{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:06:30Z","timestamp":1778198790058,"version":"3.51.4"},"reference-count":42,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"3","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Study Design<\/jats:title><jats:p> Randomized 3-treatment, 3-period crossover trial. <\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p> There is variation in clinical practice regarding the type of ankle support used to aid recovery after ankle fracture internal fixation surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> To determine the immediate effects of different ankle supports commonly issued to patients 6 weeks after surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Participants were 18 adults, 6 weeks after internal fixation for transsyndesmotic\/infrasyndesmotic fracture, in a major trauma center in the UK. Interventions were a stirrup brace and walker boot compared with Tubigrip. Outcomes were (1) step-length and single-limb support time asymmetry (percentage comparing injured and uninjured limbs), (2) step width, (3) gait velocity, and (4) pain during walking (visual analog scale, 0\u2013100). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Participants (mean \u00b1 SD age, 47 \u00b1 14 years) included 8 women and 10 men, 6 weeks after surgical internal fixation for ankle fracture. Single-limb support time asymmetry reduced by 3% (95% confidence interval [CI]: 0%, 6%; P = .02) in the stirrup brace and by 5% (95% CI: 2%, 7%; P = .001) in the walker boot compared with Tubigrip. Step width was 1.2 cm (95% CI: 0.6, 1.7; P&lt;.001) wider in the walker boot than in Tubigrip. Self-reported pain was lower in the walker boot (5\/100) and in the stirrup brace (13\/100) compared to the Tubigrip (18\/100, P = .03). No significant differences were found in the effects of the supports on step-length asymmetry between the walker boot or stirrup brace and Tubigrip. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> At 6 weeks after surgical internal fixation for ankle fracture, pain and single-limb support time asymmetry over a short distance and for a short-term walk were immediately reduced with the use of a walker boot use and, to a lesser extent, a stirrup-brace compared to Tubigrip. Step width also widened in a walker boot, which may confer some additional gait stability. These results apply to immediate effects, so studies with longer-term follow-up are now indicated. The trial was registered at http:\/\/www.isrctn.com\/ (ISRCTN84536917). <\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p> Therapy, level 2b. J Orthop Sports Phys Ther 2016;46(3):157\u2013167. 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