How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example

Detalhes bibliográficos
Autor(a) principal: Verhagen, Evert
Data de Publicação: 2013
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546
Resumo: Over the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures, and that measures are cost-beneficial. Nevertheless, despite the commonness of this type of injury and the availability of effective measures, implementation of prevention in clinical practice is lagging behind. In addition, although proven effective, a link between biomechanical and neurophysiological adaptations as a function of preventive measures, leading to clinical and functional improvements and ultimately ankle sprain recurrence prevention, has never been fully made. The current evidence on ankle sprains and their prevention provides ample opportunities to pursue a translational approach through which fundamental knowledge will provide guidance to specify the effective preventive program to its bare essentials and decrease user-burden while retaining full effectiveness.
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spelling How Fundamental Knowledge Aids Implementation: Ankle Sprains as an ExampleO Contributo do Conhecimento Fundamental na Prevenção e Tratamento de Lesões: o Exemplo das Entorses do TornozeloOver the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures, and that measures are cost-beneficial. Nevertheless, despite the commonness of this type of injury and the availability of effective measures, implementation of prevention in clinical practice is lagging behind. In addition, although proven effective, a link between biomechanical and neurophysiological adaptations as a function of preventive measures, leading to clinical and functional improvements and ultimately ankle sprain recurrence prevention, has never been fully made. The current evidence on ankle sprains and their prevention provides ample opportunities to pursue a translational approach through which fundamental knowledge will provide guidance to specify the effective preventive program to its bare essentials and decrease user-burden while retaining full effectiveness.Ao longo dos últimos anos, um conjunto de estudos de elevada qualidade demonstrou a eficácia de medidas como suportes externos (ligaduras funcionais e estabilizadores) e treinamento muscular na prevenção de lesões da tibiotársica. Estes resultados sugerem que a recorrência de entorses do tornozelo pode ser prevenida de um modo eficaz através do uso destas medidas, as quais apresentam uma relação custo-benefício favorável. Contudo, embora estas lesões sejam muito comuns e exista uma disponibilidade de medidas eficazes, verifica-se que a implementação de estratégias de prevenção na prática clínica tem sido algo desprezada. Além disso, nunca foi implementada uma relação entre as adaptações biomecânicas e neurofisiológicas enquanto medida preventiva, embora existam evidências que comprovam a sua eficácia na melhoria clínica e funcional e, em último caso, na prevenção da recorrência de entorses do tornozelo. A evidência atual sobre esta lesão e sua prevenção oferece amplas oportunidades para fomentar uma abordagem translacional através da qual o conhecimento fundamental providenciará orientações para especificar programas de prevenção eficazes e acessíveis.Ordem dos Médicos2013-06-05info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/jpegimage/jpeghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546oai:ojs.www.actamedicaportuguesa.com:article/546Acta Médica Portuguesa; Vol. 26 No. 2 (2013): March-April; 171-174Acta Médica Portuguesa; Vol. 26 N.º 2 (2013): Março-Abril; 171-1741646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546/3224https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546/6829https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546/6830Verhagen, Evertinfo:eu-repo/semantics/openAccess2022-12-20T10:56:29Zoai:ojs.www.actamedicaportuguesa.com:article/546Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:35.142198Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
O Contributo do Conhecimento Fundamental na Prevenção e Tratamento de Lesões: o Exemplo das Entorses do Tornozelo
title How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
spellingShingle How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
Verhagen, Evert
title_short How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
title_full How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
title_fullStr How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
title_full_unstemmed How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
title_sort How Fundamental Knowledge Aids Implementation: Ankle Sprains as an Example
author Verhagen, Evert
author_facet Verhagen, Evert
author_role author
dc.contributor.author.fl_str_mv Verhagen, Evert
description Over the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures, and that measures are cost-beneficial. Nevertheless, despite the commonness of this type of injury and the availability of effective measures, implementation of prevention in clinical practice is lagging behind. In addition, although proven effective, a link between biomechanical and neurophysiological adaptations as a function of preventive measures, leading to clinical and functional improvements and ultimately ankle sprain recurrence prevention, has never been fully made. The current evidence on ankle sprains and their prevention provides ample opportunities to pursue a translational approach through which fundamental knowledge will provide guidance to specify the effective preventive program to its bare essentials and decrease user-burden while retaining full effectiveness.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-05
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546
oai:ojs.www.actamedicaportuguesa.com:article/546
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546
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dc.language.iso.fl_str_mv eng
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language eng
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dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546/3224
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546/6829
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/546/6830
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 26 No. 2 (2013): March-April; 171-174
Acta Médica Portuguesa; Vol. 26 N.º 2 (2013): Março-Abril; 171-174
1646-0758
0870-399X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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