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Evidence-Based Indications for the Repetitive Nature of Ankle Sprains: Prevention and Intervention

Activity Details
  • Credit Amounts:
    • CME: 1.75
    • BOC: 1.50
  • Cost: $25.00
  • Release: Nov 1, 2015
  • Expires: Dec 31, 2017
  • Estimated Time to Complete:
    1 Hour(s)  45 Minutes
  • System Requirements:
  • Average User Rating:
    (2 Ratings)


Phillip Gribble Phillip Gribble, PhD, ATC, FNATA
Associate Professor
Division of Athletic Training
Department of Rehabilitation Sciences
College of Health Sciences
University of Kentucky
Lexington, KY

Needs Statement

Acute lateral ankle sprains continue to represent the single most prevalent athletic injury and have the highest recurrent rate among all injuries, with substantial evidence linking to chronIc ankle instabilty (CAI), post-traumatic osteoarthritis, and decreased quality of life. Therefore, ankle sprain and the sequela of recurrent ankle injury are not just an innocuous musculoskeletal pathology but rather are of primary importance to the orthopedic and sports medicine communities. With increasing government and societal emphasis on physical activity, the incidence of ankle sprains and instability would remain constant or increase as more individuals participate in physical activities. Clinicians and researchers must work together to minimize occurrence and complications of ankle sprains to maximize the potential health benefits of a physically active lifestyle.

Patient-oriented outcome measures have been emphasized in health care. Specific to the ankle, patient-oriented measures provide valuable information on how the patient experiences disability following an initial ankle sprains. Despite the determination of effectiveness of treatment, and the shifting of rehabilitation interventions from clinician-and laboratory-generated outcome measures to more patient-centered ones, it is crucially important to identify what the origins of decreased self-reported functions following ankle sprains are and to understand how altered function following ankle sprain contribute to the disability that are present following ankle injury.

Current evidence suggests that all cases following an initial acute ankle sprain do not arise from the same condition and the presence of chronic ankle instability influences local and global coordination. It is imperative to appropriately assess the characteristics of an unhealthy ankle (deficits and impairments associated with the recurrent ankle injury) as well as treat ankle sprains and CAI as a global and not just a local injury. This may provide insight to develop more effective prevention and management for ankle injury. Therefore, this session will primarily address the current evidence associated with the charactenstic features of recurrent ankle injury cases following an initial acute ankle sprain and the influence
of ankle injury on both local and global functions, as well as discuss how the information from current evidence can be clinically coupled with development of effective intervention for an acute ankle sprain and CAI.

Additionally, current evidence has shown that balance and functional movement assessment tools, which evaluate individual's global functions, can successfully predict the risk of ankle injury. Identifying poor global function that may increase risk for acute and recurrent ankle sprains with a cost effective, time-efficient evaluation technique (such as the star excursion balance test and functional movement system) may help develop more effective prevemntion strategies for an individual identified as at risk for potential ankle injury. Therefore, this session will also address the current evidence associated assessment techniques in predicting ankle injury potential prevention to treat the most influential dysfunction following
the use of these evalutaion tools.

Target Audience

This activity is designed for athletic trainers, physical therapists, sports medicine physicians, physical medicine and rehabilitation physicians, and  physician assistants. 


At the conclusion of the session, attendees will be able to:
1. Describe different characteristic features of CAI following an initial ankle sprain
2. Review how an initial ankle sprain and the presence of CAI influence global and local coordination.
3. Identify specific factors that contribute to self-reported disability following ankle sprain.
4. Discuss effective intervention for the repetitive nature of ankle sprains


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and UK College of Health Science. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Medical knowledge
  • Practice-based learning and improvement

NATABOC The University of Kentucky is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 1.50 hours of EBP Category continuing education. Certified Athletic Trainers are responsible for claiming only those hours actually spent participating in the continuing education activity.

BOC Approved EBP Provider Number: P2382-1

Faculty Disclosure

No speakers or planners have any relevant financial relationships to disclose.

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


This activity is jointly provided by the University of Kentucky and UK College of Health Science.

CE Content Concerns


Concerns or complaints related to ACPE or ACCME standards may be submitted in writing to the Director of UK HealthCare CECentral by fax to 859-323-2920, or by mail to 2365 Harrodsburg Road, Ste B475, Lexington, KY 40504


  • The Director or his/her designee will review, investigate, forward and/or respond to complaints and will put forth a best effort to adjudicate the issue(s), along with CECentral staff members, within two (2) weeks of receipt of the grievance or complaint.
  • If needed, concerns, complaints, or grievances will be brought before the UK HealthCare CECentral Advisory Board.
  • Issues regarding activity content also will be reviewed and addressed by the Activity Director.
  • A written decision will be issued in a timely manner by the Director of UK HealthCare CECentral or his/herdesignee.
  • Grievances will be considered when planning future activities.

Appeal Procedure

  • Persons who wish to appeal a decision should address the appeal by email, fax or in writing to the Director of UK HealthCare CECentral within two (2) weeks of receipt of the response.
  • The Director will bring the appeal to the UK HealthCare CECentral Advisory Board.
  • The results of the appeal will be sent to the participant no later than two (2) weeks following the meeting of the board.