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| Volume decreases after elevation and intermittent compression of postacute ankle sprains are negated by gravity-dependent positioning |
| Tsang KK, Hertel J, Denegar CR |
| Journal of Athletic Training 2003 Dec;38(4):320-324 |
| clinical trial |
| 3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: Elevation and intermittent compression are routinely prescribed after soft tissue injury. Individuals must, however, resume activity in an upright position. The effect of gravity-dependent positioning after elevation and intermittent compression has not been extensively examined. Our purpose was to examine the effects of gravity-dependent positioning after elevation and intermittent compression on the volume of injured ankles. DESIGN AND SETTING: Ankle-injured subjects were randomly assigned to 1 of 2 treatment groups: elevation or elevation and intermittent compression. Each treatment lasted 30 minutes. SUBJECTS: Twelve college students with inversion ankle sprains 2 to 4 days earlier participated. MEASUREMENTS: Measurements of ankle volume were performed before treatment and at 5, 10, 15, 20, 25, 30, 45, and 60 minutes after treatment. RESULTS: Regardless of treatment, ankle volume decreased (by 17.25 +/- 4.05 mL) between the pretreatment measurement and the immediate posttreatment measurement (p < 0.05). The effects of both treatments, however, lasted less than 5 minutes after the limb was returned to a gravity-dependent position. CONCLUSIONS: These results suggest that elevation or elevation and intermittent compression do not effectively decrease ankle volume for a prolonged period of time in patients with postacute ankle sprains.
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