From: Prognostic factors for recovery following acute lateral ankle ligament sprain: a systematic review
Study | Primary outcome measure | Independent variables | Analysis | Prognostic factors for short-term outcome |
---|---|---|---|---|
de Bie et al. [42] | Healed or not healed at 2 & 4 weeks. Healed = AFS >75 (0-100) & palpation/ligament stress test score < 2 (0-12). | AFS (0-100) ≤35, doctor severity grading (0-10), palpation/ligament stress test score (0-12). | Multivariate logistic regression | 2 weeks: Baseline AFS ≤ 35 predicted recovery status. Sensitivity = 97%, specificity = 100%. 4 weeks: Combined baseline AFS ≤ 35, severity grading, & palpation/ligament stress test score predicted recovery status. Sensitivity = 81%, specificity = 80%. |
Wilson & Gansneder [43] | Number of days to return to full sports practice or competition (11.9 ± 6.6 days). | Joint swelling (ml), sagittal plane ROM loss (°), objective WB activity score (0-6), self-reported athletic ability score (VAS, 0-100). | Hierarchical regression | Combined swelling (β = −.02) & ROM loss (β = −.08). R 2 = .34, p = .023. Combined WB activity score (β = −.55) & self-reported ability score (β = −.39). R 2 = .33, p = .004. Combined swelling, ROM loss, WB activity score, & self-reported athletic ability score. Adjusted R 2 = .59; p = .001. |
Cross et al. [44] | Number of days to return to sport (14.7 ± 8.8 days). | SF36PF (0-100), Self-reported global function (0-100%), objective ambulation status (1-7). | Univariate regression, stepwise multivariate regression. | SF36PF. R 2 = .28, p = .016. Self-reported global function. R 2 = .22, p = .036. Objective ambulation status. R 2 = .22, p = .019. Combined SF36PF, self-reported global function, & objective ambulation status. Adjusted R 2 = .34, p < .01. |
van der Wees et al. [48] | Global perceived effect ≥2 (1 = recovered, 2-7 = not recovered) at 2 weeks. | AFS (0-100) ≤40. | Sensitivity & specificity using sample with ≤5 days duration of injury (n = 53) | 2 weeks: Baseline AFS ≤ 40 predicted recovery status. Sensitivity = 76%, specificity = 63%. |
O’Connor et al. [49] | Karlsson function score (0-100) at 4 weeks. | Age (years), injury grade (1, 2, 2+), WB status (FWB, FWB with pain, PWB, NWB). | Univariate regression, step-wise multivariate regression. | 4 weeks: Combined age (β = −.32, p = .001), injury grade (β = −.23, p = .003), & WB status (β = −.34, p = .038). Adjusted R 2 = .34, p < .01. |