A Mobile Recovery Guidance App for Children and Young Adults With Acute Ankle Inversion Injuries (SPRAIN)
Ankle Sprains
About this trial
This is an interventional treatment trial for Ankle Sprains focused on measuring Ankle inversion injury, Mobile app, Recovery guidance
Eligibility Criteria
Inclusion Criteria: Age 12-30 years Presenting to the Paediatric Emergency Department of the Children's Hospital or Adult Emergency Department, London Health Sciences Centre, London, or ntario, St. Joseph Urgent Care Centre, London, Ontario, with a unilateral acute (<= 48 hours) ankle injury based on clinical diagnosis by ED physician Able to use a WiFi enabled smartphone with either an iOS or Android operating system with enough memory capability to host the App. Exclusion Criteria: Unable to read or understand English above at least a grade 8 literacy level in the absence of a native language interpreter Not independently ambulatory prior to injury (without the use of an assistive device) Developmental disability precluding the full comprehension of study-related procedures Multi-system or multi-limb injuries Concomitant radiographically proven lower extremity fracture or dislocation (with the exception of a suspected Salter-Harris type I injury)
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Smartphone App
Standard of Care
The mobile app will allow recording of study outcomes (pain using the vNRS and functional outcomes using the ASKp) and house an interactive educational component to provide daily reminders on pharmacological (ibuprofen and acetaminophen) and non-pharmacological (ice, elevation, and range of motion exercises) for pain management and when to return to activity. The app will collect pain scores using the verbal Numeric Rating Scale (vNRS) and functional outcomes using the Activities Scale for Kids (ASKp) scores on days 3, 5, 7, 10, 12, and 14. The ASKp will be completed by the child with assistance from the caregiver.
The standard of care group will be asked to read the paper-based discharge instructions in the ED, outlining pharmacological and non-pharmacological pain management and return to activity identical to the information contained in the mobile app. They will download onto their smartphone device a Data Collection App that will only allow them to record the following study outcome measures: daily use of ice, analgesia, range of motion exercises, elevation, and pain using the vNRS and ASKp scores on days 3, 5, 7, 10, 12, and 14. The ASKp will be completed by the child with assistance from the caregiver.