TEMPER: an acronym for ankle sprain rehabilitation.
As has been previously discussed, the incidence and resultant associated disabilities of ankle sprains have been well documented in the literature. The staggering statistics on long-term disability show that there is no such thing as a simple ankle sprain. The degree of disability is related to the extent of the initial injury as well as the follow-up medical care provided. It is this fact that requires a complete understanding of the injury as well as a proper treatment and rehabilitation program. One of the reasons cited for the long-term disability or lack of consistently good results in treating ankle sprains is the lack of uniformity in treatment. One possible reason is the lack of agreement in diagnostic techniques as well as the end diagnosis of a particular grade of ankle sprain. If a sprain is managed correctly, resultant disability will be kept to a minimum. A proper rehabilitation program may be the most important factor in preventing chronic instability. The acronym RICE falls short of complete ankle management. RICE primarily addresses the ankle edema. Thus, the patient's ankle is only partially rehabilitated. A rational approach to the management of ankle sprains is given. Upon reviewing a complete protocol for ankle sprain rehabilitation, the acronym TEMPER can be used judiciously to remember the key steps in the treatment plan. Through the use of this acronym, one can institute a complete rehabilitation program.
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Division of Orthopedic Sciences, New York College of Podiatric Medicine, New York.
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D016512:Ankle Injuries; D004487:Edema / Q000628:therapy; D005081:Exercise Therapy; D006801:Humans; D007103:Immobilization; D007593:Joint Instability / Q000628:therapy; D009989:Orthotic Devices; D013180:Sprains and Strains / Q000175:diagnosis / Q000534:rehabilitation*; D013997:Time Factors