Ankle sprain is a fairly common sports medicine clinic. In Taiwan at least 150,000 to 200,000 people will suffer from ankle sprains every years. Clinicians have been looking for ways to shorten treatment time and reduce discomfort. Platelet Rich Plasma(PRP) is an endogenous therapeutic technology that involved in regenerative medicine due to its potential to stimulate and accelerate tissue healing. PRP can release lots of growth factors like platelet-derived growth factor (PDGF),transforming Growth Factor Beta(TGF-β), vascular endothelial growth factor(VEGF),Epidermal growth factor(EGF) and insulin-like growth factor (IGF). Its use had been based on the theory that increased autologous platelets, that then yield high concentrations of growth factors and other proteins, will lead to increased healing of tendon and soft tissue on a cellular level. In addition, there is no objective evaluation after treatment, so that patients can not provide effective and accurate quantitative feedback. In this study, the investigators divided patients into three groups, respectively, general rehabilitation therapy, autologous PRP injection therapy, autologous PRP injection combined with general rehabilitation therapy.
The investigators divided patients into three groups, respectively, general rehabilitation therapy, autologous PRP injection therapy, autologous PRP injection combined with general rehabilitation therapy randomly. The investigators also use the new ankle proprioception evaluation system and evaluation of clinical function after treatment. It is expected to establish another feasible and rapid treatment method for ankle sprain. Combined with high accuracy ankle body defect evaluation method, it is helpful to design proper treatment and rehabilitation strategy in the future so as to improve the rehabilitation of limbs Coordination and control capabilities.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
The investigators draw 10cc of blood and concentrate the blood to get the platelet rich plasma
strengthening ex, posture training,...
combine PRP and Rehabilitation
Tri-service General Hospital
Taipei, Taiwan
RECRUITINGmean of the distance of ankle movement by the force plate system
The proprioception could be evaluated by the parameter of mean of the distance of ankle movement by the force plate system
Time frame: 10 min
standard error
evaluated by the parameter of standard error of the distance of ankle movement by the force plate system
Time frame: 10 min
coefficient of variance
evaluated by the parameter of coefficient of variance of the distance of ankle movement by the force plate system
Time frame: 10 min
Time Up and Go(TUG)
walking ability
Time frame: 15 sec
Visual analogues scale (VAS )
pain level
Time frame: 5 sec
AOFAS Ankle-Hindfoot score
function of ankle and foot
Time frame: 10 min
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