Approach to Ankle Sprains in the Emergency Department
- Conditions
- Ankle Sprains
- Interventions
- Registration Number
- NCT06563271
- Lead Sponsor
- Ankara Etlik City Hospital
- Brief Summary
The aim of this study is to evaluate the short-term effects of routinely applied agents on pain and joint range of motion (ROM) in ankle sprains presenting to the emergency department (ED).
- Detailed Description
It is aimed to examine the effects of intravenous (IV) 50 mg dexketoprofen, IV ibuprofen 400mg and IV paracetamol 10 mg on pain and joint range of motion. To determine the effects of these agents on pain, the easily applicable Numerical Rating Scale (NRS) and Wong-Baker Faces Pain Rating Scale will be used. A standard handheld half-circle goniometer will be utilized to calculate active ankle joint ROM.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
- Adults aged 18 years and older who present to the emergency department within the first 72 hours after ankle sprain.
- Grade 1 (mild) and Grade 2 (moderate) ankle sprains.
- Exclusion of fractures and dislocations (after X-ray according to Ottawa rules).
- Absence of muscle-tendon ruptures.
- Absence of vascular and nerve injuries.
- Absence of open wounds and burns.
- Stable vital signs.
- Patients who provide written and verbal consent.
- Patients who did not present to the emergency department within the first 72 hours after ankle sprain.
- Grade 3 (severe) ankle sprains.
- Multiple traumas.
- Pregnancy or suspected pregnancy.
- Ankle fractures and dislocations.
- Forensic cases.
- History of previous ankle surgery or fracture.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group Dexketoprofen isotonic saline Dexketoprofen 50 mg will be administered parenterally (intravenously in 150 cc isotonic saline over 15 minutes infusion). Group Ibuprofen isotonic saline Ibuprofen 100 mg/ml will be administered parenterally (intravenously in 150 cc isotonic saline over 15 minutes infusion). Group Paracetamol Paracetamol 10 Mg/mL Solution for Injection Paracetamol 10 mg/ml will be administered parenterally. Group Ibuprofen Ibuprofen 100 MG/ML Solution for Injection Ibuprofen 100 mg/ml will be administered parenterally (intravenously in 150 cc isotonic saline over 15 minutes infusion). Group Dexketoprofen Dexketoprofen Trometamol 50 Mg/mL Solution for Injection Dexketoprofen 50 mg will be administered parenterally (intravenously in 150 cc isotonic saline over 15 minutes infusion).
- Primary Outcome Measures
Name Time Method To evaluate the effectiveness of multimodal treatment methods on pain in ankle sprains. *Wong-Baker Faces Pain Rating Scale: - 0 minute before treatment -15 minute after treatment -60 minute after treatment Wong-Baker FACES pain rating scale (WBS) will be used to assess effects on pain.
WBS: This scale uses a series of faces ranging from a smiling face representing "No pain" to a crying face representing "Worst pain" to visually express the intensity of pain.To evaluate the effectiveness of multimodal treatment methods on Range of Motion in ankle sprains. - 0 minute ROM before treatment - 60 minute ROM after treatment A standard handheld goniometer will be used to calculate Range of Motion (ROM) measurements. The aim is to determine the effects of multimodal treatment methods routinely applied in emergency services on pain and range of motion and to reveal their superiority over each other, if any. (Normal ROM values: 20° for dorsiflexion, 45° for plantar flexion)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Ankara Etlik City Hospital
🇹🇷Ankara, Yenimahalle, Turkey