Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Brussels-Capital Region, Belgium.
PLoS One. 2023 Feb 22;18(2):e0280388. doi: 10.1371/journal.pone.0280388. eCollection 2023.
Systematic review.
The International Ankle Consortium developed a core outcome set for the assessment of impairments in patients with lateral ankle sprain (LAS) without consideration of measurement properties (MP). Therefore, the aim of this study is to investigate MPs of assessments for the evaluation of individuals with a history of LAS.
This systematic review of measurement properties follows PRISMA and COSMIN guidelines. Databases Pubmed, CINAHL, Embase, Web of Science, Cochrane Library and SPORTDiscus were searched for eligible studies (last search: July 2022). Studies on MP of specific tests and patient-reported outcome measurements (PROMs) in patients with acute and history of LAS (>4 weeks post injury) were deemed eligible.
Ten studies of acute LAS and 39 studies of history of LAS patients with a total of 3313 participants met the inclusion criteria. Anterior Drawer Test (ADT) in supine position five days post injury and Reverse Anterolateral Drawer Test are recommended in acute settings in single studies. In the history of LAS patients, Cumberland Ankle Instability Tool (CAIT) (4 studies) as a PROM, Multiple Hop (3 studies) and Star Excursion Balance Tests (SEBT) (3 studies) for dynamic postural balance testing showed good MPs. No studies investigated pain, physical activity level and gait. Only single studies reported on swelling, range of motion, strength, arthrokinematics, and static postural balance. Limited data existed on responsiveness of the tests in both subgroups.
There was good evidence to support the use of CAIT as PROM, Multiple Hop, and SEBT for dynamic postural balance testing. Insufficient evidence exists in relation to test responsiveness, especially in the acute situation. Future research should assess MPs of assessments of other impairments associated with LAS.
系统评价。
国际踝关节联合会（International Ankle Consortium）制定了外侧踝关节扭伤（lateral ankle sprain，LAS）患者损伤评估的核心结局集，未考虑测量特性（measurement properties，MP）。因此，本研究旨在调查用于评估 LAS 病史个体的评估方法的 MP。
本测量特性系统评价遵循 PRISMA 和 COSMIN 指南。检索 Pubmed、CINAHL、Embase、Web of Science、Cochrane Library 和 SPORTDiscus 数据库，以获取符合条件的研究（最后一次检索：2022 年 7 月）。符合条件的研究为急性和 LAS 病史患者（受伤后>4 周）特定测试和患者报告结局测量（patient-reported outcome measurement，PROM）的 MP 研究。
符合纳入标准的研究有 10 项急性 LAS 研究和 39 项 LAS 病史研究，共纳入 3313 名参与者。一项研究建议在受伤后 5 天仰卧位时进行前抽屉试验（anterior drawer test，ADT），另一项研究建议在急性情况下进行反向前外侧抽屉试验（reverse anterolateral drawer test）。在 LAS 病史患者中， Cumberland 踝关节不稳定工具（Cumberland Ankle Instability Tool，CAIT）（4 项研究）作为 PROM，多种跳跃（multiple hop，3 项研究）和星状偏移平衡测试（Star Excursion Balance Test，SEBT）（3 项研究）用于动态姿势平衡测试，显示出良好的 MP。没有研究调查疼痛、身体活动水平和步态。只有单项研究报告了肿胀、活动范围、力量、关节运动学和静态姿势平衡。在这两个亚组中，关于测试反应性的有限数据存在。
有充分证据支持将 CAIT 作为 PROM、多种跳跃和 SEBT 用于动态姿势平衡测试。在急性情况下，特别是关于测试反应性的证据不足。未来的研究应评估与 LAS 相关的其他损伤评估方法的 MP。
