Comparison of the effects PRICE and POLICE treatment protocols on ankle function in patients with ankle sprain.

IF 0.8 4区医学 Q4 EMERGENCY MEDICINE Ulusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery Pub Date : 2023-08-01 DOI:10.14744/tjtes.2023.29797

Ömer Yusuf Erdurmuş, Ahmet Burak Oguz, Sinan Genc, Ayca Koca, Müge Günalp Eneylı, Onur Polat

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Abstract

Background: Ankle sprain is a frequent reason for presentation to the emergency department. Current treatment modalities include Protection, Optimal Loading, Ice, Compression, and Elevation (POLICE) and Protection, Rest, Ice, Compression, and Elevation (PRICE). This study aimed to compare the effects of PRICE and POLICE treatment protocols.

Methods: This randomized controlled study was conducted between October 15, 2020, and October 15, 2021, at Ankara University's Department of Emergency Medicine. Double-blind randomization was used to assign patients to either the POLICE or PRICE treatment groups.

Results: In total, 109 patients were included. In the POLICE group, the median difference between the American Orthopedic Foot and Ankle Scores on admission and the 14th day following the injury was 34.5 (IQR: 27.25-41.75), while that of the PRICE group was 24 (IQR: 15.5-35). In the POLICE group, the median value of the difference in the Foot and Ankle Disability Index scores on admission and the 14th day following the injury was 42 (IQR: 35.25-50), while that of the PRICE group was 31 (IQR: 22-41.5).

Conclusion: The POLICE treatment protocol provided more effective and faster recovery than the PRICE treatment protocol.

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PRICE和POLICE治疗方案对踝关节扭伤患者踝关节功能影响的比较。

背景：脚踝扭伤是急诊科就诊的常见原因。目前的治疗方式包括保护、最佳负荷、冰、压缩和抬高（POLICE）和保护、休息、冰、挤压和抬高（PRICE）。本研究旨在比较PRICE和POLICE治疗方案的效果。方法：这项随机对照研究于2020年10月15日至2021年10月30日在安卡拉大学急诊医学系进行。双盲随机分组用于将患者分为POLICE或PRICE治疗组。结果：共纳入109例患者。在POLICE组中，入院时和受伤后第14天的美国骨科足部和踝关节评分之间的中位差异为34.5（IQR:27.25-41.75），而PRICE组为24（IQR:15.5-35），入院时和受伤后第14天的足部和踝关节残疾指数得分差异的中位值为42（IQR:35.25-50），而PRICE组为31（IQR:22-41.5）。结论：POLICE治疗方案比PRICE治疗方案提供了更有效、更快的恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ulusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery 医学-急救医学

CiteScore

1.40

自引率

18.20%

发文量

审稿时长

4-8 weeks

期刊介绍： The Turkish Journal of Trauma and Emergency Surgery (TJTES) is an official publication of the Turkish Association of Trauma and Emergency Surgery. It is a double-blind and peer-reviewed periodical that considers for publication clinical and experimental studies, case reports, technical contributions, and letters to the editor. Scope of the journal covers the trauma and emergency surgery. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in their fields in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent reviewer to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions.