Br J Sports Med 46:241-242 doi:10.1136/bjsports-2011-090894
  • PEDro systematic review update

Therapeutic ultrasound is not clinically beneficial for acute ankle sprains

  1. Nicholas Henschke1
  1. 1Musculoskeletal Division, The George Institute for Global Health and Sydney Medical School, The University of Sydney, Australia
  2. 2Department of Chiropractic, Faculty of Science, Macquarie University, Australia
  1. Correspondence to Dr Nicholas Henschke, Musculoskeletal Division, The George Institute for Global Health, PO Box M201, Missenden Road, NSW 2050, Australia; nhenschke{at}
  1. Contributors MS and NH contributed to the design and selected the systematic review. MS drafted this manuscript and both authors accepted the final version.

  • Received 20 December 2011
  • Accepted 21 December 2011
  • Published Online First 12 January 2012


Ankle sprains are the most common sports injury, and therapeutic ultrasound is often used in the first phase of treatment.1 Rationale for its use is based on physiological effects demonstrated in laboratory research.2 This review is an update of a Cochrane review first published in 1999 and previously updated in 2004. One randomised clinical trial has been published since then and added to the review.3


To determine the effect of ultrasound therapy compared with placebo, no treatment or other interventions in the clinical management of acute ankle sprain.

Searches and inclusion criteria

This methodology followed those recommended by the Cochrane Collaboration. Electronic databases (the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register …