PDF(Pubmed)
Abstract：
BACKGROUND: The lateral sprain of the ankle is a very frequent injury in the population in general, appearing in the emergency services frequently. The general objective was to review the current clinical practice guidelines (CPGs) on management and treatment of ankle sprains, assess their quality, analyze the levels of evidence and summarize the grades of recommendation.
METHODS: A systematic search of the literature in relevant databases with the search terms \"ankle,\" \"sprain,\" \"practice guideline,\" and \"guideline\" was carried out. There were included those guidelines that had the system of grades of recommendation and level of evidence concerning to management and treatment of ankle sprain. The quality of the guides was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.
RESULTS: Seven clinical practice guides were included in this review. The AGREE II scores ranged from 42% to 100%, with only six CPGs explicitly declaring the use of a systematic methodology. Seventeen recommendations were extracted and summarized.
CONCLUSIONS: Six of the recommendations analyzed present enough evidence to be applied in clinical practice and are highly recommended for ankle sprain management: Ottawa rules, manual therapy, cryotherapy, functional supports, early ambulation, short term NSAIDs and rehabilitation.
METHODS: A systematic search of the literature in relevant databases with the search terms \"ankle,\" \"sprain,\" \"practice guideline,\" and \"guideline\" was carried out. There were included those guidelines that had the system of grades of recommendation and level of evidence concerning to management and treatment of ankle sprain. The quality of the guides was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.
RESULTS: Seven clinical practice guides were included in this review. The AGREE II scores ranged from 42% to 100%, with only six CPGs explicitly declaring the use of a systematic methodology. Seventeen recommendations were extracted and summarized.
CONCLUSIONS: Six of the recommendations analyzed present enough evidence to be applied in clinical practice and are highly recommended for ankle sprain management: Ottawa rules, manual therapy, cryotherapy, functional supports, early ambulation, short term NSAIDs and rehabilitation.
摘要：
背景：在一般人群中，踝关节的外侧扭伤是非常常见的伤害，经常出现在紧急服务中。总体目标是回顾当前关于踝关节扭伤的管理和治疗的临床实践指南（CPGs）。评估他们的质量，分析证据水平，总结推荐等级。
方法：在相关数据库中对文献进行系统搜索，并带有搜索词“脚踝，\"\"扭伤,“\”实践指南，执行了“和”准则“。包括那些具有推荐等级和与踝关节扭伤的管理和治疗有关的证据水平的指南。使用评估指南II（AGREEII）工具评估指南的质量。
结果：本综述包括7个临床实践指南。AGREEII评分从42%到100%不等,只有六个CPG明确声明使用系统的方法论。提出并总结了17项建议。
结论：分析的六项建议提供了足够的证据，可用于临床实践，并强烈建议用于踝关节扭伤的治疗：渥太华规则，手动治疗,冷冻疗法,功能支持，早期行走，短期NSAIDs和康复。
方法：在相关数据库中对文献进行系统搜索，并带有搜索词“脚踝，\"\"扭伤,“\”实践指南，执行了“和”准则“。包括那些具有推荐等级和与踝关节扭伤的管理和治疗有关的证据水平的指南。使用评估指南II（AGREEII）工具评估指南的质量。
结果：本综述包括7个临床实践指南。AGREEII评分从42%到100%不等,只有六个CPG明确声明使用系统的方法论。提出并总结了17项建议。
结论：分析的六项建议提供了足够的证据，可用于临床实践，并强烈建议用于踝关节扭伤的治疗：渥太华规则，手动治疗,冷冻疗法,功能支持，早期行走，短期NSAIDs和康复。
