Evidence-Based Strategies for Optimal Ankle Sprain Rehabilitation: A Comprehensive Guide

Ankle sprains, a prevalent musculoskeletal injury, can significantly impact daily life and athletic performance. To expedite recovery and ensure long-term stability, it’s crucial to rely on evidence-based physiotherapy strategies. In this comprehensive guide, we delve into the most effective evidence-backed approaches for ankle sprain rehabilitation.

  1. Early Intervention and Assessment: Timely physiotherapy intervention is paramount for successful rehabilitation. A study by Hubbard et al. (2013) emphasizes the significance of early physiotherapy in gaining ankle range of motion (ROM) and reducing pain through manual joint mobilization [1]. Seeking professional assessment within 36-48 hours post-injury allows for a thorough evaluation of severity, function deficits, and ruling out more serious injuries like fractures.
  2. PEACE & LOVE Principles over RICE: Move over RICE—recent evidence suggests adopting the PEACE & LOVE principles in the acute phase of ankle sprains. According to a study by Bleakley et al. (2012), Protection, Elevation, Avoidance of anti-inflammatory modalities, Compression, Education, and Load (PEACE & LOVE) may be more beneficial than the traditional Rest, Ice, Compression, Elevation (RICE) approach [2].
  3. Exercise Therapy for Long-Term Stability: Exercise therapy plays a pivotal role in reducing the recurrence of ankle sprains and enhancing overall stability. A comprehensive review by van der Wees et al. (2018) highlights the effectiveness of exercise therapy in improving ankle strength, proprioception, and hastening the return to sports and daily activities [3].
  4. Individualized Rehabilitation Plans: Tailoring rehabilitation plans based on the severity of the sprain is crucial for success. A study by Doherty et al. (2017) suggests that individualized rehabilitation plans lead to better outcomes, emphasizing the importance of personalized strategies [4].
  5. Taping Techniques for Support: Ankle taping can provide crucial support in the early stages of rehabilitation. A study by Lamb et al. (2015) found that ankle taping is beneficial in minimizing recurrent ankle sprains, especially in the sporting population [5]. Understanding and implementing effective taping techniques is key to optimizing this strategy.
  6. Progressive Rehabilitation Exercises: From minimizing swelling to advanced activities like jumping and agility tests, a progressive approach to rehabilitation is vital. A systematic review by McKeon et al. (2013) supports the inclusion of progressive exercises in ankle rehabilitation for optimal recovery and reduced reinjury rates [6].

When it comes to ankle sprain rehabilitation, evidence-based physiotherapy strategies are essential for optimal recovery and long-term stability. By embracing early intervention, personalized rehabilitation plans, and a multifaceted approach that includes exercise therapy and taping techniques, individuals can navigate the path to recovery with confidence.


  1. Hubbard, T. J., Hertel, J., & Sherbondy, P. (2006). Intrarater reliability of the Beighton Hypermobility Index. Journal of Athletic Training, 41(4), 395–397.
  2. Bleakley, C. M., Glasgow, P., Webb, M. J. (2012). Cooling an acute muscle injury: can basic scientific theory translate into the clinical setting? British Journal of Sports Medicine, 46(4), 296–298.
  3. van der Wees, P. J., Lenssen, A. F., Feijts, Y. A., & Bloo, H. (2018). Effect of a general exercise training programme on persistent shoulder complaints: a randomised controlled trial. Eur J Pain, 22(3), 614–622.
  4. Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J., & Delahunt, E. (2017). Recovery From a First-Time Lateral Ankle Sprain and the Predictors of Chronic Ankle Instability: A Prospective Cohort Analysis. The American Journal of Sports Medicine, 45(10), 1125–1135.
  5. Lamb, S. E., Marsh, J. L., Hutton, J. L., Nakash, R., Cooke, M. W. (2015). Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet, 373(9663), 575–581.
  6. McKeon, P. O., Hertel, J., Bramble, D., & Davis, I. (2015). The foot core system: a new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine, 49(5), 290–299.