Validation of the Ottawa Ankle Rules for Acute Foot and Ankle Injuries

Context: The original and modified Ottawa Ankle Rules (OARs) were developed as clinical decision rules (CDRs) for the emergency department setting. However, these CDRs have not been validated as an acute clinical evaluation tool. Currently, there are no sport-specific CDRs relating to acute ankle injuries. Objective: The objectives of this study were: to test the validity of the OARs in acute foot or ankle injury in a sport related setting and to evaluate the measures of diagnostic accuracy of specific predictor variables. Patients or Other Participants: The participants were athletic trainers assigned to university athletics, club sports, and high schools. Conclusions: The OARs did not reduce the number of unnecessary radiographs referred. The OARs in an acute setting had a high sensitivity and are good predictors to rule out the presence of a fracture. Low specificity results led to a high number of false positives and low positive predictive values. Adding one or more predictor variables may improve the validity of the OARs in the acute setting.

Name thesis:degree_name

Master of Science (MS)

Level thesis:degree_level

masters

Discipline thesis:degree_discipline

Athletic Training (Health Sciences and Professions)

Grantor dc:publisher

Ohio University

Year dc:date

2013

Author dc:creator

• Gray, Kimberly A.

Contributors dc:contributor

• Starkey, Chad

• Demographics
• Epidemiology
• Health Sciences
• Health Care
• Sports Medicine
• Ottawa Ankle Rules
• Clinical Decision Rules
• predictor variables
• sensitivity
• specificity
• likelihood ratios
• predictive values
• diagnostic accuracy
• validity

Statement dc:rights

• unrestricted
• This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.

Language dc:language

English

Repository record dc:identifier

http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1365773432

OAI identifier oai:identifier

oai:etd.ohiolink.edu:ohiou1365773432