A randomised controlled trial to determine the effectiveness of double Tubigrip in grade 1 and 2 (mild to moderate) ankle sprains

Citation
Bl. Watts et B. Armstrong, A randomised controlled trial to determine the effectiveness of double Tubigrip in grade 1 and 2 (mild to moderate) ankle sprains, EMERG MED J, 18(1), 2001, pp. 46-50
Citations number
22
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Aneshtesia & Intensive Care
Journal title
EMERGENCY MEDICINE JOURNAL
ISSN journal
1472-0205 → ACNP
Volume
18
Issue
1
Year of publication
2001
Pages
46 - 50
Database
ISI
SICI code
1472-0205(200101)18:1<46:ARCTTD>2.0.ZU;2-X
Abstract
Objective-To compare functional outcome in patients with acute grade 1 or 2 (mild to moderate) lateral ankle sprains randomised to treatment with or w ithout a double tubigrip bandage (DTG). Methods-400 patients presenting to the accident and emergency (A&E) departm ents of a teaching hospital and a district general hospital and diagnosed w ith grade 1 or 2 lateral ankle sprains were randomised to treatment with or without a DTG bandage. A standardised telephone questionnaire was performe d one week after presentation. The main outcome measures were: number of da ys until walking unaided, number of days off work, whether the injury kept the patient awake at night, whether analgesia was taken. Results-197 of 400 patients completed follow up. There were no significant differences in terms of age, sex and occupation between the treatment group s. There were no significant differences between those who did and those wh o did not complete follow up. There was no significant difference between t he treatment groups for number of days until walking unaided (95% CI -0.21 to 0.88 days), number of days off work (95% CI -0.70 to 1.02 days) or wheth er the injury kept the patient awake at night (95% CI -10 to 17%). There wa s a significant difference between the groups in the use of analgesia (95% CI 10 to 36%); the difference seemed to be that patients treated with DTG r equired significantly more analgesia. Conclusions-Treatment of grade 1 and 2 ankle sprins with DTG does not seem to lead to a shorter time to functional recovery and may increase the requi rement for analgesia.