Comparison of the results of bandaging and casting in patients with firstand second-degree sprain of lateral ankle ligaments

Abstract

Background: In this study, we compared the results of bandaging and casting in patients with first- and seconddegree sprain of lateral ankle ligaments. Methods: The was a randomized clinical trial study on 88 patients with ankle sprain referring to Alzahra hospital, Isfahan City, Iran, during 2015-2016; all of them met inclusion criteria. We then recorded the data by case-taking and examination based on the prepared checklist. Patients were randomly divided into two groups receiving early mobilization and cast immobilization, respectively. Data were analyzed using descriptive statistics and statistical tests using SPSS software at the significance level of P < 0.05. Findings: After two weeks, mean pain was reduced in the first group (31.2 ± 1.2) compared to the second group (48.6 ± 2.4), showing a significant difference (P < 0.05). Average range of motion in the ankle was 28.08 ± 1.20 in the first and 21.30 ± 2.10 in the second group after two weeks, indicating a significant increase in the first group as compared to the second one (P < 0.05). Conclusion: In the first- and second-degree sprain of lateral ankle ligaments, bandaging performs better than casting in decreasing pain and swelling and improving the range of motion of the joint. © 2017, Isfahan University of Medical Sciences(IUMS). All rights reserved.