Picot Brice, Fourchet François, Lopes Ronny, Rauline Gauthier, Freiha Kinan, D'hooghe Pieter, Valentin Eugénie, Hardy Alexandre
Interuniversity Laboratory of Human Movement Sciences, Savoie Mont-Blanc University, Chambéry, 7424, F-73000, EA, France.
French Society of Sports Physical Therapist (SFMKS Lab), Pierrefitte-sur-Seine, France.
Sports Med Open. 2024 Mar 8;10(1):23. doi: 10.1186/s40798-024-00693-w.
Lateral ankle sprain (LAS) is the most common sports injury, leading to a high rate of recurrence and the development of chronic ankle instability. One possible explanation is the lack of objective, evidence-based criteria to inform return to sport decisions following LAS. The aim of this study was therefore to assess the efficacy of a new functional score to distinguish patients at risk of recurrent LAS within two years after the initial injury.
The Ankle-GO score was used in 64 active patients two months after LAS. This composite score includes 2 self-reported questionnaires and 4 functional tests, for a maximum score of 25 points. The rate of reinjury was prospectively recorded 2 years after inclusion. Potential predictive variables for reinjury were tested using the Chi-square and independent t-tests. The area under the receiver operating characteristics curve (AUC) with the optimal cut-off score was determined to assess the predictive value of the Ankle-GO score for the risk of reinjury. Multivariate logistic regression was then used to determine the influence of risk factors of reinjury.
Fifty-four (85%) patients were included (23 men and 31 women, 34.7 ± 13 years old) including 18 (33.3%) with a reinjury. The two-month Ankle-GO score was lower in patients with a recurrent LAS (5.4 ± 2.8 points vs. 9.1 ± 4.5, p = 0.002) and predicted the risk of reinjury (AUC = 0.75). Patients with < 8 points were found to have a significantly higher risk of reinjury (OR = 8.6; 95%CI: 2-37.2, p = 0.001). Women also tend to have a higher risk of recurrence (OR = 3.8; 95%CI: 0.9-15.5, p = 0.065).
The Ankle-GO score is a new objective criterion for RTS after LAS. Patients with a low score at two months have a 9-fold greater risk of recurrence within two years.
外侧踝关节扭伤（LAS）是最常见的运动损伤，导致高复发率和慢性踝关节不稳的发生。一种可能的解释是缺乏客观的、基于证据的标准来指导LAS后恢复运动的决策。因此，本研究的目的是评估一种新的功能评分在区分初次损伤后两年内有复发性LAS风险患者方面的有效性。
64名活跃患者在LAS后两个月使用踝关节功能评分（Ankle-GO score）。这个综合评分包括2份自我报告问卷和4项功能测试，满分25分。纳入后2年对再损伤率进行前瞻性记录。使用卡方检验和独立t检验测试再损伤的潜在预测变量。确定具有最佳截断分数的受试者工作特征曲线（AUC）下面积，以评估Ankle-GO评分对再损伤风险的预测价值。然后使用多因素逻辑回归确定再损伤危险因素的影响。
纳入54名（85%）患者（23名男性和31名女性，34.7±13岁），其中18名（33.3%）有再损伤。复发性LAS患者的两个月Ankle-GO评分较低（5.4±2.8分对9.1±4.5分，p = 0.002），并预测了再损伤风险（AUC = 0.75）。发现得分<8分的患者再损伤风险显著更高（OR = 8.6；95%CI：2 - 37.2，p = 0.001）。女性也往往有更高的复发风险（OR = 3.8；95%CI：0.9 - 15.5，p = 0.065）。
Ankle-GO评分是LAS后恢复运动的一项新的客观标准。两个月时得分低的患者在两年内复发风险高9倍。
