REHABILITASI CHRONIC ANKLE INSTABILITY
Abstract
Ankle sprain merupakan salah satu cedera muskuloskeletal yang paling umum terjadi. Sekitar 30% kasus dapat berkembang menjadi chronic ankle instability yang dapat membatasi aktivitas penderita secara signifikan. Chronic ankle instability (CAI) didefinisikan sebagai episode instabilitas ankle yang berulang dan terjadi 6-12 bulan pasca cedera awal. Anamnesis, pemeriksaan klinis dan pemeriksaan penunjang radiologis sangat diperlukan untuk mendapatkan diagnosa dan membedakan instabilitas ankle anatomis dan fungsional. Perbedaan antara keduanya sangat esensial untuk menentukan tata laksana yang sesuai. Apabila terjadi kegagalan tata laksana konservatif, maka tindakan operatif diperlukan untuk mengembalikan stabilitas ankle. Rehabilitasi pada kasus CAI dapat mengoptimalkan proses normalisasi stabilitas sendi serta merestorasi fungsi ambulasi dan keseimbangan.
Kata kunci: ankle instability, rehabilitasi, sprain
References
1. Kemler E, van de Port I, Valkenberg H, Hoes AW, Backx FJG. Ankle injuries in the Netherlands: Trends over 10-25 years. Scand J Med Sci Sports, 2015;25(3):331–7.
2. Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: A systematic review and meta-analysis of prospective epidemiological studies. Sport Med, 2014;44(1):123–40.
3. Shah S, Thomas AC, Noone JM, Blanchette CM, Wikstrom EA. Incidence and cost of ankle sprains in United States emergency departments. Sport Heal A Multidiscip Approach, 2016;8(6):547–52.
4. Vuurberg G, Hoorntje A, Wink LM, van der Doelen BFW, van den Bekerom MP, Dekker R, et al. Diagnosis, treatment and prevention of ankle sprains: Update of an evidence-based clinical guideline. Br J Sports Med, 2018;52(15):956.
5. Chen Y. Diagnosis and treatment of chronic ankle instability. Jt Proced, 2019; 1-17.
6. Hall EA, Simon JE, Docherty CL. Using ankle bracing and taping to decrease range of motion and velocity during inversion perturbation while walking. J Athl Train, 2016;51(4):283–90.
7. Davis C. Medical definition of ankle sprain. MedicineNet [update 29 Mar 2021; sitasi 14 Desember 2022]. Available from https://www.medicinenet.com/ankle_sprain/definition.htm.
8. Martin RL, Davenport TE, Paulseth S, Wukich DK, Godges JJ. Ankle stability and movement coordination impairments: Ankle ligament sprains. J Orthop Sport Phys Ther, 2013;43(9):A1–40.
9. Halabchi F, Mazaheri R, Mansournia MA, Hamedi Z. Additional effects of an individualized risk factor–based approach on pain and the function of patients with patellofemoral pain syndrome. Clin J Sport Med, 2015;25(6):478–86.
10. van den Bekerom MPJ, Kerkhoffs GMMJ, McCollum GA, Calder JDF, van Dijk CN. Management of acute lateral ankle ligament injury in the athlete. Knee Surgery, Sport Traumatol Arthrosc, 2013;21(6):1390–5.
11. Czajka CM, Tran E, Cai AN, DiPreta JA. Ankle Sprains and Instability. Med Clin North Am, 2014;98(2):313–29.
12. Savage-Elliott I, Murawski CD, Smyth NA, Golanó P, Kennedy JG. The deltoid ligament: An in-depth review of anatomy, function, and treatment strategies. Knee Surgery, Sport Traumatol Arthrosc, 2013;21(6):1316–27.
13. Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J Orthop, 2020;11(12):534–58.
14. Naeem M, Rahimnajjad MK, Rahimnajjad NA, Idrees Z, Shah GA, Abbas G. Assessment of functional treatment versus plaster of Paris in the treatment of grade 1 and 2 lateral ankle sprains. J Orthop Traumatol, 2015;16(1):41–6.
15. McCriskin BJ. Management and prevention of acute and chronic lateral ankle instability in athletic patient populations. World J Orthop, 2015;6(2):161.
16. Prado MP, Mendes AAM, Amodio DT, Camanho GL, Smyth NA, Fernandes TD. A comparative, prospective, and randomized study of two conservative treatment protocols for first-episode lateral ankle ligament injuries. Foot Ankle Int, 2014;35(3):201–6.
17. Kaminski TW, Hertel J, Amendola N, Docherty CL, Dolan MG, Hopkins JT, et al. National athletic trainers’ association position statement: Conservative management and prevention of ankle sprains in athletes. J Athl Train, 2013;48(4):528–45.
18. Bellows R, Wong CK. The effect of bracing and balance training on ankle sprain incidence among athletes: A systematic review with meta-analysis. Int J Sports Phys Ther, 2018;13(3):379–88.
19. Prentice W. Rehabilitation techniques for sports medicine and athletic training. SLACK Incorporated; 2015.
20. Reider B, Davies G, Provencher M. Orthopaedic rehabilitation of the athlete: Getting back in the game. Elsevier Health Sciences; 2014.
2. Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: A systematic review and meta-analysis of prospective epidemiological studies. Sport Med, 2014;44(1):123–40.
3. Shah S, Thomas AC, Noone JM, Blanchette CM, Wikstrom EA. Incidence and cost of ankle sprains in United States emergency departments. Sport Heal A Multidiscip Approach, 2016;8(6):547–52.
4. Vuurberg G, Hoorntje A, Wink LM, van der Doelen BFW, van den Bekerom MP, Dekker R, et al. Diagnosis, treatment and prevention of ankle sprains: Update of an evidence-based clinical guideline. Br J Sports Med, 2018;52(15):956.
5. Chen Y. Diagnosis and treatment of chronic ankle instability. Jt Proced, 2019; 1-17.
6. Hall EA, Simon JE, Docherty CL. Using ankle bracing and taping to decrease range of motion and velocity during inversion perturbation while walking. J Athl Train, 2016;51(4):283–90.
7. Davis C. Medical definition of ankle sprain. MedicineNet [update 29 Mar 2021; sitasi 14 Desember 2022]. Available from https://www.medicinenet.com/ankle_sprain/definition.htm.
8. Martin RL, Davenport TE, Paulseth S, Wukich DK, Godges JJ. Ankle stability and movement coordination impairments: Ankle ligament sprains. J Orthop Sport Phys Ther, 2013;43(9):A1–40.
9. Halabchi F, Mazaheri R, Mansournia MA, Hamedi Z. Additional effects of an individualized risk factor–based approach on pain and the function of patients with patellofemoral pain syndrome. Clin J Sport Med, 2015;25(6):478–86.
10. van den Bekerom MPJ, Kerkhoffs GMMJ, McCollum GA, Calder JDF, van Dijk CN. Management of acute lateral ankle ligament injury in the athlete. Knee Surgery, Sport Traumatol Arthrosc, 2013;21(6):1390–5.
11. Czajka CM, Tran E, Cai AN, DiPreta JA. Ankle Sprains and Instability. Med Clin North Am, 2014;98(2):313–29.
12. Savage-Elliott I, Murawski CD, Smyth NA, Golanó P, Kennedy JG. The deltoid ligament: An in-depth review of anatomy, function, and treatment strategies. Knee Surgery, Sport Traumatol Arthrosc, 2013;21(6):1316–27.
13. Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J Orthop, 2020;11(12):534–58.
14. Naeem M, Rahimnajjad MK, Rahimnajjad NA, Idrees Z, Shah GA, Abbas G. Assessment of functional treatment versus plaster of Paris in the treatment of grade 1 and 2 lateral ankle sprains. J Orthop Traumatol, 2015;16(1):41–6.
15. McCriskin BJ. Management and prevention of acute and chronic lateral ankle instability in athletic patient populations. World J Orthop, 2015;6(2):161.
16. Prado MP, Mendes AAM, Amodio DT, Camanho GL, Smyth NA, Fernandes TD. A comparative, prospective, and randomized study of two conservative treatment protocols for first-episode lateral ankle ligament injuries. Foot Ankle Int, 2014;35(3):201–6.
17. Kaminski TW, Hertel J, Amendola N, Docherty CL, Dolan MG, Hopkins JT, et al. National athletic trainers’ association position statement: Conservative management and prevention of ankle sprains in athletes. J Athl Train, 2013;48(4):528–45.
18. Bellows R, Wong CK. The effect of bracing and balance training on ankle sprain incidence among athletes: A systematic review with meta-analysis. Int J Sports Phys Ther, 2018;13(3):379–88.
19. Prentice W. Rehabilitation techniques for sports medicine and athletic training. SLACK Incorporated; 2015.
20. Reider B, Davies G, Provencher M. Orthopaedic rehabilitation of the athlete: Getting back in the game. Elsevier Health Sciences; 2014.
Published
2024-12-31
How to Cite
GOESASI, Rachmat Zulkarnain et al.
REHABILITASI CHRONIC ANKLE INSTABILITY.
Medika Kartika : Jurnal Kedokteran dan Kesehatan, [S.l.], v. 7, n. 4, p. 420-431, dec. 2024.
ISSN 2655-6537.
Available at: <http://medikakartika.unjani.ac.id/medikakartika/index.php/mk/article/view/827>. Date accessed: 25 jan. 2025.
Section
Articles
