Evidence map›Paper›PMID 40629319›Full record

Trial reportBMC musculoskeletal disorders2025

Heel kicking exercise rapidly improves pain and function in patients with acute lateral ankle sprain: a randomized controlled trial.

Qi-Ning Qin, Xin Zhang, Ying-Feng Cai, Tian-Zhao Tian, Jian-Peng Zhou, Lin Li, Min Shi, Peng Huang, Hao-Dong Liang, Jia-Hui Li and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

15 authors.

Qi-Ning Qin *Department of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Xin Zhang *Department of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Ying-Feng CaiDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Tian-Zhao TianDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Jian-Peng ZhouDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Lin LiDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Min ShiDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Peng HuangDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Hao-Dong LiangDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Jia-Hui LiDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China.
Zhan-Liang TanGuangzhou University of Chinese Medicine, No. 12 Jichang Road, Baiyun District, Guangzhou, 510405, China.
Yi-Xuan FangInternational Department, Affiliated High School of South China Normal University, Guangzhou, 510620, China.
Jia-Wen WangGuangzhou University of Chinese Medicine, No. 12 Jichang Road, Baiyun District, Guangzhou, 510405, China.
Fang ZhengGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, No. 107 Yanjiang West Road, Yuexiu District, Guangzhou, 510120, China. effortgreatlyzhf@163.com.
Bao-Xin LiuDepartment of Orthopedics, traditional Chinese medicine hospital affiliated to Guangzhou medical university, No. 16 Zhuji Road, Liwan District, Guangzhou, 510130, China. liubaoxin898@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnkle sprain is one of the common traumatic injuries in daily life, and PRICE (protection, rest, ice, compression pressure bandaging, elevation of the affected limb) principle is routinely recommended at its early stage. In traditional Chinese medicine (TCM), bone-setting technique (BST) can quickly relieve ankle pain and improve walking function, but physicians require high skills and physical strength. In this study, we designed an exercise-heel kicking exercise (HKE) based on the principles and methods of BST. This study aims to observe its true efficacy and safety.

methods68 patients (18-45 years old) with grade I and II lateral ankle sprain within 48 h were recruited from TCM hospital affiliated to Guangzhou medical university and 60 cases meeting the criteria were enrolled and randomized into control group and intervention group (30 cases separately). The patients in both groups were treated with the PRICE and ankle pump exercise, and the ones in intervention group added heel kicking exercise (HKE). The visual analogue scale (VAS) for pain, swelling degree, and American orthopedic foot & ankle society ankle-hindfoot scale (AOFAS) score before and after the intervention (within 4 W), and Karlsson score (the 26th week follow-up) were measured.

resultsBefore treatment, there were no significant differences in VAS scores, swelling degrees and AOFAS scores between two groups. During the treatment for 4 weeks, VAS scores and swelling degrees of the patients in both groups gradually decreased, and the AOFAS score gradually increased (p < 0.01). In addition, patients in the intervention group were observed to get a quicker pain reliever, swelling subsiding, and ankle function restore than those in control group at most of time points of observation (1st d, 3rd d, 1st w, 2nd w, 4th w) (p < 0.05, p < 0.01). But there was no significant difference in Karlsson scores between two groups at the 26th week follow-up.

conclusionsHKE is a method designed to provide rapid movement rehabilitation for patients with ankle sprains, which can be used as one of its basic treatments.

trial registrationThis study was registered in China Clinical Trial Center (NO. ChiCTR2300073709). Trial registration date: August 16th 2022.

Indexed as

Ankle InjuriesExercise TherapyPain ManagementSprains and StrainsAdolescentAdultFemaleHeelHumansMaleMedicine, Chinese TraditionalMiddle AgedPain MeasurementRecovery of FunctionTreatment OutcomeYoung AdultAnkle sprainExercise therapyMild malposition of bone and jointTendon off position

Identifiers

PMID40629319
PMCPMC12235833

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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.