@article {van OchtenA10, author = {JM van Ochten and S Bierma-Zeinstra and PJE Bindels and M van Middelkoop}, title = {24 Impact of a lateral ankle sprain in general practice: comparison between patients with and without persistent complaints after ~6{\textendash}12 months}, volume = {49}, number = {Suppl 1}, pages = {A10--A10}, year = {2015}, doi = {10.1136/bjsports-2015-095573.24}, publisher = {British Association of Sport and Excercise Medicine}, abstract = {Background Although ankle sprains are common and often lead to persistent complaints, their impact on functioning and related costs remains unclear.Objective To investigate the impact of a lateral ankle sprain ~on functioning and medical consumption after 6{\textendash}12 months follow-up.Design Cross-sectional study.Setting General practice.Patients Of the 204 included patients who visited their general practitioner 6{\textendash}12 months after a lateral ankle sprain, 96 reported persistent complaints (PC) and 108 reported no persistent complaints (NPC). A 7-points Likert scale divided patients into NPC (a 1{\textendash}2 score, completely recovered or strongly improved) and PC (a score of 3{\textendash}7, slightly improved to worse than ever).Assessment of risk factors A standardised questionnaire included the 7-point Likert scale to measure recovery.Main outcome measurements A questionnaire assessed age, gender and BMI, history of sprain, pain in rest and during exercise on a Numeric Rating Scale (NRS, 0{\textendash}10), function using the Ankle Function Score (AFS, 0{\textendash}100), Tegner score (11-points activity score), Foot and Ankle Disability Index (0{\textendash}34 points score) and complaints in work and physical activity (NRS; ~0{\textendash}10).Results A significantly higher BMI (26.9 and 24.9 kg/m2), higher pain scores at rest (1.87 vs 0.44) and during exercise (3.62 vs 1.25) and a lower AFS (72.47 vs 82.90) were reported in the group with PC, while a higher percentage of patients in the NPC group participated in sports (77.8\% vs 36.4\%). A high medical consumption (76.5\% visiting the GP, 20.1\% a medical specialist and 45.6\% a physiotherapist) and radiographic imaging (35.3\%) were reported in both study groups.Conclusions A lateral ankle sprain has a high impact on functioning and physical health, especially in those with persistent complaints. In patients with and without persistent complaints, considerable consumption of medical resources was found 6{\textendash}12 months after the initial visit to the general practitioner.}, issn = {0306-3674}, URL = {https://bjsm.bmj.com/content/49/Suppl_1/A10.1}, eprint = {https://bjsm.bmj.com/content/49/Suppl_1/A10.1.full.pdf}, journal = {British Journal of Sports Medicine} }