Dr Eammon Delahunt, international authority: Ankle sprain management and chronic instability - a podcast by BMJ Group

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.longCumberland ankle instability tool (<24/30)

idFAI –>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/48/13/10142016 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

Further episodes of BJSM

Further podcasts by BMJ Group

Website of BMJ Group