Gross Michael T, Liu Hsin-Yi
Division of Physical Therapy, Program in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7135, USA.
J Orthop Sports Phys Ther. 2003 Oct;33(10):572-7. doi: 10.2519/jospt.2003.33.10.572.
Lateral ankle sprains are one of the most common injuries incurred in recreational and competitive athletics. These injuries have a significant impact in terms of cost, athletic participation, and activities of daily living. Prophylactic ankle braces are often used to reduce the risk of injury recurrence when individuals return to athletic participation. The purpose of this clinical commentary is to review the literature and provide our own experience relative to the use of prophylactic ankle bracing. Relatively high incidence rates of ankle sprain injury have been reported for basketball and soccer athletes, military trainees, and individuals with a previous history of ankle sprain injury. Semirigid and laced ankle braces have significantly reduced the incidence of initial and recurrent ankle sprain injuries in athletic and military samples. With few exceptions, these braces do not appear to affect functional performance adversely. The prophylactic use of semirigid ankle braces appears warranted to reduce the incidence of initial and, in particular, recurrent ankle sprain injuries for individuals who participate in activities that have the highest risk for these injuries. Additional research is needed to evaluate the many new braces that are available and in use and their influence on the incidence of ankle sprain injury and functional performance.
外侧踝关节扭伤是休闲和竞技体育中最常见的损伤之一。这些损伤在成本、运动参与度和日常生活活动方面都有重大影响。当个人恢复运动参与时，预防性踝关节支具常被用于降低损伤复发的风险。本临床评论的目的是回顾相关文献，并提供我们自己在使用预防性踝关节支具方面的经验。据报道，篮球和足球运动员、军事训练人员以及有踝关节扭伤病史的个体中，踝关节扭伤损伤的发病率相对较高。半刚性和系带式踝关节支具已显著降低了运动员和军事人员样本中初次和复发性踝关节扭伤损伤的发生率。几乎没有例外，这些支具似乎不会对功能表现产生不利影响。对于参与这些损伤风险最高活动的个体，预防性使用半刚性踝关节支具似乎有必要降低初次尤其是复发性踝关节扭伤损伤的发生率。需要更多研究来评估现有的和正在使用的许多新型支具及其对踝关节扭伤损伤发生率和功能表现的影响。
