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Ankle sprain is one of the most common pathologies in the general population (between 2.1 and 3.2 per 1000 patients per year). Nearly 40% of patients will develop chronic instability in the year following the sprain. We also know that a premature return to sport is a risk factor for developing chronic instability. However, despite the consensus of experts on the subject which have shown the key physiological elements to evaluate before resuming sport, no test or cohort of tests are proposed to allow a safe return to sport by reducing the risks of relapse. Some very recent studies have appeared on non-operated subjects but this remains a subject that is still too little studied, where the lack of consensus and objective criteria increases the risk of instability. Surgical treatment remains an effective option to reduce the risk of recurrence but failure of the latter can occur in approximately 13-37% of patients depending on the population, due to a relapse or a return to sport which does not correspond to expectations. of the patient.
The objective of the study is therefore to evaluate the predictive nature of a composite test (ANKLE-GO) regarding the return to sport at the same level and the risks of recurrence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Personnalized physiotherapy | Experimental | Following completion of the ankle go test, patients in "experimental" group will receive specific instructions for continuing their rehabilitation, which will be passed on to the physiotherapist in charge of their rehabilitation. These instructions will be adapted according to the results of the composite test and the items identified. The scores of the various functional tests in the composite test will be evaluated to establish the key elements to be taken into account for subsequent management. These instructions will necessarily be personalized according to the scores. |
|
| Usual physiotherapy | Active Comparator | Following completion of the ankle go test, patients in "active comparator" group will undergo conventional rehabilitation following surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Personnalized physiotherapy | Other | Following completion of the ankle go test, patients in "experimental" group will receive specific instructions for continuing their rehabilitation, which will be passed on to the physiotherapist responsible for the rehabilitation. |
| Measure | Description | Time Frame |
|---|---|---|
| 1-year post-surgery return to sport : Tegner questionnaire | evaluation of sport practice level with Tegner questionnaire : Likert scale from 0 (professionnal disability) to 10 (professionnal sport) | before surgery (anterior practice) and year 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Sports level at 1 year post-surgery compared with previous level | Questionnaire "yes/no" | Year 1 |
| Number of hours of sport per week | Self administered questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guillaume Cordier, MD | Contact | +33556181724 | docteurcordier@yahoo.fr |
| Name | Affiliation | Role |
|---|---|---|
| Guillaume Cordier, MD | Clinique du sport | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique du Sport Bordeaux Merignac | Recruiting | Mérignac | 33700 | France |
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| Usual physiotherapy | Other | Following completion of the ankle go test, patients in "active comparator" group will receive usual physiotherapy |
|
| before surgery (anterior practice) and year 1 |
| Ankle instability scale (FAAM questionnaire : Foot and Ankle Ability Measure) | self-administered questionnaire to measure patients' functional progress. It comprises two subscales: a 21-item daily activity subscale, and an 8-item sports subscale. For each subscale, each item is rated on a Likert scale from 0 to 4. | before surgery (anterior practice) and month 3 |
| Pain: EVA analog scale | EVA scale from 0 (no pain) to 10 (maximal possible pain) | month 1, month 3, month 6, year 1 |
| ID | Term |
|---|---|
| D016512 | Ankle Injuries |
| ID | Term |
|---|---|
| D007869 | Leg Injuries |
| D014947 | Wounds and Injuries |
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