{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:27:34Z","timestamp":1780378054997,"version":"3.54.1"},"reference-count":36,"publisher":"National Athletic Trainers' Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Approximately 72% of patients with an ankle sprain report residual symptoms 6 to 18 months later. Although 44% of patients return to activity in less than 24 hours after experiencing a sprain, residual symptoms should be evaluated in the long term to determine if deficits exist. These residual symptoms may be due to the quality of ligament tissue and motion after injury.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To compare mechanical laxity of the talocrural joint and dorsiflexion range of motion (DFROM) over time (24 to 72 hours, 2 to 4 weeks, and 6 months) after an acute lateral ankle sprain (LAS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Cross-sectional study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Athletic training research laboratory.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants<\/jats:title>\n                  <jats:p>A total of 108 volunteers were recruited. Fifty-five participants had an acute LAS and 53 participants were control individuals without a history of LAS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s)<\/jats:title>\n                  <jats:p>Mechanical laxity (talofibular interval and anterior talofibular ligament length) was measured in inversion (INV) and via the anterior drawer test. The weight-bearing lunge test was conducted and DFROM was measured. The data were analyzed using repeated-measures analysis of variance, independent-samples t tests, and 1-way analysis of variance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 55 LASs, 21 (38%) were grade I, 27 (49%) were grade II, and 7 (13%) were grade III. Increases were noted in DFROM over time, between 24 and 72 hours, at 2 to 4 weeks, and at 6 months (P &amp;lt; .05). The DFROM was less in participants with grade III than grade I LASs (P = .004) at 24 to 72 hours; INV length was greater at 24 to 72 hours than at 2 to 4 weeks (P = .023) and at 6 months (P = .035) than at 24 to 72 hours. The anterior drawer length (P = .001) and INV talofibular interval (P = .004) were greater in the LAS group than in the control group at 6 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Differences in range of motion and laxity were evident among grades at various time points and may indicate different clinical responses after an LAS.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-391.19","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T05:32:06Z","timestamp":1618983126000},"page":"408-417","source":"Crossref","is-referenced-by-count":8,"title":["Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain"],"prefix":"10.4085","volume":"56","author":[{"given":"Bethany A.","family":"Wisthoff","sequence":"first","affiliation":[{"name":"University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie L.","family":"Docherty","sequence":"additional","affiliation":[{"name":"Indiana University, Bloomington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Glutting","sequence":"additional","affiliation":[{"name":"University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoff","family":"Gustavsen","sequence":"additional","affiliation":[{"name":"University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd D.","family":"Royer","sequence":"additional","affiliation":[{"name":"University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles \u201cBuz\u201d","family":"Swanik","sequence":"additional","affiliation":[{"name":"University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas W.","family":"Kaminski","sequence":"additional","affiliation":[{"name":"University of Delaware, Newark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"2022022515364849700_i1062-6050-56-4-408-b01","doi-asserted-by":"crossref","unstructured":"Browne\n              GJ,\n            \n            \n              PLj\n              Barnett.\n            \n          \n          Common sports-related musculoskeletal injuries presenting to the emergency department.\n\t\t\t\t\tJ Paediatr Child Health.\n\t\t\t\t\t2016;\n\t\t\t\t\t52(2):\n\t\t\t\t\t231\u2013\n\t\t\t\t\t236.\n\t\t\t\t\tdoi:10.1111\/jpc.13101","DOI":"10.1111\/jpc.13101"},{"key":"2022022515364849700_i1062-6050-56-4-408-b02","doi-asserted-by":"crossref","unstructured":"Roos\n              KG,\n            \n            \n              Kerr\n              ZY,\n            \n            \n              Mauntel\n              TC,\n            \n            \n              Djoko\n              A,\n            \n            \n              Dompier\n              TP,\n            \n            \n              Wickstrom\n              EA.\n            \n          \n          The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports.\n\t\t\t\t\tAm J Sports Med.\n\t\t\t\t\t2017;\n\t\t\t\t\t45(1):\n\t\t\t\t\t201\u2013\n\t\t\t\t\t209.\n\t\t\t\t\tdoi:10.1177\/0363546516660980","DOI":"10.1177\/0363546516660980"},{"key":"2022022515364849700_i1062-6050-56-4-408-b03","doi-asserted-by":"crossref","unstructured":"Braun\n              BL.\n            \n          \n          Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation.\n\t\t\t\t\tArch Fam Med.\n\t\t\t\t\t1999;\n\t\t\t\t\t8(2):\n\t\t\t\t\t143\u2013\n\t\t\t\t\t148.\n\t\t\t\t\tdoi:10.1001\/archfami.8.2.143","DOI":"10.1001\/archfami.8.2.143"},{"key":"2022022515364849700_i1062-6050-56-4-408-b04","doi-asserted-by":"crossref","unstructured":"van Rijn\n              RM,\n            \n            \n              van Os\n              AG,\n            \n            \n              Bernsen\n              RM,\n            \n            \n              Luijsterburg\n              PA,\n            \n            \n              Koes\n              BW,\n            \n            \n              Bierma-Zeinstra\n              SM.\n            \n          \n          What is the clinical course of acute ankle sprains? 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