Evidence map›Paper›PMID 33362991›Full record

ReviewWorld journal of orthopedics2020

Acute ankle sprain in athletes: Clinical aspects and algorithmic approach.

Farzin Halabchi, Mohammad Hassabi

3 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in World journal of orthopedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05250739 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of Neuromuscular Training vs Strength Training in Chronic Ankle Instability

TypeinterventionalSponsorDAVID CRUZ DÍAZRan2021 to 2021Enrolled67ConditionsAnkle InjuriesArmsStrength training, Neuromuscular training
NCT05863650 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effect of Digital-Based Simulation Education on Self-Efficacy and Clinical Reasoning Skills in Physiotherapy and Rehabilitation Students

TypeinterventionalSponsorMarmara UniversityRan2024 to 2024Enrolled60ConditionsSelf-efficacy, Clinical ReasoningArmsDigital based simulation, Face to face education
NCT06866808 nacompletednot on this mapstarted 2024, after this paper: background citation

Combined Effects of Talocrural Mobilization With Movement and Therapeutic Ultrasound on Pain, Balance and Disability in Athletes With Ankle Sprain.

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2024Enrolled30ConditionsAnkle SprainsArmstalocrural MWM and Therapeutic US, Conventional physiotherapy
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
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  6. Rotating-pulling-poking manipulation in gait analysis for lateral ankle sprain treatment.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2025
    Trial
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  8. Comparative Efficacy of Micro-Needle-Knife Therapy and Acupuncture in Acute Ankle Sprains: A Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Trial
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  15. Review
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  19. Assessing Balance in Young Athletes With and Without Chronic Ankle Instability.International journal of sports physical therapy · 2026
    Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Farzin HalabchiDepartment of Sports and Exercise Medicine, Tehran University of Medical Sciences, Tehran 14167-53955, Iran.
Mohammad HassabiDepartment of Sports and Exercise Medicine, Shahid Beheshti University of Medical Sciences, Tehran 19979-64151, Iran. hassabi@sbmu.ac.ir.
Shahid Beheshti University · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute ankle sprain is the most common lower limb injury in athletes and accounts for 16%-40% of all sports-related injuries. It is especially common in basketball, American football, and soccer. The majority of sprains affect the lateral ligaments, particularly the anterior talofibular ligament. Despite its high prevalence, a high proportion of patients experience persistent residual symptoms and injury recurrence. A detailed history and proper physical examination are diagnostic cornerstones. Imaging is not indicated for the majority of ankle sprain cases and should be requested according to the Ottawa ankle rules. Several interventions have been recommended in the management of acute ankle sprains including rest, ice, compression, and elevation, analgesic and anti-inflammatory medications, bracing and immobilization, early weight-bearing and walking aids, foot orthoses, manual therapy, exercise therapy, electrophysical modalities and surgery (only in selected refractory cases). Among these interventions, exercise and bracing have been recommended with a higher level of evidence and should be incorporated in the rehabilitation process. An exercise program should be comprehensive and progressive including the range of motion, stretching, strengthening, neuromuscular, proprioceptive, and sport-specific exercises. Decision-making regarding return to the sport in athletes may be challenging and a sports physician should determine this based on the self-reported variables, manual tests for stability, and functional performance testing. There are some common myths and mistakes in the management of ankle sprains, which all clinicians should be aware of and avoid. These include excessive imaging, unwarranted non-weight-bearing, unjustified immobilization, delay in functional movements, and inadequate rehabilitation. The application of an evidence-based algorithmic approach considering the individual characteristics is helpful and should be recommended.

Indexed as

Ankle sprainAthleteExercise therapyRehabilitationReturn to playSport injury

Identifiers

PMID33362991
PMCPMC7745493
OpenAlexW3111007841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.