临床医生对与使用踝关节支具相关因素的建议和看法。
Clinician Recommendations and Perceptions of Factors Associated With Ankle Brace Use.
作者信息
Denton Jason M, Waldhelm Andrew, Hacke Jonathon D, Gross Michael T
机构信息
School of Physical Therapy, University of the Incarnate Word, San Antonio, Texas.
Division of Physical Therapy at the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
出版信息
Sports Health. 2015 May;7(3):267-9. doi: 10.1177/1941738115572984.
BACKGROUND
Little information is available regarding the ankle braces orthopaedic sports medicine clinicians recommend or clinicians' concerns that may influence their decisions to recommend use of an ankle brace.
HYPOTHESES
(1) Clinicians most frequently recommend lace-up braces with straps. (2) Clinicians who are concerned about potential adverse side effects from ankle brace use are less likely to recommend an ankle brace to prevent ankle sprain injuries.
STUDY DESIGN
Descriptive survey study.
LEVEL OF EVIDENCE
Level 3.
METHODS
Surveys were sent via e-mail to 1000 randomly selected members of the Orthopaedic Section of the American Physical Therapy Association (APTA) and 1000 randomly selected members of the National Athletic Trainers' Association (NATA). A total of 377 individuals responded to the survey.
RESULTS
Lace-up braces, specifically lace-up braces with straps, were the most frequently recommended type of ankle brace. Regression analyses indicated that the only perceived adverse side effect significantly related to frequency of ankle brace recommendation was a potential negative influence on ankle strength.
CONCLUSION
Based on our sample, clinicians recommend lace-up ankle braces with straps most frequently to prevent ankle sprain injuries. Clinicians who are concerned about weakness of ankle musculature may be less likely to recommend use of an ankle brace.
CLINICAL RELEVANCE
Clinicians may effectively reduce the number of ankle sprain injuries by recommending an ankle brace use after an initial ankle sprain injury.
背景
关于骨科运动医学临床医生推荐的踝关节支具，或可能影响他们推荐使用踝关节支具决策的临床医生关注点，目前可用信息较少。
假设
（1）临床医生最常推荐带绑带的系带式支具。（2）担心使用踝关节支具会产生潜在不良副作用的临床医生，不太可能推荐使用踝关节支具来预防踝关节扭伤。
研究设计
描述性调查研究。
证据水平
3级。
方法
通过电子邮件向美国物理治疗协会（APTA）骨科分会随机抽取的1000名成员和国家运动训练协会（NATA）随机抽取的1000名成员发送调查问卷。共有377人回复了调查。
结果
系带式支具，特别是带绑带的系带式支具，是最常被推荐的踝关节支具类型。回归分析表明，唯一与踝关节支具推荐频率显著相关的感知到的不良副作用是对踝关节力量的潜在负面影响。
结论
基于我们的样本，临床医生最常推荐带绑带的系带式踝关节支具来预防踝关节扭伤。担心踝关节肌肉无力的临床医生可能不太可能推荐使用踝关节支具。
临床意义
临床医生在初次踝关节扭伤后推荐使用踝关节支具，可能有效减少踝关节扭伤的数量。
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