title: Supervised rehabilitation versus home exercise in the treatment of acute ankle sprains: a systematic review.
abstract: In competitive sports medicine, supervised rehabilitation is the standard of care; in the general population, unsupervised home exercise is more common. We systematically reviewed randomized, controlled trials comparing outcomes for supervised rehabilitation versus home exercise programs. Supervised rehabilitation programs resulted in (1) less pain and subjective instability, (2) greater gains in ankle strength and joint position sense, and (3) inconclusive results regarding prevention of recurrent ankle sprains. We recommend supervised rehabilitation over home exercise programs owing to the improved short-term patient-recorded evidence with a strength-of-recommendation taxonomy level of evidence of 2B.
authors.affiliation: Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Feger
authors.affiliation: Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA.
authors.forename: C Collin
authors.initials: CC
authors.lastname: Herb
authors.affiliation: Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA; US Navy Medicine Professional Development Center, Bethesda, MD, USA.
authors.forename: John J
authors.initials: JJ
authors.lastname: Fraser
authors.affiliation: Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA.
authors.forename: Neal
authors.initials: N
authors.lastname: Glaviano
authors.affiliation: Department of Kinesiology, University of Virginia, 210 Emmet Street South, Charlottesville, VA 22904-4407, USA. Electronic address: jhertel@virginia.edu.
authors.forename: Jay
authors.initials: J
authors.lastname: Hertel
mesh_terms: D016512:Ankle Injuries / Q000534:rehabilitation*; D001265:Athletic Injuries / Q000534:rehabilitation; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D020127:Recovery of Function; D012008:Recurrence; D012307:Risk Factors; D013180:Sprains and Strains / Q000534:rehabilitation*; D016896:Treatment Outcome
keywords: Ankle instability; Physical therapy; Therapeutic exercise