Disclosures Effectiveness of Exercise Programs in Preventing Ankle - - PowerPoint PPT Presentation

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Effectiveness of Exercise Programs in Preventing Ankle Injuries in the Young Athlete: a Review of Literature

Keiko Amano, M.D. Eliana Delgado, M.D., M.P.H. Inman Abbot Symposium May 8-9, 2014

Disclosures

• There are no relevant disclosures.

Injuries in the young athlete

• 30 million US children in organized sports

1/3 will sustain injury needing medical attention Estimated cost=$1.8 million1

Most common = ankle injures

Prevention of Ankle Injury

• Ankle stability to prevent injuries
• Modalities:

Ankle taping and bracing Stability exercises and warm up programs

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Question:

Can strengthening exercises prevent ankle injuries in young athletes?

Literature

Pubmed Search: Ankle Injury Prevention Trials Young age + Controlled trial + Outcome = ankle injury 196 Studies Criteria

Results

Verhagen et al Olsen et al Longo et al Wedderkopp et al Sport Volleyball Handball Basketball Handball Players/ Teams 1127 Players 1837 Players 11 Teams 11 Teams Activity Balance Board Structured Warm-up FIFA 11+ Ankle Disc Outcome Reduction in ankle sprains Reduction in

• verall injuries

Reduction in

• verall injuries

Reduction in ankle injuries Analysis RR=0.5, CI 0.3-0.9 Non-significant Non-significant < 0.05

Discussion

• Little data.
• Difficult to directly link exercises to injury outcome.
• Most studies look into multiple injuries.
• Possible trend: prevention of overall injuries.

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Next Approaches:

• More randomized controlled studies
• Other types of studies:

There are team/organizations that already utilize

• exercises. Can we compare outcomes?

Data from retrospective studies

Acknowledgements

• Biomedical Health Sciences Internship, UCSF
• Mario Goins II (BHSI student intern)

Reference

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• Thank you