Nov-Dec 2017 – “Chronic Ankle Instability”

Most people experience a twisted ankle in their lifetime and one of the common questions a client can ask in a clinic setting is to understand what is typical ankle sprain. An orthopaedic physiotherapist will encounter ankle sprains in their clinical environment and learns to appreciate the frustration over the lack of progress in a client’s rehabilitation as well. Even though ankle injuries are common, they are not always minor injuries. Some scenarios can result in repeated injuries or severe injuries which can develop long term joint dysfunction and pain.


Report from Chair

We, in conjunction with CAMPT, are happy to announce we will host a Mini-Symposium in conjunction with the instructors meetings in Calgary in October. Our next full Symposium will be held in June 2019. Details for both these events to follow.


Original Submission

Trying to Interrupt the Pathway to Chronic Ankle Instability in a Clinical Setting: A Narrative
Plain and simply stated, an index lateral ankle sprain (LAS) isnot just an innocuous ankle sprain. These injuries have the highest incidence and prevalence reported for all lower extremity musculoskeletal injuries(1). Lateral ligament complex injuries are notnearly as media driven as some orthopaedic injuries however the sequelae after anindex LAS provides tremendous burden to the global health care system duetodecreased physical activity, increase in sedentary lifestyles and increased cardiovascular risk factors(1).

7th International Ankle Symposium – This Novice Clinicians’ Vantage Point. 
In September 2017 the University of North Carolina at Chapel Hill hosted the 7th International Ankle Symposium(IAS). A community of international researchers and clinicians formed the International Ankle Consortium in 2004. Their primary goal is the promotion of best evidence practice and knowledge focused around the ankle joint complex and related pathologies. These researchers and clinicians are cutting edge experts in the clinical and academic knowledge base regarding ankle complex anatomy, biomechanics, physiology and pathologies. These experts join together every 3 years on international soil and share their work. The 6th IAS actually occurred only 2 years beforethis latest one as there has been a recent explosion of ankle research, specifically surroundingChronic Ankle Instability (CAI). This explosion in research manufactured the theme of this latest symposium.


Clinical Tidbits

I suspect most clinicians in outpatient orthopeadics can look back at their respective caseloads and think of ankle sprains cases they have treated. Many cases may have had an uneventful recovery, however, there may be a case or two that never really recovered the way we would have expected.
This reality would be consistent with the literature globally that would suggest repeatedly that a significant level of persistent problems exist post ankle sprain.


Featured Articles

Dynamic postural control but not mechanical stability differs among those with and without chronic ankle instability

E. A. Wikstrom, M. D. Tillman, T. L. Chmielewski, J. H. Cauraugh, K. E. Naugle, P. A. Borsa


Joint Mobilization Improves Spatiotemporal Postural Control and Range of Motion in Those with Chronic Ankle Instability

Matthew C. Hoch, Patrick O. McKeon