مقايسه كارآمدي دو روش درماني غير جراحي درمان فعال زودرس و بي حركتي اوليه در درمان بيماران دچار پيچ خوردگي مچ پا

Comparison of Efficacy of Two Nonsurgical Methods , "Primary Immobilization" and "Early Active Functional Treatment" in Management of Patients with Mild (Grade l&ll) Ankle Sprain

The aim of this study was the comparison of efficacy of two nonsurgical methods in management of patients with acute ligamentous injury (Sprain) of ankle which are "Primary immobilization" and "Early active functional treatment". This study consist of 200 patients with acute ankle sprain who referred to emergency ward and clinic of orthopedics of Mobasher Kashani Hospital of Hamadan. This was a clinical trial study. 100 patients were managed with primary immobilization and the other 100 patients were treated with active functional treatment. Information were gathered with a questionaire that complete during a primary and later serial physical examinations. Datum were analyzed manually and then for quantitative variables, t-test and for gualitative variables, fisher exact test were performed. Results of this study revealed that the mean time for return to normal daily activities in patients with grade 1 of ankle sprain that managed with "primary immobilization" was 14.5 days Vs 14.1 days in patients that managed with "early active functional treatment". In addition , the mean time for return to professional or athletic activities, in patients with grade I and II of ankle sprain in two groups had not a significant difference. But the mean time for return to normal daily activities in patients with grade Il of ankle sprain with "primary immobilizatin" and "early active functional treatment" were 27.4 and 21.38 days respectively. In two groups there was no difference in level of fuctional activity on 90 days after treatment. Finally we could say that there was no difference between these two methods in approaching the patients to their pre-injury level of activity.