ArticleCureus2025
Optimizing Ankle Sprain Management in Primary Care: A Randomized Trial of Telerehabilitation Added to Usual Care.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnkle sprains (AS) are among the most common musculoskeletal injuries, with physical rehabilitation being a cornerstone of treatment. Telerehabilitation has emerged as an effective alternative for managing various musculoskeletal conditions; however, evidence supporting its use specifically for AS remains limited. This study aimed to evaluate whether the addition of structured telerehabilitation to usual care (UC) improves functional recovery in patients with grade I-II AS more effectively than UC alone in a primary care setting.
methodsEighty-two participants were randomized into two groups (41 each): 1) Intervention group (IG): UC (standard primary care management) plus a four-week telerehabilitation program (30-minute daily exercises, five days/week) delivered via a digital platform with pre-recorded videos; Control group (CG): UC only. The primary outcome was ankle functionality measured using the Foot and Ankle Ability Measure (FAAM), including subscales for activities of daily living (FAAM-ADL) and sports (FAAM-Sports). Secondary outcomes included pain perception and work disability days.
resultsAt four weeks, the IG demonstrated superior outcomes; at functionality, mean between-group differences favored the IG (FAAM-ADL: +8.3 points [95% CI 3.8-12.7]; FAAM-Sports: +13.4 points (6.7-20)). Pain: Significant reduction in VAS scores for grade II AS only (-0.9 points (-1.5 to -0.4)). Subgroup analysis: Clinically meaningful improvements in functionality were observed for both grades, but pain reduction was significant only in grade II AS. Grade I AS showed improvement limited to FAAM-Sports.
conclusionsTelerehabilitation, as an adjunct to UC, significantly enhances functional recovery in AS, with particularly pronounced effects in grade II (moderate) sprains. However, pain reduction exhibits grade-dependent variability. These findings support incorporating telerehabilitation into primary care management protocols for AS.
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