Purpose: In order to identify individuals presenting with an acute lateral ankle sprain who respond favorably to manual therapy and exercise interventions.
Stage of CPR Development: Derivation.
Tests:
1. Symptoms worse when standing
2. Symptoms worse in evening
3. Navicular drop > 5.0 mm
4. Distal tibiofibular joint hypomobility
Interpretation:
| Variables | Sensitivity | Specificity | +LR | Probability of Success |
| 4 | 0.06 | 0.86 | 0.43 | 56% |
| 3 | 0.28 | 0.95 | 5.90 | 95% |
| 2 | 0.50 | 0.57 | 1.20 | 78% |
| 1 | 0.08 | 0.76 | 0.33 | 50% |
Research:
1. Whitman JM, Cleland JA, Mintken P, et al. Predicting Short-Term Response to Thrust and Nonthrust Manipulation and Exercise in Patients Post Inversion Ankle Sprain. Journal of Orthopaedic & Sports Physical Therapy. 2009; 39(3): 188-200. doi:10.2519/jospt.2009.2940.
Continued Learning…
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John Snyder, DPT 