presented by Todd Davenport
This course is part of our OCS Prep-Program. Learn more about the full prep-program here: MedBridge OCS Prep-Program.
Lateral ankle sprains are a common injury that frequently results in prolonged pain and disability. The research evidence for physical therapy management of lateral ankle sprains is increasingly voluminous, making it difficult for the busy physical therapist to keep up their reading of the latest research evidence in order to engage in evidence based practice. This course provides an overview of the clinical practice guideline for lateral (inversion-mechanism) ankle sprains. This first course of the two course series on lateral ankle sprain, will discuss the differential diagnosis, risk factors, prognosis, and clinical measures for patient reported outcomes.
Be sure to watch the second part of this two part series: ICF Best Practice Recommendations: Lateral Ankle Sprain Interventions
Todd serves as a tenured Associate Professor in the Department of Physical Therapy in the Thomas J. Long School of Pharmacy and Health Sciences at the University of the Pacific in Stockton, California, where he teaches in the Doctor of Physical Therapy (DPT) program. Todd is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institute of Health in Bethesda, Maryland. Todd is a graduate of the Master of Public Health program at the Berkeley campus of the University of California. He has been continuously recognized as a Board-Certified Orthopedic Clinical Specialist by the American Board of Physical Therapy Specialties since 2005. Todd has worked to translate evidence from scientific research into best practices for physical therapy. He is a member of the Evidence-Based Documents Task Force of the Orthopedic Section of the American Physical Therapy Association (APTA), through which he has been involved with authoring two CPGs to date with emphasis on foot and ankle health conditions. He also has served on the multidisciplinary Primer Writing Committee of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFS/ME) and as a content reviewer for clinical practice guidelines created by the American College of Occupational and Environmental Medicine. Todd is an Associate Editor of the Journal of Orthopaedic and Sports Physical Therapy, as well as a reviewer for several journals in the fields of rehabilitation and rheumatology. In addition to his teaching, scholarship, and service work, Todd practices clinically at the Kaiser Permanente offices in Stockton, California.
This chapter will cover the general structure and author group of this specific clinical practice guideline. A brief overview of the literature search and grading process will be undertaken. The chapter will culminate with a brief series of general comments from the authors about the significance of the CPG for clinical practice, in order to develop some excitement about the topic.
The purpose of this chapter is to discuss the pathoanatomy, risk factors, and prognosis of lateral ankle sprains according to the clinical practice guideline. This information is important to orient the learner to the health condition to which the clinical practice guideline pertains, as well as to cover the content of the clinical practice guideline as it relates to risk factors and prognosis.
This chapter will discuss the use of pencil-and-paper measurements of patients’ self-reported functioning to guide physical therapy management of lateral ankle sprains. In addition, to helping drive the clinical judgment about how to integrate the patient’s perspective into treatment, patient-reported outcome measures are also helpful for objective documentation and to establish a measurement regimen to procure insurance payment.