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Greater self-efficacy
and younger age have been linked with fewer symptoms and shortcomings during
recovery of an ankle sprain, but the extremity of the sprain is not.
In patients suffering from a lateral ankle sprain;
swelling, tenderness, and ecchymosis don’t correlate with time to functional
recovery. It has been known that psychosocial factors like symptoms of
depression and low pain self-efficacy correlate with pain intensity and
magnitude of limitations in patients with musculoskeletal problems.
The connection between pain self-efficacy or symptoms of
depression along with ankle specific limitations and pain intensity in patients
suffering from lateral ankle sprain were explored. Also, the correlation
between estimation of sprain severity (grade) and (3) pain intensity or
magnitude of ankle specific limitations has been discussed.
Three weeks after the surgery, a total of 84 patients with
a lateral ankle sprain prospectively accomplished the Pain Self Efficacy
Questionnaire, the Olerud Molander Ankle Score, Ordinal scale of Pain and the
Patient Health Questionnaire-2 at enrollment and the Olerud Molander Ankle
Score and the Ordinal scale of Pain. In the bivariable and multivariable
analysis, the factors related to higher ankle specific limitations and symptoms
were estimated.
When describing the confounding factors, greater self-efficacy
(p = 0.01) and older age (p < 0.01) were significantly associated with
greater ankle specific symptoms and limitations three weeks after the injury.
This elucidated for 22% of the variability in ankle specific limitations and
symptoms. No correlation was observed between the grade of the sprain and pain
intensity or ankle specific limitations or symptoms.
It was thus concluded that the psychosocial factors
(adaptiveness in response to pain in particular) elucidate more of the
variation in symptoms and limitations after ankle sprain than the degree of
pathophysiology. The influence of adaptive illness descriptions and recovery
strategies as per the methods for improving self-efficacy (i.e. cognitive
behavioral therapy) might intensify and speed recovery from ankle injuries and
merit additonal examination.
Injury
Factors associated with pain intensity and physical limitations after lateral ankle sprains
Jan Paul Briet et al.
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