Prediction of Recurrent Injury in the Same Competitive Sport Season Following Return-to-Play From an Ankle Sprain

in International Journal of Athletic Therapy and Training

Click name to view affiliation

Ryan S. McCannOld Dominion University

Search for other papers by Ryan S. McCann in
Current site
Google Scholar
PubMed
Close
*
,
Kyle B. KosikUniversity of Kentucky

Search for other papers by Kyle B. Kosik in
Current site
Google Scholar
PubMed
Close
*
,
Masafumi TeradaRitsumeikan University

Search for other papers by Masafumi Terada in
Current site
Google Scholar
PubMed
Close
*
, and
Phillip A. GribbleUniversity of Kentucky

Search for other papers by Phillip A. Gribble in
Current site
Google Scholar
PubMed
Close
*
Restricted access

Several investigators have aimed to predict recurrent injuries following acute ankle sprains, but none has done so in high school or collegiate athletes. The purpose of this study was to determine the ability of demographic, anthropometric, and disease- and patient-oriented outcomes to predict recurrent ankle sprains in athletes during the same competitive season following return to play from an ankle sprain. Only increased patient height and mass were associated with increased odds of sustaining a recurrent ankle sprain. Thus, taller and heavier patients might have the greatest risk of sustaining a recurrent ankle sprain in the same season as a previous ankle sprain.

McCann is an assistant professor in the School of Physical Therapy & Athletic Training, Old Dominion University, Norfolk, VA. Kosik is a postdoctoral research fellow in the Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY. Terada is an assistant professor in the College of Sport and Health Sciences, Ritsumeikan University, Kyoto, Japan. Gribble is an associate professor in the Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY.

McCann (rmccann@odu.edu) is corresponding author.
  • Collapse
  • Expand
  • 1.

    Nelson AJ, Collins CL, Yard EE, Fields SK, Comstock RD. Ankle injuries among United States high school sports athletes, 2005–2006. J Athl Train. 2007;42(3):381387. PubMed ID: 18059994

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):7394. PubMed ID: 17190537 doi:10.2165/00007256-200737010-00006

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association Sports. Am J Sports Med. 2017;45(1):201209. PubMed ID: 27573356 doi:10.1177/0363546516660980

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Swenson DM, Collins CL, Fields SK, Comstock RD. Epidemiology of U.S. high school sports-related ligamentous ankle injuries, 2005/06–2010/11. Clin J Sport Med. 2013;23(3):190196. PubMed ID: 23328403 doi:10.1097/JSM.0b013e31827d21fe

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Braun BL. Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation. Arch Fam Med. 1999;8(2):143148. PubMed ID: 10101985 doi:10.1001/archfami.8.2.143

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Attenborough AS, Sinclair PJ, Sharp T, et al. The identification of risk factors for ankle sprains sustained during netball participation. Phys Ther Sport. 2017;23:3136. PubMed ID: 27665248 doi:10.1016/j.ptsp.2016.06.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Beynnon BD, Renstrom PA, Alosa DM, Baumhauer JF, Vacek PM. Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res. 2001;19(2):213220. PubMed ID: 11347693 doi:10.1016/S0736-0266(00)90004-4

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    de Noronha M, Franca LC, Haupenthal A, Nunes GS. Intrinsic predictive factors for ankle sprain in active university students: a prospective study. Scand J Med Sci Sports. 2013;23(5):541547. PubMed ID: 22260485

    • Search Google Scholar
    • Export Citation
  • 9.

    de Ridder R, Witvrouw E, Dolphens M, Roosen P, Van Ginckel A. Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players: a 3-season prospective study. Am J Sports Med. 2017;45(2):410416. PubMed ID: 27852594 doi:10.1177/0363546516672650

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Gribble PA, Terada M, Beard MQ, et al. Prediction of lateral ankle sprain risk in football players using clinical modifiable factors. Am J Sports Med. 2016;44(2):460467. PubMed ID: 26646517 doi:10.1177/0363546515614585

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int. 1998;19(10):653660. PubMed ID: 9801078 doi:10.1177/107110079801901002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Henry T, Evans K, Snodgrass SJ, Miller A, Callister R. Risk factors for noncontact ankle injuries in amateur male soccer players: a prospective cohort study. Clin J Sport Med. 2016;26(3):251258. PubMed ID: 26331469 doi:10.1097/JSM.0000000000000240

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    McCann RS, Kosik KB, Terada M, Beard MQ, Buskirk GE, Gribble PA. Acute lateral ankle sprain prediction in collegiate women’s soccer players. Int J Sports Phys Ther. 2018;13(1):1218. PubMed ID: 29484237 doi:10.26603/ijspt20180012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Milgrom C, Shlamkovitch N, Finestone A, et al. Risk factors for lateral ankle sprain: a prospective study among military recruits. Foot Ankle. 1991;12(1):2630. PubMed ID: 1959831 doi:10.1177/107110079101200105

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Powers CM, Ghoddosi N, Straub RK, Khayambashi K. Hip strength as a predictor of ankle sprains in male soccer players: a prospective study. J Athl Train. 2017;52(11):10481055. PubMed ID: 29116830 doi:10.4085/1062-6050-52.11.18

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Sman AD, Hiller CE, Rae K, et al. Predictive factors for ankle syndesmosis injury in football players: a prospective study. J Sci Med Sport. 2014;17(6):586590. PubMed ID: 24462116 doi:10.1016/j.jsams.2013.12.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Witchalls J, Blanch P, Waddington G, Adams R. Intrinsic functional deficits associated with increased risk of ankle injuries: a systematic review with meta-analysis. Br J Sports Med. 2012;46(7):515523. PubMed ID: 22171337 doi:10.1136/bjsports-2011-090137

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Pourkazemi F, Hiller CE, Raymond J, Nightingale EJ, Refshauge KM. Predictors of chronic ankle instability after an index lateral ankle sprain: a systematic review. J Sci Med Sport. 2014;17(6):568573. PubMed ID: 24589372 doi:10.1016/j.jsams.2014.01.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Pourkazemi F, Hiller CE, Raymond J, Black D, Nightingale EJ, Refshauge KM. Predictors of recurrent sprains after an index lateral ankle sprain: a longitudinal study. Physiotherapy. 2018;104(4):430437. PubMed ID: 29325691 doi:10.1016/j.physio.2017.10.004

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Clinical tests have limited predictive value for chronic ankle instability when conducted in the acute phase of a first-time lateral ankle sprain injury. Arch Phys Med Rehabil. 2018;99(4):720725.e1. PubMed ID: 29274315 doi:10.1016/j.apmr.2017.11.008

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    McCann RS, Kosik KB, Terada M, Gribble PA. Residual impairments and activity limitations at return to play from a lateral ankle sprain. Int J Athl Ther Train. 2018;23(2):8388. doi:10.1123/ijatt.2017-0058

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Katz J, Melzack R. Measurement of pain. Surg Clin N Am. 1999;79(2):231252. PubMed ID: 10352653 doi:10.1016/S0039-6109(05)70381-9

  • 23.

    Mawdsley RH, Hoy DK, Erwin PM. Criterion-related validity of the figure-of-eight method of measuring ankle edema. J Orthop Sports Phys Ther. 2000;30(3):149153. PubMed ID: 10721511 doi:10.2519/jospt.2000.30.3.149

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Chisholm MD, Birmingham TB, Brown J, Macdermid J, Chesworth BM. Reliability and validity of a weight-bearing measure of ankle dorsiflexion range of motion. Physiother Can. 2012;64(4):347355. PubMed ID: 23997389 doi:10.3138/ptc.2011-41

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Baumhauer JF, Alosa DM, Renstrom AF, Trevino S, Beynnon B. A prospective study of ankle injury risk factors. Am J Sports Med. 1995;23(5):564570. PubMed ID: 8526271 doi:10.1177/036354659502300508

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Hertel J, Denegar CR, Monroe MM, Stokes WL. Talocrural and subtalar joint instability after lateral ankle sprain. Med Sci Sports Exerc. 1999;31(11):15011508. PubMed ID: 10589849 doi:10.1097/00005768-199911000-00002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47(3):339357. PubMed ID: 22892416 doi:10.4085/1062-6050-47.3.08

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Swets JA. Measuring the accuracy of diagnostic systems. Science. 1988;240(4857):12851293. PubMed ID: 3287615 doi:10.1126/science.3287615

  • 29.

    Kreatsoulas C, Hassan A, Subramanian SV, Fleegler EW. Accuracy of self-reported height and weight to determine body mass index among youth. J Child Adolesc Behav. 2014;2(1):13. doi:10.4172/2375-4494.1000126

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Tyler TF, McHugh MP, Mirabella MR, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school football players: the role of previous ankle sprains and body mass index. Am J Sports Med. 2006;34(3):471475. PubMed ID: 16260467 doi:10.1177/0363546505280429

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Pugia ML, Middel CJ, Seward SW, et al. Comparison of acute swelling and function in subjects with lateral ankle injury. J Orthop Sports Phys Ther. 2001;31(7):384388. PubMed ID: 11451309 doi:10.2519/jospt.2001.31.7.384

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Plante JE, Wikstrom EA. Differences in clinician-oriented outcomes among controls, copers, and chronic ankle instability groups. Phys Ther Sport. 2013;14(4):221226. PubMed ID: 24113075 doi:10.1016/j.ptsp.2012.09.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Dynamic balance deficits in individuals with chronic ankle instability compared to ankle sprain copers 1 year after a first-time lateral ankle sprain injury. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):10861095. PubMed ID: 26254090 doi:10.1007/s00167-015-3744-z

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    McCann RS, Crossett ID, Terada M, Kosik KB, Bolding BA, Gribble PA. Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport. 2017;20:992996. PubMed ID: 28595864 doi:10.1016/j.jsams.2017.05.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Carcia CR, Martin RL, Drouin JM. Validity of the foot and ankle ability measure in athletes with chronic ankle instability. J Athl Train. 2008;43(2):179183. PubMed ID: 18345343 doi:10.4085/1062-6050-43.2.179

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009;4(2):9299. PubMed ID: 21509114

    • Search Google Scholar
    • Export Citation
  • 37.

    Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis. Am J Sports Med. 2016;44(4):9951003. PubMed ID: 26912285 doi:10.1177/0363546516628870

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Turocy PS, DePalma BF, Horswill CA, et al. National Athletic Trainers’ Association position statement: safe weight loss and maintenance practices in sport and exercise. J Athl Train. 2011;46(3):322336. PubMed ID: 21669104 doi:10.4085/1062-6050-46.3.322

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Dizon JM, Reyes JJ. A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. J Sci Med Sport. 2010;13(3):309317. PubMed ID: 19586798 doi:10.1016/j.jsams.2009.05.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 40.

    Kosik KB, McCann RS, Terada M, Gribble PA. Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a systematic review. Br J Sports Med. 2017;51:105112. PubMed ID: 27806951 doi:10.1136/bjsports-2016-096534

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Gribble PA, Delahunt E, Bleakley CM, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Athl Train. 2014;49(1):121127. PubMed ID: 24377963 doi:10.4085/1062-6050-49.1.14

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 2031 1467 3
Full Text Views 54 5 0
PDF Downloads 28 6 0