Mon, Feb 20, 2017 | updated 02:34 AM IST

Physiotherapy not beneficial for ankle sprains, says study

Updated: Nov 17, 2016 11:19 IST

Washington D.C. [USA], Nov.17 (ANI): It's better to deal with your ankle sprains on your own at home than to visit a physiotherapist.

A study published byThe BMJ reveals that physiotherapy does not benefit recovery when compared to basic self management of the injury at home.

Fewer than half of patients had not reached 'excellent recovery' by six months after injury, and there was little clinical difference between those who had received physiotherapy versus usual standard care.

Experts say the finding is important because management of ankle sprains has substantial financial costs, and alternative treatments should be sought to help recovery.

Ankle sprains are one of the most common musculoskeletal injuries and are associated with a high number of visits to an emergency department. Morbidity has been reported among 30-70% of patients, from six months to seven years after injury.

Most ankle sprains are mild or moderate ligament sprains, but clinical standards for the treatment of these injuries are not well defined. In addition, there is a lack of high quality evidence on role of physiotherapy.

So a team of Canadian researchers carried out the largest randomised controlled trial to evaluate the benefits of physiotherapy for ankle sprains.

The study included 503 patients, aged 16-79 years, presenting with mild or moderate ankle sprain injuries to one of two hospitals in Kingston, Canada, between 2009 and 2013. They were randomly assigned to a control group where they received usual care, or usual care plus physiotherapy.

Usual care consisted of medical assessment and a one page written summary of instruction for basic management of the injury at home.

Recommendations focused on ankle protection, rest, ice, application of compression bandage, elevation, use of painkillers, graduated weight bearing activities and information about expected recovery.

The physiotherapy group included a regime of up to seven 30 minute sessions, along with usual care.

Participants were required to complete a questionnaire assessing recovery at 1, 3 and 6 months. Questions focused on pain, symptoms, function in activities of daily living, function in sport and recreation, and quality of life.

Results show that 43% (90/208) of participants in the physiotherapy group and 38% (75/195) in the control group had not reached 'excellent recovery' by six months.

However, a limitation of the study may be that the strict protocol for the recruitment of patients may have led to bias in the sample

The authors conclude: "While there was not a clinically important effect with the standardised physiotherapy regimen provided to our participants, there is potential for the investigation of alternative interventions that would reduce morbidity in patients with these injuries."

In a linked editorial, Chris Bleakley from Ulster University writes that the randomised controlled study is "an important addition to the evidence base," but also calls for patients, practitioners and researchers to consider other rehabilitative exercises that can influence treatment success.

Clinical benefit of rehabilitative exercises might depend on the nature, intensity, and duration of treatment, he says. The maximum of seven lots of 30 minutes of supervised physiotherapy in the latest study might be a "lower dose" when compared to other studies.

He also says there's an "urgent need to diversify the exercise content of treatments beyond the ankle," such as the knee, hip, and in the torso, which can be implicated in long term problems. (ANI)

Washington D.C. [USA], Feb. 19 (ANI): To boost sustainability of livestock production, a study finds that gene editing - one of the newest and most promising tools of biotechnology - enables animal breeders to make beneficial genetic changes, without bringing along unwanted genetic changes.

Full Story >>

People with ADHD may have smaller brain volume

Updated: Feb 19, 2017 07:09 IST

New Delhi [India], Feb 19. (ANI): In a latest study it has been found out that people diagnosed with attention deficit hyperactivity disorder (ADHD) have smaller brain volume than those without the disorder.

Full Story >>

New Delhi [India], Feb 19. (ANI): What if we tell you that scientists can actually slow down the process of ageing. Sounds too good to be true right?

Full Story >>

New Delhi [India], Feb 19. (ANI): Lefty or righty? Well it was decided when you were still in your mum's womb!

Full Story >>

Dads-to be face greater risk of depression

Updated: Feb 19, 2017 06:53 IST

New Delhi [India], Feb 19. (ANI): Expecting a baby is always a joyous experience for both the mother and the father, however a latest study has found out that fathers-to-be can be at risk of depression symptoms if they feel stressed or are in poor health.

Full Story >>

New Delhi [India], Feb 19. (ANI): Do you find it difficult hearing out people at a noisy bar or a restaurant even though you have passed the hearing test with flying colors? Well, you might be secretly deaf!

Full Story >>

New Delhi [India], Feb 19. (ANI): What if we told you that rice has the potential of carrying arsenic and is more than hazardous to feed it to infants!

Full Story >>

Washington D.C. [USA], Feb. 18 (ANI): Now you can save your kid from surgery, as a study shows that antibiotics may be an effective treatment for acute non-complicated appendicitis in children, instead of surgery.

Full Story >>

Washington D.C. [USA], Feb. 18 (ANI): Attention new mommies, sing lullabies to your new born to feel more connected to your babies, suggests a study.

Full Story >>

Washington D.C. [USA], Feb. 18 (ANI): Cancer patients can improve their quality of life with just 30 minutes of walking, suggests a study.

Full Story >>

New Delhi [India], Feb. 17 (ANI): Birth of a baby may be a sweet moment but changing life style of women is posing 'sweet' challenge to it.

Full Story >>

New Delhi [India], Feb. 17 (ANI): Good news! A recent study shows that antibiotics may be an effective treatment for acute non-complicated appendicitis in children, instead of surgery.

Full Story >>

'Seagrass' can improve marine water quality

Updated: Feb 17, 2017 07:07 IST

Washington D.C. [USA], Feb. 17 (ANI): Underwater flowering plants and seagrass meadows known to produce natural antibiotics, can also improve the water quality of sea by suppressing pollution, reveals a study.

Full Story >>

Washington D.C. [USA], Feb. 17 (ANI): Before undergoing hip replacements, knee replacements or hernia repairs, do not let depression or anxiety take a toll on your health, as a study finds, a patients' mental health may affect their risk of experiencing wound-related complications after surgery.

Full Story >>

Washington D.C. [USA], Feb. 17 (ANI): Configure the airflow velocity of your Air Conditioner to a comfortable sleeping environment, as a study reveals when airflow is directed at a human body at an insensible velocity, it may increase your heart rate and affect sleeping positions.

Full Story >>

London [UK], Feb. 17 (ANI): Consume a healthy dose of vitamin D supplements during winters, as a study finds that taking them may protect you from acute respiratory infections and flu.

Full Story >>

Washington D.C. [USA], Feb. 17 (ANI): As a saying, "beauty is skin deep" sounds fair, but in the real world where money is top priority, physical attractiveness might have a lot more prominence than just inner beauty.

Full Story >>

Washington D.C. [USA], Feb. 17 (ANI): We never decide first and then react in a situation, we react according to the present state of mind!

Full Story >>

New Delhi [India], Feb.16 (ANI): The Ministry of Health and Family Welfare and CARE India's National Workshop on TB in Delhi focused on strengthening existing partnerships, involving more partners from private sector and civil society and an outcome-based roadmap to reduce TB burden in India

Full Story >>

Washington D.C. [USA], Feb. 15, ANI: A study finds that changes in the size of mitochondria in a small subset of brain cells, may play a crucial role in safely maintaining blood sugar levels.

Full Story >>