Comparison with existing literature
ankle sprain, ankle injuries, pain
To the authors’ knowledge, this is the first RCT to evaluate an unsupervised e-health-supported training programme for patients with an acute LAS in general practice. Rehabilitation programmes for ankle injuries, such as proprioceptive training programmes, have been studied previously in both general and sport populations,One of the reasons that the current study found no effect of the training programme could be the study population. Hupperets The low adherence rate may have been affected by the fact that there was no contact with the research team about the performance and progress of the intervention programme. Inherent to the adherence, the unsupervised component of the programme could be a limitation. The absence of supervision for motivation, and especially quality control of exercises, could be another reason for the low adherence and contribute to the ineffectiveness of the intervention. This is strengthened by the fact that previous studies have shown that supervised rehabilitation, compared with home exercises, seems to be more effective in reducing pain, subjective instability, and function after an ankle sprain.