What clinicians should assess following acute lateral ankle sprain injury | Why? | How? |
Ankle joint pain | Guide progression of exercise-based rehabilitation. Assess the efficacy of treatments implemented. | Numeric rating scale for pain.35 FADI.36 |
Ankle joint swelling | Swelling can cause arthrogenic muscle inhibition. Guide progression of exercise-based rehabilitation. Evaluate the efficacy of treatments implemented. | Figure-of-eight.38–41 |
Ankle joint range of motion | High propensity for the development of a dorsiflexion deficit. Impairments in ankle joint range of motion are consistently identified in individuals with CAI. | Weight-bearing lunge test.44–46 |
Ankle joint arthrokinematics | Disruption in ankle joint arthrokinematics can result in a dorsiflexion deficit. Impairments in ankle joint arthrokinematics are regularly identified in individuals with CAI. | Posterior talar glide test.48 |
Ankle joint muscle strength | Impairments in ankle joint strength compromise the functional integrity of the ankle joint. Impairments in ankle joint strength are regularly identified in individuals with CAI. | Hand-held dynamometry.53 |
Static postural balance | Impairments in static postural balance are consistently identified in individuals with CAI. | BESS.56 FLT.57 |
Dynamic postural balance | Impairments in dynamic postural balance are consistently identified in individuals with CAI. | SEBT.58 |
Gait | Impairments in gait are consistently identified in individuals with CAI. | Visual assessment for antalgic gait. |
Physical activity level | Guide the specificity of exercise-based rehabilitation. | Tegner activity-level scale.63 |
Ankle joint specific patient-reported outcome measures | Evaluate the efficacy of treatments implemented. | FADI.36 FAAM.65 |
BESS, Balance Error Scoring System; CAI, chronic ankle instability; FAAM, Foot and Ankle Ability Measure; FADI, Foot and Ankle Disability Index; FLT, Foot Lift Test; ROAST, Rehabilitation-Oriented AS-sessmenT; SEBT, Star Excursion Balance Test.