title: Supervised exercises for adults with acute lateral ankle sprain: a randomised controlled trial.
abstract: BACKGROUND
  During the recovery period after acute ankle sprain, it is unclear whether conventional treatment should be supported by supervised exercise.
  
  
  OBJECTIVE
  To evaluate the short- and long-term effectiveness of conventional treatment combined with supervised exercises compared with conventional treatment alone in patients with an acute ankle sprain.
  
  
  METHODS
  Randomised controlled clinical trial.
  
  
  METHODS
  A total of 32 Dutch general practices and the hospital emergency department.
  
  
  METHODS
  Adults with an acute lateral ankle sprain consulting general practices or the hospital emergency department were allocated to either conventional treatment combined with supervised exercises or conventional treatment alone. Primary outcomes were subjective recovery (0-10 point scale) and the occurrence of a resprain. Measurements were carried out at intake, 4 weeks, 8 weeks, 3 months, and 1 year after injury. Data were analysed using intention-to-treat analyses.
  
  
  RESULTS
  A total of 102 patients were enrolled and randomised to either conventional treatment alone or conventional treatment combined with supervised exercise. There was no significant difference between treatment groups concerning subjective recovery or occurrence of resprains after 3 months and 1-year of follow-up.
  
  
  CONCLUSIONS
  Conventional treatment combined with supervised exercises compared to conventional treatment alone during the first year after an acute lateral ankle sprain does not lead to differences in the occurrence of resprains or in subjective recovery.
authors.affiliation: Department of General Practice, Rotterdam, The Netherlands. r.vanrijn@erasmusmc.nl
authors.forename: Rogier M
authors.initials: RM
authors.lastname: van Rijn
authors.forename: Anton G
authors.initials: AG
authors.lastname: van Os
authors.forename: Gert-Jan
authors.initials: GJ
authors.lastname: Kleinrensink
authors.forename: Roos Md
authors.initials: RM
authors.lastname: Bernsen
authors.forename: Jan An
authors.initials: JA
authors.lastname: Verhaar
authors.forename: Bart W
authors.initials: BW
authors.lastname: Koes
authors.forename: Sita Ma
authors.initials: SM
authors.lastname: Bierma-Zeinstra
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000503:physiopathology / Q000628:therapy*; D005081:Exercise Therapy / Q000379:methods*; D005194:Family Practice; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017844:Lateral Ligament, Ankle / Q000293:injuries* / Q000503:physiopathology; D008297:Male; D009426:Netherlands; D013180:Sprains and Strains / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome