Electrical stimulation as a treatment intervention to improve function, edema or pain following acute lateral ankle sprains: A systematic review

Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine
Mark A FegerJay Hertel

Abstract

The purpose of this systematic review was to assess whether electrical stimulation (ES), when used in conjunction with a standard treatment, can reduce levels of functional impairment, edema, and pain compared to a standard treatment alone, in patients following a lateral ankle sprain. We searched PubMed, CINAHL, SportDiscus, and Medline (OVID) databases through June 2014 using the terms "ankle sprain or ankle sprains or ligament injury or ligamentous injury," and "electric stimulation or electric stimulation or electrotherapy." Our search identified four randomized control trials, of which, neuromuscular ES and high-voltage pulsed stimulation were the only two ES modalities utilized. Effect sizes and 95% confidence intervals (CI) were estimated using Cohen's d for comparison between treatment groups. Three of four effect sizes for function had 95% CI that crossed zero. Twenty-four of the thirty-two effect sizes for edema had 95% CI that crossed zero. All effect sizes for pain had 95% CI that crossed zero. Therefore, the use of ES is not recommended as a means to improve function, reduce edema, or decrease pain in the treatment of acute lateral ankle sprains.

References

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Citations

Mar 9, 2018·British Journal of Sports Medicine·Gwendolyn VuurbergGino M M J Kerkhoffs
Jun 18, 2019·Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders·Thomas W WainwrightRobert G Middleton
Aug 7, 2019·Current Sports Medicine Reports·Eric T ChenKelly C McInnis
Oct 1, 2020·Journal of Clinical Medicine·Ana Belen Ortega-AvilaGabriel Gijon-Nogueron
Dec 13, 2016·Journal of Physical Therapy Science·Yeong-Deok Choi, Jung-Ho Lee
Aug 23, 2017·British Journal of Sports Medicine·Brian HainlineLars Engebretsen
Dec 29, 2020·World Journal of Orthopedics·Farzin Halabchi, Mohammad Hassabi

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