Ankle sprain is one of the most common pathologies in the general population (between 2.1 and 3.2 per 1000 patients per year). Nearly 40% of patients will develop chronic instability in the year following the sprain. We also know that a premature return to sport is a risk factor for developing chronic instability. However, despite the consensus of experts on the subject which have shown the key physiological elements to evaluate before resuming sport, no test or cohort of tests are proposed to allow a safe return to sport by reducing the risks of relapse. Some very recent studies have appeared on non-operated subjects but this remains a subject that is still too little studied, where the lack of consensus and objective criteria increases the risk of instability. Surgical treatment remains an effective option to reduce the risk of recurrence but failure of the latter can occur in approximately 13-37% of patients depending on the population, due to a relapse or a return to sport which does not correspond to expectations. of the patient.
The objective of the study is therefore to evaluate the predictive nature of a composite test (ANKLE-GO) regarding the return to sport at the same level and the risks of recurrence.
Patient with objective chronic ankle instability who has failed medical treatment and undergone lateral ankle ligament repair surgery
Patient practicing a sporting activity at least 2 times a week
Patient able to read, write and understand French
Patient affiliated to a social security scheme
Minor or over 50 years of age
Pregnant or breast-feeding patient
Patient under guardianship, deprived of liberty or under court protection
Refusal to participate in research
Parallel
Personnalized physiotherapy
Other interventionFollowing completion of the ankle go test, patients in "experimental" group will receive specific instructions for continuing their rehabilitation, which will be passed on to the physiotherapist responsible for the rehabilitation.
Usual physiotherapy
Other interventionFollowing completion of the ankle go test, patients in "active comparator" group will receive usual physiotherapy
1-year post-surgery return to sport : Tegner questionnaire
evaluation of sport practice level with Tegner questionnaire : Likert scale from 0 (professionnal disability) to 10 (professionnal sport)
Sports level at 1 year post-surgery compared with previous level
Questionnaire "yes/no"
Number of hours of sport per week
Self administered questionnaire
Ankle instability scale (FAAM questionnaire : Foot and Ankle Ability Measure)
self-administered questionnaire to measure patients' functional progress. It comprises two subscales: a 21-item daily activity subscale, and an 8-item sports subscale. For each subscale, each item is rated on a Likert scale from 0 to 4.
Pain: EVA analog scale
EVA scale from 0 (no pain) to 10 (maximal possible pain)
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