Proprioception in ankle sprain from exercises and bandages
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02/11/2016
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| Resumo |
Ankle sprains are the most common injuries in sports, usually causing damage to the lateral ligaments. Recurrence has as usual result permanent instability, and thus loss of proprioception. This fact, together with residual symptoms, is what is known as chronic ankle instability, CAI, or FAI, if it is functional. This problem tries to be solved by improving musculoskeletal stability and proprioception by the application of bandages and performing exercises. The aim of this study has been to review articles (meta-analisis, systematic reviews and revisions) published in 2009-2015 in PubMed, Medline, ENFISPO and BUCea, using keywords such as “sprain instability”, “sprain proprioception”, “chronic ankle instability”. Evidence affirms that there does exist decreased proprioception in patients who suffer from CAI. Rehabilitation exercise regimen is indicated as a treatment because it generates a subjective improvement reported by the patient, and the application of bandages works like a sprain prevention method limiting the range of motion, reducing joint instability and increasing confidence during exercise. As podiatrists we should recommend proprioception exercises to all athletes in a preventive way, and those with CAI or FAI, as a rehabilitation programme, together with the application of bandages. However, further studies should be generated focusing on ways of improving proprioception, and on the exercise patterns that provide the maximum benefit. Los esguinces de tobillo son las lesiones más frecuentes en el deporte, causando normalmente daños en los ligamentos laterales. Su recurrencia tiene como consecuencia habitual la inestabilidad permanente, y con ello, la afectación de la propiocepción. Esto, junto con los síntomas residuales, es lo que se conoce como inestabilidad crónica de tobillo, CAI, o FAI si es de carácter funcional. Este problema se intenta solucionar mejorando la propiocepción y la estabilidad de las distintas estructuras musculoesqueléticas a partir de la aplicación de vendajes y la realización de ejercicios. El objetivo de este trabajo ha sido revisar los artículos (metaanálisis, revisiones sistemáticas y revisiones) publicados en 2009-2015 en PubMed, Medline, ENFISPO y BUCea, empleando palabras clave como “esguinces de tobillo”, “propiocepción en esguinces”,” inestabilidad crónica de tobillo”. La evidencia indica que existe un déficit de propiocepción en pacientes con CAI. Como tratamiento, los ejercicios de rehabilitación están indicados porque generan una mejora subjetiva referida por el paciente y la aplicación de vendajes supone un método de prevención del esguince limitando el rango de movimiento, reduciendo la inestabilidad articular y aumentado la confianza del sujeto en dinámica. Como podólogos deberíamos recomendar la realización de ejercicios de propiocepción a todos los deportistas de forma preventiva, y a aquellos con CAI o FAI, con un fin rehabilitador, junto con la aplicación de vendajes. De todas formas, deben generarse más estudios en cuanto a tratamientos de mejora de la propiocepción, haciendo hincapié en la pauta de ejercicios que proporcionan el máximo beneficio. |
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application/pdf |
| Identificador |
http://revistas.ucm.es/index.php/RICP/article/view/54105 10.5209/rev_RICP.2017.v11.n1.54105 |
| Publicador |
Ediciones Complutense |
| Relação |
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| Fonte |
Revista Internacional de Ciencias Podológicas; Vol 11, No 1 (2017); 50-62 |
| Palavras-Chave | #Ankle sprain; sprain proprioception; chronic ankle instability #esguince de tobillo; propiocepción en esguinces; inestabilidad crónica de tobillo |
| Tipo |
info:eu-repo/semantics/article Artículo revisado por pares info:eu-repo/semantics/publishedVersion |
