Abstract：
BACKGROUND: Lateral ankle sprain (LAS) is a common and burdensome injury. However, the quality of its management is scant. Nowadays, physiotherapy management of musculoskeletal diseases seems to be generally not based on research evidence. Studies that investigated the knowledge-to-practice gap in LAS management are yet to be carried out. Therefore, this research investigated physiotherapists\' knowledge of and adherence to LAS Clinical Practice Guidelines (CPGs) and recommendations.
METHODS: A cross-sectional study based on an online survey structured in three sections. The first section collected demographic data. The second section showed two clinical cases (with positive and negative Ottawa Ankle Rules (OAR), respectively). The participants indicated which treatments they would adopt to manage them. Participants were classified as \'following\', \'partially following\', \'partially not following\' and \'not following\' the CPGs and recommendations. In the third section, participants expressed their agreement with different CPG and recommendation statements through a 1-5 Likert scale.
RESULTS: In total, 483 physiotherapists (age: 34 ± 10; female 38%, male 61.5%, other 0.5%) answered the survey: 85% completed the first two sections, 76% completed all three sections. In a case of acute LAS with negative OAR, 4% of the participants were considered as \'following\' recommended treatments, 68% as \'partially following\', 23% as \'partially not following\', and 5% as \'not following\'. In a case of acute LAS with positive OAR, 37% were considered \'following\' recommended treatments, 35% as \'partially following\', and 28% as \'not following\'. In the third section, the consensus was achieved for 73% of the statements.
CONCLUSIONS: This study showed that although there is a good knowledge about first-line recommended treatments, a better use of CPGs and recommendations should be fostered among physiotherapists. Our results identify an evidence-to-practice gap in LAS management, which may lead to non-evidence-based practice behaviors.
METHODS: A cross-sectional study based on an online survey structured in three sections. The first section collected demographic data. The second section showed two clinical cases (with positive and negative Ottawa Ankle Rules (OAR), respectively). The participants indicated which treatments they would adopt to manage them. Participants were classified as \'following\', \'partially following\', \'partially not following\' and \'not following\' the CPGs and recommendations. In the third section, participants expressed their agreement with different CPG and recommendation statements through a 1-5 Likert scale.
RESULTS: In total, 483 physiotherapists (age: 34 ± 10; female 38%, male 61.5%, other 0.5%) answered the survey: 85% completed the first two sections, 76% completed all three sections. In a case of acute LAS with negative OAR, 4% of the participants were considered as \'following\' recommended treatments, 68% as \'partially following\', 23% as \'partially not following\', and 5% as \'not following\'. In a case of acute LAS with positive OAR, 37% were considered \'following\' recommended treatments, 35% as \'partially following\', and 28% as \'not following\'. In the third section, the consensus was achieved for 73% of the statements.
CONCLUSIONS: This study showed that although there is a good knowledge about first-line recommended treatments, a better use of CPGs and recommendations should be fostered among physiotherapists. Our results identify an evidence-to-practice gap in LAS management, which may lead to non-evidence-based practice behaviors.
摘要：
背景：外侧踝关节扭伤（LAS）是一种常见且繁重的损伤。然而,其管理质量不足。如今,肌肉骨骼疾病的物理治疗管理似乎通常不基于研究证据。尚未进行调查LAS管理中知识与实践差距的研究。因此,这项研究调查了物理治疗师对LAS临床实践指南（CPG）和建议的了解和遵守情况。
方法：基于三个部分的在线调查的横断面研究。第一部分收集了人口统计数据。第二部分显示了两个临床病例（渥太华踝关节规则（OAR）阳性和阴性，分别)。参与者指出了他们将采用哪些治疗方法来管理他们。参与者被归类为“跟随”，\'部分跟随\',\'部分不跟随\'和\'不跟随\'CPG和建议。在第三部分,参与者通过1-5Likert量表表达了他们对不同CPG和建议声明的同意.
结果：总计，483名物理治疗师（年龄：34±10；女性38％，男性61.5%,其他0.5％）回答了调查：85％完成了前两个部分，76%完成了所有三个部分。在OAR阴性的急性LAS的情况下，4%的参与者被认为是“遵循”推荐的治疗方法，68%为\'部分在\'之后,23%为\'部分不在\',和5%作为\'不跟随\'。在OAR阳性的急性LAS病例中，37%被认为是“遵循”推荐的治疗方法，35%为\'部分在\'之后,28%为“不在后面”。在第三部分,73%的声明达成了共识。
结论：这项研究表明，尽管对一线推荐的治疗方法有很好的了解，应鼓励物理治疗师更好地使用CPGs并提出建议.我们的结果发现了LAS管理中的证据到实践的差距，这可能导致非循证实践行为。
方法：基于三个部分的在线调查的横断面研究。第一部分收集了人口统计数据。第二部分显示了两个临床病例（渥太华踝关节规则（OAR）阳性和阴性，分别)。参与者指出了他们将采用哪些治疗方法来管理他们。参与者被归类为“跟随”，\'部分跟随\',\'部分不跟随\'和\'不跟随\'CPG和建议。在第三部分,参与者通过1-5Likert量表表达了他们对不同CPG和建议声明的同意.
结果：总计，483名物理治疗师（年龄：34±10；女性38％，男性61.5%,其他0.5％）回答了调查：85％完成了前两个部分，76%完成了所有三个部分。在OAR阴性的急性LAS的情况下，4%的参与者被认为是“遵循”推荐的治疗方法，68%为\'部分在\'之后,23%为\'部分不在\',和5%作为\'不跟随\'。在OAR阳性的急性LAS病例中，37%被认为是“遵循”推荐的治疗方法，35%为\'部分在\'之后,28%为“不在后面”。在第三部分,73%的声明达成了共识。
结论：这项研究表明，尽管对一线推荐的治疗方法有很好的了解，应鼓励物理治疗师更好地使用CPGs并提出建议.我们的结果发现了LAS管理中的证据到实践的差距，这可能导致非循证实践行为。
