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Table 3 Supporting evidence in each of the seven clinical practice guidelines for acute treatment of lateral ankle ligament sprains

From: What is the quality of clinical practice guidelines for the treatment of acute lateral ankle ligament sprains in adults? A systematic review

Acute Treatment 1 [36] (2006) 2 [37] (2006) 3 [38] (2009) 4 [39] (2011) 5 [40] (2012) 6 [41]
(2013)
7 [42] (2013)
Progressive weight bearing with support depending on severity (tape, brace, boot, casting) R [43,44,45] R [45, 46] R R R [45,46,47,48] R [45, 47, 49] R [47, 48, 50,51,52,53,54,55,56]
Ice R R [57] R R R [57, 58] R [57,58,59,60,61] R [57, 58]
Compression R R R R R [62,63,64] R [65]  
Elevation R R R R R R  
Progressive strengthening exercises R R   R R [66,67,68,69,70,70] R [45, 49, 66, 71] R [66,67,68, 72, 73]
Balance exercises R R   R R [66,67,68,69] R [74,75,76] R [74,75,76,77]
NSAIDs/paracetamol R# [78,79,80,81,82,83]   R R   R [69, 84, 85]  
Refer on to another discipline    R R R   
Advice DVT risk with immobilisation R     R   
Foot circle exercises R    R    
Alphabet exercises     R    
Lymphatic drainage/soft tissue mobilisations        R [86]
Graded joint mobilisations or mobilisation with movement   R [73]    X [69, 73, 87] R [88, 89] R [44, 73, 90]
Pulsating short wave diathermy   X [91, 92]    X [91, 92]   R [92]
Electrotherapy   X    X [93,94,95,96,97] R [98, 99] R [97, 100]
Low-level laser   X    X [101]   R [101, 102]
Heat X    X   X [103]  
Ultrasound   X [104]    X [105] X [104] X [104, 105]
  1. Key: R = CPG recommends treatment, X = CPG does not recommend treatment, # = analgesic dose. Blank = this acute treatment choice was not included in CPG.