BJSM Podcast

Dr Eammon Delahunt, international authority: Ankle sprain management and chronic instability


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Eamonn is a wonderful clinician-scientist who graduated with a 1st Class Honours Degree from the University College Dublin (UCD) School of Physiotherapy in 2003 placing first in his class. Eamonn received a prestigious Irish Research Council for Science Engineering and Technology (IRCSET) post-graduate research scholarship. He was awarded his PhD from the UCD School of Physiotherapy and Performance Science in 2006, In this podcast that combines science with clinical application topics include:
• The high prevalence of ankle injuries and the high risk of the development of chronic residual symptoms.
• The characteristic features of CAI.
• How to manage the young soccer player who sustains an ankle injury.
• Detailed discussion of (1) modified Ottawa Ankle Rules; (2) determination of lateral ligament laxity; (3) syndesmosis assessment.
• How to assess for chronic ankle instability
• Mechanical insufficiencies including: (1) pathological laxity; (2) arthrokinematic restrictions; (3) synovial changes; (4) degenerative changes.
• Functional insufficiencies including: (1) impaired proprioception; (2) impaired neuromuscular control; (3) impaired postural control/postural balance; (4) impaired strength.
• Assessment of laxity and the use of taping and bracing.
• Patient-reported outcome measures clinicians can use including the FAAM, CAIT & idFAI
Associated papers and tools:
Diagnostic accuracy of the Ottawa Ankle and Midfoot Rules: a systematic review with meta-analysis
http://bjsm.bmj.com/content/early/2016/11/24/bjsports-2016-096858.long
Cumberland ankle instability tool ( 11 – chronic ankle instability (>11)
Foot and ankle ability scale: FAN ADL(21 items) and FAN sport (8 minutes)
Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium.
http://bjsm.bmj.com/content/48/13/1014
2016 consensus statement the International Ankle Consortium: prevalence, impact and long-term consequences of lateral ankle sprains.

http://bjsm.bmj.com/content/50/24/1493.long

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