RETURN TO SPORT DECISIONS AFTER LATERAL ANKLE SPRAIN REQUIRES A THOROUGH, MULTIFACTORIAL ASSESSMENT
Smith et al. (2021) compiled a consensus of opinion among 155 globally diverse health professionals, predominately physiotherapists and sports physicians working in elite field or court sports with postgraduate qualifications. Three rounds of surveys were completed to establish which assessment items should be included to inform return to sport decisions after an acute lateral ankle spain injury.
5 domains which encapsulate 16 items were agreed upon (see graphic below). A range of tests can be used to assess each item in the context of other elements such as tissue health, tissue stresses and risk modifiders.
Once a fracture is excluded by XR or Ottawa Ankle Rules, individualised physiotherapy must begin. Addressing each of these assessment items is vital to return to full function, unrestricted participation and to minimise the risk of recurring injury.
At Balgowlah Physio, we work through each assessment item one by one with every patient. Every rehabilitation is different, focusing on the impairment found to be in deficit. Each patient needs to demonstrate normal values before return to sport clearance can be given.