Ohio University, Athens.
University of North Carolina at Chapel Hill.
J Athl Train. 2019 Jun;54(6):676-683. doi: 10.4085/1062-6050-449-16. Epub 2018 Jan 26.
CONTEXT: Limited information exists on the amount and type of care provided by athletic trainers (ATs) treating athletes who sustained ankle sprains in the high school setting. OBJECTIVE: To describe AT services provided for patients with ankle sprains injured in high school athletics. DESIGN: Descriptive epidemiology study. SETTING: Athletic training facility (ATF) visits and AT services collected from 147 high schools in 26 states. PATIENTS OR OTHER PARTICIPANTS: High school student-athletes participating in 13 boys' and 14 girls' sports who sustained a diagnosed ankle sprain during the 2011-2012 through 2013-2014 academic years. The ATs documented 3213 ankle sprains. MAIN OUTCOME MEASURE(S): Number of ATF visits and individual AT services and mean ATF visits (per injury) and AT services (per injury) were calculated by sport and for time-loss injuries (participation-restriction time of at least 24 hours) and non-time-loss injuries (participation-restriction time <24 hours). RESULTS: During the 3-year period, 19 925 ATF visits were reported, with an average of 6 (interquartile range = 1-7) ATF visits per ankle sprain. Most ATF visits were for non-time-loss injuries (65.1%). Football accounted for the largest proportions of ankle sprains (27.3%) and ATF visits (35.0%). In total, 71 404 AT services were provided for ankle sprains. Therapeutic activities or exercise were the most common AT services (47.4%), followed by neuromuscular reeducation (16.6%), strapping (14.2%), and modalities (11.5%). An average of 22 (interquartile range = 4-28) AT services were reported per ankle sprain. The average number of AT services per injury was higher among patients with time-loss than non-time-loss injuries (35 versus 19; < .001). CONCLUSIONS: The ATs provided a variety of services to treat high school athletes who had sustained ankle sprains, including therapeutic exercises and neuromuscular reeducation, which were supported by research. However, ATs should consider using manual therapy (use supported by grade B evidence) and therapeutic exercise more (use supported by grade A evidence).
背景：关于在高中环境中治疗踝关节扭伤的运动员，运动训练员（AT）提供的护理量和类型的信息有限。
目的：描述治疗高中运动中踝关节扭伤的运动员的 AT 服务。
设计：描述性流行病学研究。
地点：来自 26 个州的 147 所高中的 AT 设施就诊和 AT 服务收集。
患者或其他参与者：在 2011-2012 至 2013-2014 学年期间参加 13 项男子运动和 14 项女子运动并被诊断出患有踝关节扭伤的高中运动员。AT 记录了 3213 例踝关节扭伤。
主要观察指标：按运动和时间损失伤（至少 24 小时的参与限制时间）和非时间损失伤（参与限制时间<24 小时）计算 AT 设施就诊次数和单个 AT 服务次数，以及平均 AT 设施就诊次数（每次受伤）和 AT 服务次数（每次受伤）。
结果：在 3 年期间，报告了 19925 次 AT 设施就诊，平均每个踝关节扭伤就诊 6（四分位距= 1-7）次。大多数 AT 就诊是为了治疗非时间损失伤（65.1%）。足球占踝关节扭伤（27.3%）和 AT 就诊（35.0%）的最大比例。总共为踝关节扭伤提供了 71404 次 AT 服务。治疗性活动或运动是最常见的 AT 服务（47.4%），其次是神经肌肉再教育（16.6%），包扎（14.2%）和疗法（11.5%）。每个踝关节扭伤报告的平均 AT 服务次数为 22（四分位距= 4-28）。与非时间损失伤相比，时间损失伤患者的平均受伤次数更高（35 次比 19 次；<0.001）。
结论：AT 为治疗高中运动中踝关节扭伤的运动员提供了各种服务，包括研究支持的治疗性运动和神经肌肉再教育。但是，AT 应考虑更多地使用手动疗法（使用 B 级证据支持）和治疗性运动（使用 A 级证据支持）。
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