after an acute ankle sprain.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2017. Vol. 19, no 2, 76-83 p.
Keyword [en]
FAOS, home-based physiotherapy treatment, Patient education hand out, self-care
National Category
Medical and Health Sciences Health Sciences Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-136104DOI: 10.1080/21679169.2016.1251966OAI: oai:DiVA.org:liu-136104DiVA: diva2:1084948
Available from: 2017-03-27 Created: 2017-03-27 Last updated: 2017-05-04

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Fältström, AnneÖberg, UlrikaKammerlind, Ann-Sofi
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