Search tips
Search criteria 


Logo of bmcmudisBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Musculoskeletal Disorders
BMC Musculoskelet Disord. 2012; 13: 21.
Published online Feb 16, 2012. doi:  10.1186/1471-2474-13-21
PMCID: PMC3306273
The ANKLE TRIAL (ANKLE treatment after injuries of the ankle ligaments): what is the benefit of external support devices in the functional treatment of acute ankle sprain? : a randomised controlled trial
Suzanne Witjes,corresponding author1,2,3 Femke Gresnigt,1 Michel PJ van den Bekerom,2 Jan G Olsman,1 and Niek C van Dijk2
1Department of surgery, Jeroen Bosch Hospital, Henri Dunantstraat 1, 5223 GZ 's-Hertogenbosch, The Netherlands
2Department of orthopaedic surgery, Academic Medical Centre, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands
3Department of orthopaedic surgery, Slotervaart hospital, Louwesweg 6, 1066 EC Amsterdam, The Netherlands
corresponding authorCorresponding author.
Suzanne Witjes: suzanne.witjes/at/; Femke Gresnigt: femkegres/at/; Michel PJ van den Bekerom: bekerom/at/; Jan G Olsman: j.olsman/at/; Niek C van Dijk: c.n.vandijk/at/
Received February 1, 2011; Accepted February 16, 2012.
Acute lateral ankle ligament injuries are very common problems in present health care. Still there is no hard evidence about which treatment strategy is superior. Current evidence supports the view that a functional treatment strategy is preferable, but insufficient data are present to prove the benefit of external support devices in these types of treatment. The hypothesis of our study is that external ankle support devices will not result in better outcome in the treatment of acute ankle sprains, compared to a purely functional treatment strategy. Overall objective is to compare the results of three different strategies of functional treatment for acute ankle sprain, especially to determine the advantages of external support devices in addition to functional treatment strategy, based on balance and coordination exercises.
This study is designed as a randomised controlled multi-centre trial with one-year follow-up. Adult and healthy patients (N = 180) with acute, single sided and first inversion trauma of the lateral ankle ligaments will be included. They will all follow the same schedule of balancing exercises and will be divided into 3 treatment groups, 1. pressure bandage and tape, 2. pressure bandage and brace and 3. no external support. Primary outcome measure is the Karlsson scoring scale; secondary outcomes are FAOS (subscales), number of recurrent ankle injuries, Visual Analogue Scales of pain and satisfaction and adverse events. They will be measured after one week, 6 weeks, 6 months and 1 year.
The ANKLE TRIAL is a randomized controlled trial in which a purely functional treated control group, without any external support is investigated. Results of this study could lead to other opinions about usefulness of external support devices in the treatment of acute ankle sprain.
Trial registration
Netherlands Trial Register (NTR): NTR2151
Articles from BMC Musculoskeletal Disorders are provided here courtesy of
BioMed Central