The Cost-Effectiveness of Measures to Prevent Recurrent Ankle Sprains Results of a 3-Arm Randomized Controlled Trial
| Autor: | Willem van Mechelen, Evert Verhagen, Kasper W. Janssen, Marike R C Hendriks |
|---|---|
| Přispěvatelé: | Public and occupational health, EMGO - Musculoskeletal health |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Randomization Adolescent Cost effectiveness Cost-Benefit Analysis Physical Therapy Sports Therapy and Rehabilitation law.invention Young Adult Physical medicine and rehabilitation Randomized controlled trial law Injury prevention medicine Secondary Prevention Humans Orthopedics and Sports Medicine Ankle Injuries Child Aged Braces biology Athletes business.industry Evidence-based medicine Middle Aged biology.organism_classification Brace Exercise Therapy medicine.anatomical_structure Athletic Injuries Physical therapy Sprains and Strains Female Ankle business human activities |
| Zdroj: | Janssen, K W, Hendriks, M R C, van Mechelen, W & Verhagen, E A L M 2014, ' The Cost-Effectiveness of Measures to Prevent Recurrent Ankle Sprains Results of a 3-Arm Randomized Controlled Trial ', American Journal Sports Medicine, vol. 42, no. 7, pp. 1534-1541 . https://doi.org/10.1177/0363546514529642 American Journal Sports Medicine, 42(7), 1534-1541. SAGE Publications Inc. |
| ISSN: | 0363-5465 |
| DOI: | 10.1177/0363546514529642 |
| Popis: | Background: Ankle sprains are the most common sports-related injury, associated with a high rate of recurrence and societal costs. Recent studies have emphasized the effectiveness of both neuromuscular training and bracing for the secondary prevention of ankle sprains. Purpose: To evaluate the cost-effectiveness of the separate and combined use of bracing and neuromuscular training for the prevention of the recurrence of ankle sprains. Study Design: Economic and decision analysis; Level of evidence, 2. Methods: A total of 340 athletes (157 male and 183 female; aged 12-70 years) who had sustained a lateral ankle sprain up to 2 months before inclusion were randomized to a neuromuscular training group (n = 107), brace group (n = 113), and combined intervention group (n = 120). Randomization was stratified by medical treatment of the inclusion sprain. Participants in the neuromuscular training group underwent an 8-week home-based exercise program. Participants in the brace group received a semirigid ankle brace to be worn during all sports activities for a period of 12 months. Participants allocated to the combined group underwent both interventions, with the ankle brace to be worn during all sports activities for a period of 8 weeks. The recurrence of ankle sprains and associated costs were registered during the 1-year follow-up. Results: There were no differences between groups at baseline with regard to age, sex, sports participation, previous injury, or knowledge of preventive measures. The incremental cost-effectiveness ratio (ICER) of the brace group in comparison with the combined group was −€2828.30 (approximately –US$3865.00), based on a difference in the mean cost of −€76.16 (approximately –US$104.00) and a difference in the mean effects of 2.68%. The ICER of the neuromuscular training group in comparison with the combined group was €310.08 (approximately US$424.00), based on a difference in the mean cost of −€28.37 (approximately –US$39.00) and a difference in the mean effects of 9.15%. Conclusion: Bracing was found to be the dominant secondary preventive intervention over both neuromuscular training and the combination of both measures. |
| Databáze: | OpenAIRE |
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