Protocols for the Management of Acute Soft Tissue Injury: Integrative Review

• Autor(a) principal: Bruno Venâncio Alexandre
• Data de Publicação: 2021
• Outros Autores: Cristina Lavareda Baixinho, Maria do Céu Sá
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.36367/ntqr.8.2021.412-421
• topic: Traumatismos do Pé; Articulação do Tornozelo; Enfermagem; Protocolos; Lesões dos Tecidos Moles; Foot injuries; Ankle Joint; Nursing; Protocols; Soft Tissue Injuries

Ankle sprains are highly prevalent in the population, and not all of them require medical treatment. It is generally agreed that both the individual and health professionals do not always base their decision on evidence, with a negative impact on the evolution of these injuries, which may evolve to chronicity. The involvement of various professionals in rehabilitation, with different approaches, justifies the standardisation of protocols for action. Goals: This study aims to: 1) identify the acronyms of the protocols of action for the management of soft tissue injuries of the ankle joint and, 2) analyse the evidence of the acronyms. Methods: Integrative Literature Review guided by the research question: "Which interventions are recommended in protocols for the management of acute soft tissue injuries in adults and elderly people?", according to the protocol and eligibility criteria. The search took place between October and December 2020, in the EBSCO, B-On, ISI, SCOPUS and JBI platforms. Results: (The 11 studies in the bibliographic sample are heterogeneous in terms of objectives and type of article, making it possible to answer the research question. The following acronyms/protocols were identified: RICE; PRICE; POLICE; MEAT and PEACE and LOVE. Conclusions: There is no evidence on the effectiveness of these protocols for the management of soft tissue injuries of the ankle joint.  Good practices such as ice application, limb elevation and Optimal Loading are recommended because progressive loading is more likely to restore collagen strength and morphological characteristics.