Programas preventivos para entorse de tornozelo: uma revisão da literatura sobre a relação custo-efetividade

Abstract

BACKGROUND: Ankle sprains are the most common sports and physical activity related injury, and generate a high demand on health care systems and be associated with high medical costs and productivity lost. The injury can cause residual deficits as pain, inflammation, instability and loss of movement, leading to high rates of absenteeism. It has increasingly seen the necessity for more research on preventive programs to ankle sprains in athletes, and search for the best alternative considering benefits, costs, and cost-effectiveness. OBJECTIVE: Conduct a literature review about the measures with greater benefits, lower costs and more cost-effectiveness to prevent the recurrence of ankle sprains among athletes and physical activity practitioner. MATERIALS AND METHODS: A literature review was performed by searching databases of MEDLINE and PEDro / Pubmed, considering the keywords used: cost-effectiveness, injury prevention, ankle sprains, athletes and their synonyms. 11 articles were found, of which 9 were relevant, fit the inclusion criteria and were included in this study. RESULTS: Some articles compared preventive methods to other ones, and the remaining articles compared preventive programs to usual care after the ankle sprain. CONCLUSION: All the preventive methods were considered effective and cost-effectiveness compared to usual care. That one excelled with the best cost-effectiveness compared to other programs was the use of bracing.