{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T07:50:25Z","timestamp":1771055425936,"version":"3.50.1"},"reference-count":36,"publisher":"National Athletic Trainers' Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"\n Context<\/jats:title>\n Chronic ankle instability (CAI) is prevalent among individuals who sustain a lateral ankle sprain (LAS) injury. The persistence of the characteristic long-standing clinical symptoms of CAI may be attributable to the lack of adoption by physiotherapists of evidence-informed clinical guidelines.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To investigate the extent to which French-speaking physiotherapists implement the International Ankle Consortium rehabilitation-oriented assessment (ROAST) framework when providing clinical care for individuals with an acute LAS injury.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Online survey informed by a Delphi process of foot-ankle experts.<\/jats:p>\n <\/jats:sec>\n \n Patients or Other Participants<\/jats:title>\n A total of 426 French-speaking physiotherapists completed the online survey.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure(s)<\/jats:title>\n The survey was disseminated to French-speaking physiotherapists in France; Switzerland; Quebec, Canada; Luxembourg; and Belgium. It comprised closed and open-ended questions organized in 5 sections: (1) participant demographics, (2) participant self-assessment of expertise, (3) clinical diagnostic assessment of the ankle (bones and ligaments), (4) clinical evaluation after an acute LAS injury (ROAST framework), and (5) CAI. The qualitative data from the open-ended questions were analyzed using best-practice thematic-analysis guidelines.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Only 6.3% (n<\/jats:italic> = 27) of the respondents could name all Ottawa Ankle Rules criteria. Only 25.6% (n<\/jats:italic> = 109) of the respondents cited or described criterion standard tests from the literature to assess the integrity of the lateral ankle ligaments. Less than 25% (n<\/jats:italic> = 71) of the respondents reported using clinical evaluation outcome metrics (ROAST) recommended by the International Ankle Consortium to inform their clinical care for individuals with an acute LAS injury. In general, the respondents had a greater knowledge of the functional than the mechanical insufficiencies associated with CAI.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A minority of French-speaking physiotherapist survey respondents use the International Ankle Consortium ROAST to inform their clinical care for individuals with an acute LAS injury. This highlights the responsibility of the scientific community to better disseminate evidence-informed research to clinicians.<\/jats:p>\n <\/jats:sec>","DOI":"10.4085\/1062-6050-0575.23","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T09:16:59Z","timestamp":1710321419000},"page":"134-142","source":"Crossref","is-referenced-by-count":4,"title":["Ankle Scientific Knowledge and Physiotherapy Practice: A Thematic Analysis of Clinical Behaviors of French-Speaking Physiotherapists"],"prefix":"10.4085","volume":"60","author":[{"given":"Romain","family":"Tourillon","sequence":"first","affiliation":[{"name":"Physiotherapy Department and Motion Analysis Lab, Swiss Olympic Medical Center, La Tour Hospital, Meyrin, Switzerland"},{"name":"University Lyon, UJM-Saint-Etienne, Inter-University Laboratory of Human Movement Biology, Saint-Etienne, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eamonn","family":"Delahunt","sequence":"additional","affiliation":[{"name":"School of Public Health, Physiotherapy and Sports Science and"},{"name":"Institute for Sport and Health, University College Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Fourchet","sequence":"additional","affiliation":[{"name":"Physiotherapy Department and Motion Analysis Lab, Swiss Olympic Medical Center, La Tour Hospital, Meyrin, Switzerland"},{"name":"French Society of Sports Physical Therapist (SFMKS Lab), Pierrefitte-sur-Seine, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brice","family":"Picot","sequence":"additional","affiliation":[{"name":"French Society of Sports Physical Therapist (SFMKS Lab), Pierrefitte-sur-Seine, France"},{"name":"Inter-University Laboratory of Human Movement Biology (LIBM), Savoie Mont-Blanc University, Chamb\u00e9ry, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massamba","family":"M\u2019Baye","sequence":"additional","affiliation":[{"name":"Kin\u2019Aixpert, Viviers du Lac, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"issue":"24","key":"i1938-162X-60-2-134-b01","series-title":"Br J Sports Med","first-page":"1496","article-title":"Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains","volume":"50","author":"Gribble","year":"2016","unstructured":"Gribble\n PA,\n \n \n Bleakley\n CM,\n \n \n Caulfield\n BM,\n \n et al.\n \n Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. 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J Athl Train. 2019;54(6):671\u2013675. doi:10.4085\/1062-6050-428-17"},{"issue":"4","key":"i1938-162X-60-2-134-b08","series-title":"Am J Sports Med","first-page":"995","article-title":"Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis","volume":"44","author":"Doherty","year":"2016","unstructured":"Doherty\n C,\n \n \n Bleakley\n C,\n \n \n Hertel\n J,\n \n \n Caulfield\n B,\n \n \n Ryan\n J,\n \n \n Delahunt\n E.\n \n \n Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis. 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Med Sci Sports Exerc. 2010;42(11):2106\u20132121. doi:10.1249\/MSS.0b013e3181de7a8a"},{"issue":"1","key":"i1938-162X-60-2-134-b10","series-title":"J Orthop Sci","first-page":"37","article-title":"Lateral ligament injury of the ankle and associated articular cartilage degeneration in the talocrural joint: anatomic study using elderly cadavers","volume":"9","author":"Hirose","year":"2004","unstructured":"Hirose\n K,\n \n \n Murakami\n G,\n \n \n Minowa\n T,\n \n \n Kura\n H,\n \n \n Yamashita\n T.\n \n \n Lateral ligament injury of the ankle and associated articular cartilage degeneration in the talocrural joint: anatomic study using elderly cadavers. 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Br J Sports Med. 2018;52(20):1304\u20131310. doi:10.1136\/bjsports-2017-098885"},{"issue":"3","key":"i1938-162X-60-2-134-b13","series-title":"J Contin Educ Health Prof","first-page":"174","article-title":"Knowledge translation research: the science of moving research into policy and practice","volume":"31","author":"Curran","year":"2011","unstructured":"Curran\n JA,\n \n \n Grimshaw\n JM,\n \n \n Hayden\n JA,\n \n \n Campbell\n B.\n \n \n Knowledge translation research: the science of moving research into policy and practice. J Contin Educ Health Prof. 2011;31(3):174\u2013180. doi:10.1002\/chp.20124"},{"issue":"1","key":"i1938-162X-60-2-134-b14","series-title":"Eval Health Prof","first-page":"7","article-title":"Translation in the health professions: converting science into action","volume":"29","author":"Sussman","year":"2006","unstructured":"Sussman\n S,\n \n \n Valente\n TW,\n \n \n Rohrbach\n LA,\n \n \n Skara\n S,\n \n \n Pentz\n MA.\n \n \n Translation in the health professions: converting science into action. Eval Health Prof. 2006;29(1):7\u201332. doi:10.1177\/0163278705284441"},{"issue":"3","key":"i1938-162X-60-2-134-b15","series-title":"Athl Train Sports Health Care","first-page":"125","article-title":"Physiotherapists\u2019 understanding of functional and mechanical insufficiencies contributing to chronic ankle instability","volume":"3","author":"Kerin","year":"2011","unstructured":"Kerin\n F,\n \n \n Delahunt\n E.\n \n \n Physiotherapists\u2019 understanding of functional and mechanical insufficiencies contributing to chronic ankle instability. Athl Train Sports Health Care. 2011;3(3):125\u2013130. doi:10.3928\/19425864-20101029-03"},{"issue":"12","key":"i1938-162X-60-2-134-b16","series-title":"Br J Sports Med","first-page":"651","article-title":"Clinicians use courses and conversations to change practice, not journal articles: is it time for journals to peer-review courses to stay relevant","volume":"55","author":"Whiteley","year":"2021","unstructured":"Whiteley\n R,\n \n \n Napier\n C,\n \n \n van Dyk\n N,\n \n et al.\n \n Clinicians use courses and conversations to change practice, not journal articles: is it time for journals to peer-review courses to stay relevant? 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Arch Phys Med Rehabil. 2006;87(9):1235\u20131241. doi:10.1016\/j.apmr.2006.05.022"},{"issue":"4","key":"i1938-162X-60-2-134-b32","series-title":"Foot Ankle Surg","first-page":"391","article-title":"French translation and validation of the Cumberland Ankle Instability Tool, an instrument for measuring functional ankle instability","volume":"26","author":"Geerinck","year":"2020","unstructured":"Geerinck\n A,\n \n \n Beaudart\n C,\n \n \n Salvan\n Q,\n \n et al.\n \n French translation and validation of the Cumberland Ankle Instability Tool, an instrument for measuring functional ankle instability. Foot Ankle Surg. 2020;26(4):391\u2013397. doi:10.1016\/j.fas.2019.05.002"},{"key":"i1938-162X-60-2-134-b33","series-title":"BMC Musculoskelet Disord","first-page":"40","article-title":"Evidence for validity and reliability of a French version of the FAAM","volume":"12","author":"Borloz","year":"2011","unstructured":"Borloz\n S,\n \n \n Crevoisier\n X,\n \n \n Deriaz\n O,\n \n \n Ballabeni\n P,\n \n \n Martin\n RL,\n \n \n Luthi\n F.\n \n \n Evidence for validity and reliability of a French version of the FAAM. BMC Musculoskelet Disord. 2011;12:40. doi:10.1186\/1471-2474-12-40"},{"key":"i1938-162X-60-2-134-b34","series-title":"Traumatisme de la Cheville. R\u00e9f\u00e9rences en M\u00e9decine d\u2019Urgence. Collection de la SFMU","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/978-2-8178-0352-4_21","article-title":"Cheville instable: d\u00e9marche diagnostique et th\u00e9rapeutique","author":"Banihachemi","year":"2013","unstructured":"Banihachemi\n JJ\n \n . 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