Protocols for the Management of Acute Soft Tissue Injury: Integrative Review
DOI:
https://doi.org/10.36367/ntqr.8.2021.412-421Keywords:
Foot injuries, Ankle Joint, Nursing, Protocols, Soft Tissue InjuriesAbstract
Ankle sprains are highly prevalent in the population, and not all of them require medical treatment. It is generally agreed that both the individual and health professionals do not always base their decision on evidence, with a negative impact on the evolution of these injuries, which may evolve to chronicity. The involvement of various professionals in rehabilitation, with different approaches, justifies the standardisation of protocols for action. Goals: This study aims to: 1) identify the acronyms of the protocols of action for the management of soft tissue injuries of the ankle joint and, 2) analyse the evidence of the acronyms. Methods: Integrative Literature Review guided by the research question: "Which interventions are recommended in protocols for the management of acute soft tissue injuries in adults and elderly people?", according to the protocol and eligibility criteria. The search took place between October and December 2020, in the EBSCO, B-On, ISI, SCOPUS and JBI platforms. Results: (The 11 studies in the bibliographic sample are heterogeneous in terms of objectives and type of article, making it possible to answer the research question. The following acronyms/protocols were identified: RICE; PRICE; POLICE; MEAT and PEACE and LOVE. Conclusions: There is no evidence on the effectiveness of these protocols for the management of soft tissue injuries of the ankle joint. Good practices such as ice application, limb elevation and Optimal Loading are recommended because progressive loading is more likely to restore collagen strength and morphological characteristics.
References
Al-Mohrej, O.A. & Al-Kenani N.S. (2017). Acute ankle sprain: conservative or surgical approach? EFORT Open Reviews, 13, 1(2),34-44. doi: https://doi.org/10.1302/2058-5241.1.000010.
Baixinho, C.L., Presado, M.H., & Ribeiro, J. (2019). Qualitative research and the transformation of public health. Ciência & Saúde Coletiva; 24 (5)1583-1583. https://doi.org/10.1590/1413-81232018245.05962019
Bekerom, M.P.J., Struijs, P.A.A., Blankevoort, L., Welling, L., Dijk, N., & Kerkhoffs, G.M.M.J. (2012) What Is the Evidence for Rest, Ice, Compression, and Elevation Therapy in the Treatment of Ankle Sprains in Adults? Journal of Athletic Training, 47(4), 435-443. doi: https://doi.org/10.4085/1062-6050-47.4.14
Bleakley, C.M. (2013) Acute Soft Tissue Injury Management Uodate. Sportex Medicine, 58, 16-19.
Bleakley, C.M., Glasgow, P., & MacAuley, D.C. (2012). PRICE needs updating, should we call the POLICE? British Journal of Sports Medicine, 46(4), 220-221. doi: https://doi.org/10.1136/bjsports-2011-090297
Bleakley, C.M., Glasgow, P.D., Phillips, N., Hanna, L., Callaghan, M.J., Davison, G.W., …, Delahunt, E. (2010). Acute Management of Soft Tissue Injuries. Sheffield: Association of Chartered Physiotherapists in Sports and Exercise Medicine.
Dubois, B., & Esculier, J.F. (2020). Soft-tissue injuries simply need PEACE and LOVE. British Journal of Sports Medicine, 54(2), 3-5. doi: https://doi.org/10.1136/bjsports-2019-101253
Green, T., Willson, G., Martin, D., Fallon, F. What is the quality of clinical practice guidelines for the treatment of acute lateral ankle ligaments sprains in adults? A systematic review. BMC Musculoskeletal Disorders, 20(394), 1-13. doi: https://doi.org/10.1186/s12891-019-2750-6
Gribble, P.A., Bleakley, C.M., Caulfield, B.M., Docherty, C.L., Fourchet, F. & Fong D.T.P. (2016). Consensus statement of the International Ankle Consortium: prevalence, impact and long-term consequences of lateral ankle sprains. British Journal of Sports Medicine, 50(24),1493-1495. doi: https://doi.org/10.1136/bjsports-2016-096188.
Kerkhoffs, G., Bekerom, M., Elders, L., Beek, P., Hullegie, W., Bloemers, G., & Bie, R. (2012). Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline. British Journal of Sports Medicine, 46, 854-860. doi: https://doi.org/10.1136/bjsports-2011-090490
LeFebvre, R., & Hatch, S. (2016). Ankle Sprains: Management. Health Centers of UWS. Western States Chiropractic College.
Polzer, H., Kanz, K. G., Prall, W. C., Haasters, F., Ockert, B., Mutschler, W., & Grote, S. (2012). Diagnosis and treatment of acute ankle injuries: development of an evidencebased algorithm. Orthopedic reviews, 4(1), e5. doi: https://doi.org/10.4081/or.2012.e5
Punt I.M., & Allet L. (2016) Functional Effects of Ankle Sprain. In: Müller B. et al. (eds) Handbook of Human Motion. Springer, Cham. (pp.1-16). doi: https://doi.org/10.1007/978-3-319-30808-1_72-1
Roosen, P., Willems, T., De Ridder, R., San Miguel L., Holdt Hennigsen, K., Paulus, & Jonckheer, P. (2013) Ankle sprains: diagnosis and therapy. Good Clinical Practice. Brussels: Belgian Health Care Knowledge Centre. KCE Reports 197C.
Scialoia, D., & Swartzendruber, A. (2020). The R.I.C.E Protocol is a MYTH: A Review and Recommendations. The Sport Journal, 1-19.
Sousa, L.M.M., Marques-Vieira, C.M.A., Severino, S.S.P., & Antunes, A.V. (2017). A metodologia de revisão integrativa da literatura em enfermagem. Revista Investigação em Enfermagem, 2(21),17-26.
Souza, M.T., Silva, M.D., & Carvalho, R. (2010). Integrative review: what is it? How to do it? Einstein, 8(1),102-6. doi: http://doi.org/10.1590/s1679-45082010rw1134
Vuurberg G., Hoorntje A., Wink L.M., Doelen B.F.W., Bekerom M.P., Dekker R., & Kerkhoffs, G. (2018). Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British Journal of Sports Medicine, 52(15), 956. doi: http://doi.org/10.1136/bjsports-2017-098106
Waterman, B.R., Owens, B.D., Davey, S., Zacchilli, M.A., & Belmont, P.J. Jr. (2010). The epidemiology of ankle sprains in the United States. Journal of Bone and Joint Surgery. 6;92(13):2279-84. doi: http://doi.org/10.2106/JBJS.I.01537.
Wever, G.S. & McCollum, G. (2018). The management of acute lateral ankle sprains: a survey of South African surgeons and best evidence available. The South African Orthopaedic Journal, 17(2), 35-39. doi: https://dx.doi.org/10.17159/2309-8309/2018/v17n2a6
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