Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium

Eamonn Delahunt, Chris M Bleakley, Daniela S Bossard, Brian M Caulfield, Carrie L Docherty, Cailbhe Doherty, François Fourchet, Daniel T Fong, Jay Hertel, Claire E Hiller, Thomas W Kaminski, Patrick O McKeon, Kathryn M Refshauge, Alexandria Remus, Evert Verhagen, Bill T Vicenzino, Erik A Wikstrom, Phillip A Gribble

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments. This modified Delphi study was undertaken under the auspices of the executive committee of the International Ankle Consortium. The primary aim was to develop recommendations, based on expert (n=14) consensus, for structured clinical assessment of acute lateral ankle sprain injuries. After two modified Delphi rounds, consensus was achieved on the clinical assessment of acute lateral ankle sprain injuries. Consensus was reached on a minimum standard clinical diagnostic assessment. Key components of this clinical diagnostic assessment include: establishing the mechanism of injury, as well as the assessment of ankle joint bones and ligaments. Through consensus, the expert panel also developed the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST). The International Ankle Consortium ROAST will help clinicians identify mechanical and/or sensorimotor impairments that are associated with chronic ankle instability. This consensus statement from the International Ankle Consortium aims to be a key resource for clinicians who regularly assess individuals with acute lateral ankle sprain injuries.

Original languageEnglish
Pages (from-to)1304-1310
Number of pages7
JournalBritish Journal of Sports Medicine
Volume52
Issue number20
Early online date9 Jun 2018
DOIs
Publication statusPublished - 1 Oct 2018

Cite this

Delahunt, Eamonn ; Bleakley, Chris M ; Bossard, Daniela S ; Caulfield, Brian M ; Docherty, Carrie L ; Doherty, Cailbhe ; Fourchet, François ; Fong, Daniel T ; Hertel, Jay ; Hiller, Claire E ; Kaminski, Thomas W ; McKeon, Patrick O ; Refshauge, Kathryn M ; Remus, Alexandria ; Verhagen, Evert ; Vicenzino, Bill T ; Wikstrom, Erik A ; Gribble, Phillip A. / Clinical assessment of acute lateral ankle sprain injuries (ROAST) : 2019 consensus statement and recommendations of the International Ankle Consortium. In: British Journal of Sports Medicine. 2018 ; Vol. 52, No. 20. pp. 1304-1310.
@article{3a11c13728b74a168f587cf69ff9194f,
title = "Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium",
abstract = "Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments. This modified Delphi study was undertaken under the auspices of the executive committee of the International Ankle Consortium. The primary aim was to develop recommendations, based on expert (n=14) consensus, for structured clinical assessment of acute lateral ankle sprain injuries. After two modified Delphi rounds, consensus was achieved on the clinical assessment of acute lateral ankle sprain injuries. Consensus was reached on a minimum standard clinical diagnostic assessment. Key components of this clinical diagnostic assessment include: establishing the mechanism of injury, as well as the assessment of ankle joint bones and ligaments. Through consensus, the expert panel also developed the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST). The International Ankle Consortium ROAST will help clinicians identify mechanical and/or sensorimotor impairments that are associated with chronic ankle instability. This consensus statement from the International Ankle Consortium aims to be a key resource for clinicians who regularly assess individuals with acute lateral ankle sprain injuries.",
author = "Eamonn Delahunt and Bleakley, {Chris M} and Bossard, {Daniela S} and Caulfield, {Brian M} and Docherty, {Carrie L} and Cailbhe Doherty and Fran{\cc}ois Fourchet and Fong, {Daniel T} and Jay Hertel and Hiller, {Claire E} and Kaminski, {Thomas W} and McKeon, {Patrick O} and Refshauge, {Kathryn M} and Alexandria Remus and Evert Verhagen and Vicenzino, {Bill T} and Wikstrom, {Erik A} and Gribble, {Phillip A}",
note = "{\circledC} Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.",
year = "2018",
month = "10",
day = "1",
doi = "10.1136/bjsports-2017-098885",
language = "English",
volume = "52",
pages = "1304--1310",
journal = "British Journal of Sports Medicine",
issn = "0306-3674",
number = "20",

}

Delahunt, E, Bleakley, CM, Bossard, DS, Caulfield, BM, Docherty, CL, Doherty, C, Fourchet, F, Fong, DT, Hertel, J, Hiller, CE, Kaminski, TW, McKeon, PO, Refshauge, KM, Remus, A, Verhagen, E, Vicenzino, BT, Wikstrom, EA & Gribble, PA 2018, 'Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium' British Journal of Sports Medicine, vol. 52, no. 20, pp. 1304-1310. https://doi.org/10.1136/bjsports-2017-098885

Clinical assessment of acute lateral ankle sprain injuries (ROAST) : 2019 consensus statement and recommendations of the International Ankle Consortium. / Delahunt, Eamonn; Bleakley, Chris M; Bossard, Daniela S; Caulfield, Brian M; Docherty, Carrie L; Doherty, Cailbhe; Fourchet, François; Fong, Daniel T; Hertel, Jay; Hiller, Claire E; Kaminski, Thomas W; McKeon, Patrick O; Refshauge, Kathryn M; Remus, Alexandria; Verhagen, Evert; Vicenzino, Bill T; Wikstrom, Erik A; Gribble, Phillip A.

In: British Journal of Sports Medicine, Vol. 52, No. 20, 01.10.2018, p. 1304-1310.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Clinical assessment of acute lateral ankle sprain injuries (ROAST)

T2 - 2019 consensus statement and recommendations of the International Ankle Consortium

AU - Delahunt, Eamonn

AU - Bleakley, Chris M

AU - Bossard, Daniela S

AU - Caulfield, Brian M

AU - Docherty, Carrie L

AU - Doherty, Cailbhe

AU - Fourchet, François

AU - Fong, Daniel T

AU - Hertel, Jay

AU - Hiller, Claire E

AU - Kaminski, Thomas W

AU - McKeon, Patrick O

AU - Refshauge, Kathryn M

AU - Remus, Alexandria

AU - Verhagen, Evert

AU - Vicenzino, Bill T

AU - Wikstrom, Erik A

AU - Gribble, Phillip A

N1 - © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments. This modified Delphi study was undertaken under the auspices of the executive committee of the International Ankle Consortium. The primary aim was to develop recommendations, based on expert (n=14) consensus, for structured clinical assessment of acute lateral ankle sprain injuries. After two modified Delphi rounds, consensus was achieved on the clinical assessment of acute lateral ankle sprain injuries. Consensus was reached on a minimum standard clinical diagnostic assessment. Key components of this clinical diagnostic assessment include: establishing the mechanism of injury, as well as the assessment of ankle joint bones and ligaments. Through consensus, the expert panel also developed the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST). The International Ankle Consortium ROAST will help clinicians identify mechanical and/or sensorimotor impairments that are associated with chronic ankle instability. This consensus statement from the International Ankle Consortium aims to be a key resource for clinicians who regularly assess individuals with acute lateral ankle sprain injuries.

AB - Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments. This modified Delphi study was undertaken under the auspices of the executive committee of the International Ankle Consortium. The primary aim was to develop recommendations, based on expert (n=14) consensus, for structured clinical assessment of acute lateral ankle sprain injuries. After two modified Delphi rounds, consensus was achieved on the clinical assessment of acute lateral ankle sprain injuries. Consensus was reached on a minimum standard clinical diagnostic assessment. Key components of this clinical diagnostic assessment include: establishing the mechanism of injury, as well as the assessment of ankle joint bones and ligaments. Through consensus, the expert panel also developed the International Ankle Consortium Rehabilitation-Oriented ASsessmenT (ROAST). The International Ankle Consortium ROAST will help clinicians identify mechanical and/or sensorimotor impairments that are associated with chronic ankle instability. This consensus statement from the International Ankle Consortium aims to be a key resource for clinicians who regularly assess individuals with acute lateral ankle sprain injuries.

U2 - 10.1136/bjsports-2017-098885

DO - 10.1136/bjsports-2017-098885

M3 - Article

VL - 52

SP - 1304

EP - 1310

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

SN - 0306-3674

IS - 20

ER -