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BACKGROUND AND PURPOSE: To some extent, favorable treatment outcomes for physical therapy intervention programs depend on patients attending their clinic appointments and adhering to the program requirements. Previous studies have found less-than-optimal levels of clinic attendance, and a viable option might be physical therapy intervention programs with a large component of home treatment. This study investigated the effects of a standard physical therapy intervention program--delivered primarily at either the clinic or home--on ankle function, rehabilitation adherence, and motivation in patients with ankle sprains. SUBJECTS: Forty-seven people with acute ankle sprains who were about to start a course of physical therapy intervention participated in the study. METHODS: Using a prospective design, subjects were randomly assigned to either a clinic intervention group or a home intervention group. Ankle function and motivation were measured before and after rehabilitation, and adherence to the clinic- and home-based programs was measured throughout the study. RESULTS: The groups had similar scores for post-treatment ankle function, adherence, and motivation. The home intervention group had a significantly higher percentage of attendance at clinic appointments and better physical therapy intervention program completion rate. DISCUSSION AND CONCLUSION: Home-based physical therapy intervention appears to be a viable option for patients with sprained ankles.
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Bassett et al. (2007) studied this question.
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