Is prophylactic bracing of the ankle cost effective ?
Combined Meeting The American Orthopedic Foot and Ankle Society and orthopedic foot and ankle surgeons from around the world. Dublin IRL, 1995/08.
The ankle joints of 14 healthy volunteers and 16 patients with unstable ankle joints were tested for their functional and proprioceptive capabilities.
All of them were active athletes.
Three tests were used : the single-leg stance test, the single-leg jumping course test, and the angle-reproduction test.
The influence of three stabilization devices-the lace-on brace (Mikros), the stirrup brace (Aircast), and taping-on the proprioceptivity of stable and unstable ankle joints was evaluated.
The scores of the single-leg jumping course test without any stabilizing device ( « standard » category) ranged between 8.06 and 13.68 (10.65+1.29).
In the Mikros (9.95+0.99) and Aircast (9.99+1.14) brace categories, as well as the tape bandage (10.27+0.81) category, better scores were achieved.
The differences between « standard vs Mikros » and « standard vs Aircast » revealed a significant reduction of the scores with the orthoses (P<. 01).
The error rate in the single-leg stance test was within the range of 0 to 16 (5.12+2.85) for the standard category.
It was lower for the Mikros (3.65+2.65) and Aircast (4.17+2.59) categories.
The error rate was highest in the tape bandage group (5.79+3.53).
There was a significant difference between « standard vs Mikros » and « standard vs Aircast » regarding injured and non-injured ankle joints (P<. 01).
The angle-reproduction test showed higher values for the standard (2.36°+0.97) category than the Mikros (1.46°+0.72), Aircast (1.62°+0.91), and taping (1. (...)
Mots-clés Pascal : Entorse, Cheville, Homme, Prévention, Proprioception, Orthèse, Normal, Sportif, Biomécanique, Analyse coût, Economie santé, Evaluation, Allemagne, Europe, Membre inférieur, Système ostéoarticulaire pathologie, Traumatisme, Traitement orthopédique
Mots-clés Pascal anglais : Sprain, Ankle, Human, Prevention, Proprioception, Orthosis, Normal, Athlete, Biomechanics, Cost analysis, Health economy, Evaluation, Germany, Europe, Lower limb, Diseases of the osteoarticular system, Trauma, Orthopedic treatment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0305601
Code Inist : 002B26H. Création : 10/04/1997.