{"id":4482,"date":"2023-01-11T18:08:30","date_gmt":"2023-01-11T18:08:30","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/management-of-lateral-ankle-sprains-it\/"},"modified":"2026-01-15T08:08:51","modified_gmt":"2026-01-15T08:08:51","slug":"management-of-lateral-ankle-sprains-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/management-of-lateral-ankle-sprains-it\/","title":{"rendered":"Gestione delle distorsioni laterali di caviglia"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Redazione originale <\/b>&#8211; <a href=\"\/User:Ewa_Jaraczewska\" title=\"User:Ewa Jaraczewska\">Ewa Jaraczewska<\/a> sulla base del corso di <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\">Helene Simpson<\/a><br \/>\n<b>Collaboratori principali<\/b> &#8211; <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a> e <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#General_Guidelines\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Linee guida generali<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Grading_System\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Sistema di valutazione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Management.2FInterventions\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Gestione\/Interventi<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Acute_Phase\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Fase acuta<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#General_Guidelines:\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">Linee guida generali:<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Treatment_Principles\"><span class=\"tocnumber\">4.1.2<\/span> <span class=\"toctext\">Principi di trattamento<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Detailed_Assessment_and_Comprehensive_Treatment_Phase\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Fase di valutazione dettagliata e trattamento completo<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Assessment\"><span class=\"tocnumber\">4.2.1<\/span> <span class=\"toctext\">Valutazione<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#General_Guidelines_2\"><span class=\"tocnumber\">4.2.2<\/span> <span class=\"toctext\">Linee guida generali<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-11\"><a href=\"#Therapeutic_Management\"><span class=\"tocnumber\">4.2.3<\/span> <span class=\"toctext\">Gestione terapeutica<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Re-Assessment_Phase\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Fase di rivalutazione<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Resources\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Risorse<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Non esistono <a href=\"\/Ankle_Sprain\" title=\"Ankle Sprain\">distorsioni della caviglia<\/a> semplici.<sup id=\"cite_ref-:1_1-0\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> Non si tratta di un infortunio dal quale i pazienti avranno recuperato dopo un paio di giorni.<sup id=\"cite_ref-:1_1-1\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> Le distorsioni laterali di caviglia richiedono invece un&#8217;attenta valutazione e gestione. Nella gestione delle distorsioni laterali di caviglia, le considerazioni principali sono le seguenti: ritardare la valutazione dettagliata di qualche giorno; comprendere il meccanismo della lesione; condurre una valutazione approfondita quando il paziente \u00e8 in grado di partecipare; la compliance del paziente al trattamento \u00e8 essenziale; \u00e8 necessaria una rivalutazione quando non si registrano progressi.<\/p>\n<h2><span class=\"mw-headline\" id=\"General_Guidelines\">Linee guida generali<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: General Guidelines\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=2\" title=\"Edit section: General Guidelines\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:202px;\"><a href=\"\/File:Ankle_sprain.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Ankle_sprain.png\/200px-Ankle_sprain.png\" decoding=\"async\" width=\"200\" height=\"327\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Ankle_sprain.png\/301px-Ankle_sprain.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Ankle_sprain.png\/400px-Ankle_sprain.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_sprain.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Distorsione laterale di caviglia<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Prima di scegliere un intervento terapeutico, i clinici dovrebbero comprendere le linee guida di base per la gestione delle distorsioni laterali di caviglia, che includono quanto segue:<\/p>\n<p><b>COSA FARE<\/b>:<\/p>\n<ul>\n<li>Fornire un trattamento hands-on (approccio manuale)<\/li>\n<li>Discutere le aspettative e le tempistiche<\/li>\n<li>Richiedere compliance<\/li>\n<li>Rispettare il dolore<\/li>\n<li>Rivalutare in caso di mancanza di progressi<\/li>\n<\/ul>\n<p><b>COSA NON FARE<\/b>:<\/p>\n<ul>\n<li>Ordinare indagini di diagnostica per immagini non necessarie<\/li>\n<li>Mantenere il paziente non in carico quando non \u00e8 giustificato<\/li>\n<li>Ordinare l&#8217;immobilizzazione quando non \u00e8 necessaria<\/li>\n<li>Ritardare i movimenti funzionali<\/li>\n<li>Fornire una riabilitazione insufficiente<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Grading_System\">Sistema di classificazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Grading System\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=3\" title=\"Edit section: Grading System\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Lacerda e colleghi<sup id=\"cite_ref-:2_2-0\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> hanno riscontrato una significativa eterogeneit\u00e0 nella letteratura sui sistemi di classificazione per le distorsioni laterali di caviglia.<sup id=\"cite_ref-:2_2-1\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> La maggior parte dei sistemi utilizza tre livelli per descrivere la gravit\u00e0 delle distorsioni laterali di caviglia:<sup id=\"cite_ref-:1_1-2\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/p>\n<ol>\n<li>Lieve: il paziente pu\u00f2 camminare e il <a href=\"\/Oedema_Assessment\" title=\"Oedema Assessment\">gonfiore<\/a> e il dolore sono minimi. Nessun coinvolgimento dei legamenti.<\/li>\n<li>Moderato: il paziente lamenta dolore durante la <a href=\"\/Walking_-_Muscles_Used\" title=\"Walking - Muscles Used\">deambulazione<\/a>, zoppica mentre cammina e presenta una moderata quantit\u00e0 di gonfiore, ematoma e <a href=\"\/Pain_Assessment\" title=\"Pain Assessment\">dolore<\/a> alla palpazione dei <a href=\"\/Ligament\" title=\"Legamento\">legamenti<\/a>. Coinvolgimento di un solo legamento.<\/li>\n<li>Grave: il paziente non riesce a camminare, il dolore \u00e8 presente durante le attivit\u00e0 quotidiane, c&#8217;\u00e8 una grande quantit\u00e0 di gonfiore e dolore alla palpazione. Sono coinvolti due o pi\u00f9 legamenti.<\/li>\n<\/ol>\n<p>Un altro sistema di classificazione per le distorsioni laterali di caviglia utilizza i gradi da 1 a 3:<\/p>\n<ul>\n<li>Grado 1: emorragia minima o assente, assenza di punti dolenti, assenza di perdita di funzionalit\u00e0, diminuzione del movimento totale della caviglia di \u2264 5 gradi, presenza di gonfiore di \u2265 0,5 cm.<\/li>\n<li>Grado 2: presenza di emorragia, presenza di punti dolenti, perdita di un po&#8217; di funzionalit\u00e0, riduzione del movimento totale della caviglia di oltre 5 gradi, ma inferiore a 10 gradi, e meno di 2 cm di gonfiore.<\/li>\n<li>Grado 3: presenza di emorragia, estrema dolorosit\u00e0, perdita quasi totale della funzione, diminuzione del movimento totale della caviglia di \u2265 10 gradi e \u2265 2 cm di gonfiore.<\/li>\n<\/ul>\n<h2><span id=\"Management\/Interventions\"><\/span><span class=\"mw-headline\" id=\"Management.2FInterventions\">Gestione\/Interventi<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Management\/Interventions\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=4\" title=\"Edit section: Management\/Interventions\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Nonostante la disponibilit\u00e0 di studi di ricerca basati sulle evidenze, esistono differenze nelle modalit\u00e0 di gestione delle distorsioni laterali di caviglia in tutto il mondo. \u00c8 quindi necessario sviluppare delle linee guida cliniche internazionali basate sulle evidenze e accettate da tutti i professionisti medici che trattano le distorsioni laterali di caviglia.<sup id=\"cite_ref-:3_3-0\" class=\"reference\"><a href=\"#cite_note-:3-3\">(3)<\/a><\/sup> Secondo Green et al.,<sup id=\"cite_ref-:0_4-0\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> la maggior parte dei protocolli per la distorsione laterale di caviglia sviluppati per diverse professioni (preparatori atletici, infermieri, medici e fisioterapisti) sono obsoleti e di scarsa qualit\u00e0.<sup id=\"cite_ref-:0_4-1\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Acute_Phase\">Fase acuta<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Acute Phase\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=5\" title=\"Edit section: Acute Phase\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span class=\"mw-headline\" id=\"General_Guidelines:\">Linee guida generali:<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: General Guidelines:\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=6\" title=\"Edit section: General Guidelines:\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Ritardare la valutazione completa fino a un massimo di 14 giorni (4-14 giorni); una valutazione completa all&#8217;inizio \u00e8 impossibile da eseguire perch\u00e9 la partecipazione del paziente \u00e8 solitamente limitata dal dolore.<sup id=\"cite_ref-:1_1-3\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>Il colloquio soggettivo dovrebbe riguardare il numero di distorsioni che il paziente ha avuto (prima distorsione o distorsioni successive), la localizzazione e la gravit\u00e0 del dolore e il meccanismo della <a href=\"\/Injury_Type_and_Classification_in_Sport\" title=\"Injury Type and Classification in Sport\">lesione<\/a>. Il meccanismo della lesione aiuta a identificare le strutture anatomiche lesionate e a dare priorit\u00e0 alla valutazione clinica.<sup id=\"cite_ref-:1_1-4\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>L&#8217;osservazione dovrebbe comprendere l&#8217;aspetto della pelle, la forma della caviglia, la capacit\u00e0 del paziente di stare in piedi e di accettare il peso sulla gamba infortunata e la presenza di gonfiore.<sup id=\"cite_ref-:1_1-5\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<p>In generale, le distorsioni si verificano a causa dell&#8217;inversione e della rotazione interna, indipendentemente dalla posizione sul piano sagittale: flessione plantare o flessione dorsale.<sup id=\"cite_ref-:1_1-6\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/p>\n<p>Esempi di meccanismi di lesione e tipi di distorsioni:<\/p>\n<ul>\n<li>Adduzione dell&#8217;avampiede, inversione del retropiede e rotazione esterna della tibia con la caviglia in flessione plantare: possono essere coinvolti uno o pi\u00f9 legamenti laterali. Di solito colpisce prima il <a href=\"\/Anterior_Talo-Fibular_Ligament_(ATFL)\" title=\"Anterior Talo-Fibular Ligament (ATFL)\">legamento peroneo-astragalico anteriore<\/a>, seguito dal legamento peroneo-calcaneare e dal legamento peroneo-astragalico posteriore.<sup id=\"cite_ref-:4_5-0\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><\/li>\n<li>Rotazione esterna del piede e\/o estrema flessione dorsale della caviglia: lesione della sindesmosi tibio-peroneale distale (distorsione della caviglia alta).<sup id=\"cite_ref-:4_5-1\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><\/li>\n<li>Pronazione-abduzione, pronazione-rotazione esterna o supinazione-rotazione esterna del piede: distorsione della caviglia mediale.<sup id=\"cite_ref-:4_5-2\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><\/li>\n<li>Lesione da estrema eversione: <a href=\"\/Impingement_sign_ankle\" title=\"Segno da impingement (conflitto) della caviglia\">impingement<\/a> dell&#8217;astragalo e del malleolo laterale.<sup id=\"cite_ref-:4_5-3\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><\/li>\n<li>Flessione plantare e inversione eccessiva: lesione della regione laterale dell&#8217;avampiede, nota come <a href=\"\/Cuboid_Syndrome\" title=\"Cuboid Syndrome\">sindrome del cuboide<\/a>, quando l&#8217;osso cuboide si sposta dall&#8217;allineamento.<sup id=\"cite_ref-:4_5-4\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5)<\/a><\/sup><\/li>\n<li>Piede piantato a terra con caviglia in flessione dorsale e inversione: la close-packed position (posizione di massima congruenza articolare) pu\u00f2 provocare forze di compressione sull&#8217;articolazione del mortaio e forze di taglio. Si verifica una lesione dei legamenti collaterali laterali e della base del quinto metatarso. Possono essere coinvolti anche i <a href=\"\/Peroneus_(Fibularis)_Longus_Muscle\" title=\"Peroneus (Fibularis) Longus Muscle\">muscoli peronei<\/a>.<sup id=\"cite_ref-:1_1-7\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e3\/Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg\/400px-Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg\" decoding=\"async\" width=\"400\" height=\"165\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e3\/Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg\/600px-Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/e\/e3\/Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg\/800px-Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Adapted_Shutterstock_Image_-_Grades_of_Ankle_Sprains_-_ID_1907837989.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Gradi di distorsione della caviglia<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Il grado\/livello di lesione della caviglia pu\u00f2 essere stabilito in base alla valutazione iniziale, seguendo le linee guida note (grado da 1 a 3).<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<h4><span class=\"mw-headline\" id=\"Treatment_Principles\">Principi di trattamento<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Treatment Principles\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=7\" title=\"Edit section: Treatment Principles\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p><b><a href=\"\/Peace_and_Love_Principle\" title=\"Peace and Love Principle\">PEACE e LOVE<\/a><\/b>:<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup>\n<\/p>\n<ul>\n<li>PEACE:\n<ul>\n<li>Protect (protezione): evitare le attivit\u00e0 o i movimenti che aumentano il dolore per alcuni giorni dopo la lesione.<\/li>\n<li>Elevate (elevazione): cercare di mantenere la caviglia lesionata al di sopra del livello del cuore il pi\u00f9 spesso possibile.<\/li>\n<li>Evitare gli antinfiammatori: gli antinfiammatori possono influire sulla guarigione dei tessuti. Inoltre, evitare di applicare il ghiaccio alla caviglia.<\/li>\n<li>Compression (compressione): le evidenze attuali sull&#8217;efficacia della compressione sono discutibili<sup id=\"cite_ref-:3_3-1\" class=\"reference\"><a href=\"#cite_note-:3-3\">(3)<\/a><\/sup>; vengono spesso utilizzati bendaggi elastici o taping.<\/li>\n<li>Educate (educazione): fornire informazioni sui numerosi vantaggi di un approccio attivo al recupero, evitando approcci passivi e indagini inutili.<\/li>\n<\/ul>\n<\/li>\n<li>LOVE:\n<ul>\n<li>Load (carico): lasciare che il dolore guidi il ritorno del paziente alle sue normali attivit\u00e0.<\/li>\n<li>Optimism (ottimismo): essere positivi e fiduciosi pu\u00f2 aiutare a condizionare il nostro cervello per un recupero ottimale.<\/li>\n<li>Vascularisation (vascolarizzazione): praticare attivit\u00e0 cardiovascolari non dolorose per aumentare il flusso sanguigno alla caviglia.<\/li>\n<li>Exercise (esercizio fisico): incoraggiare un approccio attivo al recupero, includendo esercizi di mobilit\u00e0, forza e propriocezione.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><b>Early mobilisation (mobilizzazione precoce)<\/b>: offre buoni outcome quando il dolore \u00e8 rispettato e il paziente pu\u00f2 camminare senza zoppicare e senza dolore. Kerkhoffs e colleghi<sup id=\"cite_ref-:5_8-0\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup> hanno riscontrato che la mobilizzazione precoce ha i seguenti benefici: tempi pi\u00f9 brevi per il ritorno allo sport, maggiore riduzione del gonfiore e minore evidenza radiografica di instabilit\u00e0.<sup id=\"cite_ref-:5_8-1\" class=\"reference\"><a href=\"#cite_note-:5-8\">(8)<\/a><\/sup>\n<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:202px;\"><a href=\"\/File:CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/01\/CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg\/200px-CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg\" decoding=\"async\" width=\"200\" height=\"300\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/01\/CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg\/300px-CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/01\/CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg\/400px-CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:CAM_Walker_Moon_Boot_-_Shutterstock_Image_-_ID_1508052491.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>CAM Walker Moon Boot<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><b>Uno stivale CAM\/moon boot<\/b> o un gesso sotto il ginocchio possono fornire protezione fino a quando non saranno completate ulteriori valutazioni.<sup id=\"cite_ref-:1_1-8\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> Esistono buone evidenze a favore di tutori semirigidi e con lacci. Possono migliorare la fiducia psicologica e sono economicamente vantaggiosi. Non influiscono sulle performance e possono essere efficaci per ridurre il gonfiore. Non \u00e8 dimostrato che l&#8217;uso a lungo termine di un supporto esterno causi &#8220;debolezza&#8221; della muscolatura degli arti inferiori.<sup id=\"cite_ref-:1_1-9\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>\n<\/p>\n<h3><span class=\"mw-headline\" id=\"Detailed_Assessment_and_Comprehensive_Treatment_Phase\">Fase di valutazione dettagliata e trattamento completo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Detailed Assessment and Comprehensive Treatment Phase\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=8\" title=\"Edit section: Detailed Assessment and Comprehensive Treatment Phase\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La durata della gestione conservativa dipende dalla gravit\u00e0 della lesione e di solito dura:<sup id=\"cite_ref-:1_1-10\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>\n<\/p>\n<ul>\n<li>10 giorni per le distorsioni lievi<\/li>\n<li>2-3 settimane per le distorsioni moderate<\/li>\n<li>6 settimane per le distorsioni gravi<\/li>\n<\/ul>\n<h4><span class=\"mw-headline\" id=\"Assessment\">Valutazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Assessment\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=9\" title=\"Edit section: Assessment\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La valutazione deve comprendere:\n<\/p>\n<ul>\n<li>Valutazione della forza muscolare<sup id=\"cite_ref-:1_1-11\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>Misurazione del range di movimento<sup id=\"cite_ref-:1_1-12\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li><a href=\"\/Balance_Error_Scoring_System\" title=\"Balance Error Scoring System\">Balance Error Scoring System Test<\/a> (BESS)<sup id=\"cite_ref-:1_1-13\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>Test speciali, tra cui:\n<ul>\n<li><a href=\"\/Foot_and_Ankle_Ability_Measure\" title=\"Foot and Ankle Ability Measure\">Foot and Ankle Ability Measure<\/a> (FAAM)<sup id=\"cite_ref-:6_9-0\" class=\"reference\"><a href=\"#cite_note-:6-9\">(9)<\/a><\/sup><\/li>\n<li>Foot and Ankle Outcome Score (FAOS)<sup id=\"cite_ref-:6_9-1\" class=\"reference\"><a href=\"#cite_note-:6-9\">(9)<\/a><\/sup><\/li>\n<li><a href=\"\/Star_Excursion_Balance_Test\" title=\"Star Excursion Balance Test\">Star Excursion Balance Test<\/a> (SEBT) <sup id=\"cite_ref-:7_10-0\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Comportamento del dolore per aiutare a determinare quali strutture sono coinvolte<sup id=\"cite_ref-:1_1-14\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6c\/Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg\/300px-Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg\" decoding=\"async\" width=\"300\" height=\"234\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6c\/Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg\/450px-Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6c\/Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg\/600px-Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Bigstock_Image_-_Ankle_Lace-Up_Brace_-ID_23141654.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Tutore con lacci<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"General_Guidelines_2\">Linee guida generali<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: General Guidelines\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=10\" title=\"Edit section: General Guidelines\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Stabilire le aspettative e le tempistiche per garantire la conformit\u00e0 del paziente.<sup id=\"cite_ref-:1_1-15\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>Se possibile, integrate con altri allenamenti.<sup id=\"cite_ref-:1_1-16\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>Proteggere la caviglia con un tutore con lacci per preservare il movimento dell&#8217;articolazione e limitare le posizioni estreme dell&#8217;articolazione come la massima inversione.<sup id=\"cite_ref-:3_3-2\" class=\"reference\"><a href=\"#cite_note-:3-3\">(3)<\/a><\/sup> Il tutore deve essere indossato durante lo sport e le attivit\u00e0 quotidiane e pu\u00f2 essere tolto di notte o quando non si \u00e8 attivi. L&#8217;uso di una cavigliera ha effetti positivi migliori rispetto al tape sportivo non elastico o al kinesiotape elastico.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>Monitorare il paziente.<sup id=\"cite_ref-:1_1-17\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<li>Fornire un trattamento manuale (hands-on) per stimolare i recettori plantari<sup id=\"cite_ref-:1_1-18\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:8_12-0\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup> al fine di:\n<ul>\n<li>Ridurre il movimento difettoso.<\/li>\n<li>Offrire qualit\u00e0 vs quantit\u00e0.<\/li>\n<\/ul>\n<\/li>\n<li>Utilizzare un approccio non doloroso.<sup id=\"cite_ref-:1_1-19\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<blockquote>\n<p>In sintesi: gli esercizi non dovrebbero far sentire peggio il paziente.<sup id=\"cite_ref-:1_1-20\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/p>\n<\/blockquote>\n<h4><span class=\"mw-headline\" id=\"Therapeutic_Management\">Gestione terapeutica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Therapeutic Management\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=11\" title=\"Edit section: Therapeutic Management\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>La riabilitazione funzionale<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup> \u00e8 un tipo di trattamento &#8220;durante il quale viene mantenuta la funzione dell&#8217;articolazione&#8221;.<sup id=\"cite_ref-:3_3-3\" class=\"reference\"><a href=\"#cite_note-:3-3\">(3)<\/a><\/sup> Comprende:\n<ul>\n<li>Esercizi funzionali a catena chiusa. Esempi: movimento del corpo su una base stabile,<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup> squat, posizione tandem, affondi, saltello in stabilizzazione.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Phase_2_deep_squads.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/300px-Phase_2_deep_squads.png\" decoding=\"async\" width=\"300\" height=\"385\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/450px-Phase_2_deep_squads.png 1.5x, https:\/\/www.physio-pedia.com\/images\/a\/a6\/Phase_2_deep_squads.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Phase_2_deep_squads.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Squat<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Tandem_gait.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9d\/Tandem_gait.png\/300px-Tandem_gait.png\" decoding=\"async\" width=\"300\" height=\"378\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9d\/Tandem_gait.png\/450px-Tandem_gait.png 1.5x, https:\/\/www.physio-pedia.com\/images\/9\/9d\/Tandem_gait.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Tandem_gait.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Andatura in tandem<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Controllo posturale e propriocezione.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup> Le strategie comprendono esercizi di coordinazione da semplici a complessi e limiti ambientali prevedibili e imprevedibili.<sup id=\"cite_ref-:1_1-21\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Lo Star Excursion Balance Test (SEBT) valuta il controllo posturale dinamico nei pazienti con distorsione laterale di caviglia.<sup id=\"cite_ref-:7_10-1\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Phase_4_SEBT.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/300px-Phase_4_SEBT.png\" decoding=\"async\" width=\"300\" height=\"393\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/450px-Phase_4_SEBT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/d\/d8\/Phase_4_SEBT.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Phase_4_SEBT.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>SEBT<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Strategie di apprendimento motorio<sup id=\"cite_ref-:8_12-1\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li>Fitness cardiovascolare<\/li>\n<li>Allenamento della forza del core del piede: la forza del piede influenza il controllo somatosensoriale della posizione eretta, della postura e dell&#8217;equilibrio.<sup id=\"cite_ref-:1_1-22\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> Gli esercizi del piede corto (SFE) dovrebbero essere inclusi precocemente nella rieducazione propriocettiva dopo un infortunio alla caviglia.<sup id=\"cite_ref-:1_1-23\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup> In genere, l&#8217;allenamento SFE viene eseguito tre volte alla settimana con tre serie da 12 ripetizioni. Ogni movimento viene mantenuto per 5 secondi e viene eseguito:<sup id=\"cite_ref-:1_1-24\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>\n<ul>\n<li>Settimane 1-4 &#8211; in posizione seduta<\/li>\n<li>Settimane 5-8 &#8211; in piedi<\/li>\n<li>Settimane 5-9 &#8211; su una gamba sola<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Intrinsics_with_resistance.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Intrinsics_with_resistance.png\/300px-Intrinsics_with_resistance.png\" decoding=\"async\" width=\"300\" height=\"149\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Intrinsics_with_resistance.png\/450px-Intrinsics_with_resistance.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Intrinsics_with_resistance.png\/600px-Intrinsics_with_resistance.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Intrinsics_with_resistance.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Esercizi del piede corto<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<ul>\n<li>Aumentare il range di movimento attraverso lo stretching e la mobilizzazione manuale.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup> Secondo Izaola-Azkona et al.<sup id=\"cite_ref-:9_20-0\" class=\"reference\"><a href=\"#cite_note-:9-20\">(20)<\/a><\/sup> &#8220;la mobilizzazione del perone distale con il movimento potrebbe essere la scelta di trattamento pi\u00f9 appropriata per una distorsione laterale di caviglia in fase acuta per raggiungere le attivit\u00e0 di vita quotidiana e la funzione sportiva a lungo termine&#8221;.<sup id=\"cite_ref-:9_20-1\" class=\"reference\"><a href=\"#cite_note-:9-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Prevenire i meccanismi di controllo difettosi, tra cui l&#8217;atterraggio in caduta, <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup> l&#8217;eccessiva strategia dell&#8217;anca e la posizione errata dell&#8217;avampiede.<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Valutazione della prontezza per il ritorno allo sport.<sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Re-Assessment_Phase\">Fase di rivalutazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Re-Assessment Phase\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=12\" title=\"Edit section: Re-Assessment Phase\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Se non si riscontrano miglioramenti a sei settimane, \u00e8 necessario completare la rivalutazione, che include:<sup id=\"cite_ref-:1_1-25\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>\n<\/p>\n<ul>\n<li>Revisione della valutazione iniziale.<\/li>\n<li>Revisione del meccanismo di lesione.<\/li>\n<li>Rivalutazione dei fattori intrinseci ed estrinseci che influenzano il recupero.<\/li>\n<\/ul>\n<p>Sulla base dei risultati di questa rivalutazione, \u00e8 necessario prendere in considerazione le seguenti azioni:<sup id=\"cite_ref-:1_1-26\" class=\"reference\"><a href=\"#cite_note-:1-1\">(1)<\/a><\/sup>\n<\/p>\n<ul>\n<li>Ulteriori indagini.<\/li>\n<li>Rinvio a uno specialista (ad esempio un medico con specializzazione nello sport o un chirurgo ortopedico).<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Resources\">Risorse<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=13\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459212\/\">Distorsione acuta della caviglia<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6816301\/pdf\/ijspt-14-445.pdf\">Gestione delle distorsioni laterali di caviglia di II grado in fase acuta con enfasi sulla protezione dei legamenti: una serie di casi descrittivi<\/a><\/li>\n<li class=\"mw-empty-elt\"><\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Management_of_Lateral_Ankle_Sprains&amp;action=edit&amp;section=14\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:1-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_1-0\">1.00<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-1\">1.01<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-2\">1.02<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-3\">1.03<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-4\">1.04<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-5\">1.05<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-6\">1.06<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-7\">1.07<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-8\">1.08<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-9\">1.09<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-10\">1.10<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-11\">1.11<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-12\">1.12<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-13\">1.13<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-14\">1.14<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-15\">1.15<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-16\">1.16<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-17\">1.17<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-18\">1.18<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-19\">1.19<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-20\">1.20<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-21\">1.21<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-22\">1.22<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-23\">1.23<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-24\">1.24<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-25\">1.25<\/a><\/sup> <sup><a href=\"#cite_ref-:1_1-26\">1.26<\/a><\/sup><\/span> <span class=\"reference-text\">Simpson H. Lateral Ankle Sprains. Plus Course 2022.<\/span>\n<\/li>\n<li id=\"cite_note-:2-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Lacerda D, Pacheco D, Rocha AT, Diniz P, Pedro I, Pinto FG. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/reader.elsevier.com\/reader\/sd\/pii\/S1067251622002356?token=12FD66C1C44E44575D5042F561A302BE2A480B72F67BA9CA28E7135316C4A66C313A9435685CC1A397367C51630CC33A&amp;originRegion=eu-west-1&amp;originCreation=20220904091018\">CURRENT CONCEPT REVIEW: STATE OF ACUTE LATERAL ANKLE INJURY CLASSIFICATION SYSTEMS.<\/a> The Journal of Foot and Ankle Surgery. 2022 Aug 18.<\/span>\n<\/li>\n<li id=\"cite_note-:3-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_3-2\">3.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_3-3\">3.3<\/a><\/sup><\/span> <span class=\"reference-text\">Vuurberg G, Hoorntje A, Wink LM, Van Der Doelen BF, Van Den Bekerom MP, Dekker R, Van Dijk CN, Krips R, Loogman MC, Ridderikhof ML, Smithuis FF. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bjsm.bmj.com\/content\/bjsports\/52\/15\/956.full.pdf\">Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline<\/a>. British journal of sports medicine. 2018 Aug 1;52(15):956-.<\/span>\n<\/li>\n<li id=\"cite_note-:0-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-1\">4.1<\/a><\/sup><\/span> <span class=\"reference-text\">Green T, Willson G, Martin D, Fallon K. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/track\/pdf\/10.1186\/s12891-019-2750-6.pdf\">What is the quality of clinical practice guidelines for the treatment of acute lateral ankle ligament sprains in adults? A systematic review<\/a>. BMC musculoskeletal disorders. 2019 Dec;20(1):1-3.<\/span>\n<\/li>\n<li id=\"cite_note-:4-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_5-1\">5.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_5-2\">5.2<\/a><\/sup> <sup><a href=\"#cite_ref-:4_5-3\">5.3<\/a><\/sup> <sup><a href=\"#cite_ref-:4_5-4\">5.4<\/a><\/sup><\/span> <span class=\"reference-text\">Chen ET, Borg-Stein J, McInnis KC. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/journals.lww.com\/acsm-csmr\/Fulltext\/2019\/06000\/Ankle_Sprains__Evaluation,_Rehabilitation,_and.7.aspx\">Ankle Sprains: Evaluation, Rehabilitation, and Prevention<\/a>. Curr Sports Med Rep. 2019 Jun;18(6):217-223. <\/span>\n<\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">McGovern RP, Martin RL. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.dovepress.com\/getfile.php?fileID=29243\">Managing ankle ligament sprains and tears: current opinion.<\/a> Open Access J Sports Med. 2016 Mar 2;7:33-42.<\/span>\n<\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Dubois B, Esculier JF. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bjsm.bmj.com\/content\/54\/2\/72\">Soft-tissue injuries simply need PEACE and LOVE<\/a>. Br J Sports Med. 2020 Jan;54(2):72-73. <\/span>\n<\/li>\n<li id=\"cite_note-:5-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_8-1\">8.1<\/a><\/sup><\/span> <span class=\"reference-text\">Kerkhoffs GM, van den Bekerom M, Elders LA, van Beek PA, Hullegie WA, Bloemers GM, de Heus EM, Loogman MC, Rosenbrand KC, Kuipers T, Hoogstraten JW, Dekker R, Ten Duis HJ, van Dijk CN, van Tulder MW, van der Wees PJ, de Bie RA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bjsm.bmj.com\/content\/bjsports\/46\/12\/854.full.pdf\">Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline<\/a>. Br J Sports Med. 2012 Sep;46(12):854-60.<\/span>\n<\/li>\n<li id=\"cite_note-:6-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_9-1\">9.1<\/a><\/sup><\/span> <span class=\"reference-text\">Goulart Neto AM, Maffulli N, Migliorini F, de Menezes FS, Okubo R. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/josr-online.biomedcentral.com\/track\/pdf\/10.1186\/s13018-022-02925-9.pdf\">Validation of Foot and Ankle Ability Measure (FAAM) and the Foot and Ankle Outcome Score (FAOS) in individuals with chronic ankle instability: a cross-sectional observational study<\/a>. Journal of orthopaedic surgery and research. 2022 Dec;17(1):1-7.<\/span>\n<\/li>\n<li id=\"cite_note-:7-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_10-1\">10.1<\/a><\/sup><\/span> <span class=\"reference-text\">Pierobon A, Raguzzi I, Soli\u00f1o S, Salzberg S, Vuoto T, Gilgado D, Perez Calvo E. Minimal detectable change and reliability of the star excursion balance test in patients with a lateral ankle sprain. Physiotherapy Research International. 2020 Oct;25(4):e1850.<\/span>\n<\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Kemler E, van de Port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med. 2011 Mar 1;41(3):185-97. <\/span>\n<\/li>\n<li id=\"cite_note-:8-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_12-1\">12.1<\/a><\/sup><\/span> <span class=\"reference-text\">Helly KL, Bain KA, Hoch MC, Heebner NR, Gribble PA, Terada M, Kosik KB. The effect of attending physical rehabilitation after the first acute lateral ankle sprain on static postural control in patients with chronic ankle instability. Journal of Sport Rehabilitation. 2021 Mar 22;30(7):1000-7.<\/span>\n<\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Delahunt E, Bleakley CM, Bossard DS, Caulfield BM, Docherty CL, Doherty C, Fourchet F, Fong DT, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, Remus A, Verhagen E, Vicenzino BT, Wikstrom EA, Gribble PA. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bjsm.bmj.com\/content\/bjsports\/52\/20\/1304.full.pdf\">Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium.<\/a> Br J Sports Med. 2018 Oct;52(20):1304-1310.<\/span>\n<\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Han K, Ricard MD, Fellingham GW. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2009.2958\">Effects of a 4-week exercise program on balance using elastic tubing as a perturbation force for individuals with a history of ankle sprains.<\/a> J Orthop Sports Phys Ther. 2009 Apr;39(4):246-55. <\/span>\n<\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Hall EA, Chomistek AK, Kingma JJ, Docherty CL. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6089027\/pdf\/i1062-6050-53-6-568.pdf\">Balance- and Strength-Training Protocols to Improve Chronic Ankle Instability Deficits, Part I: Assessing Clinical Outcome Measures.<\/a> J Athl Train. 2018 Jun;53(6):568-577.<\/span>\n<\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">Guzm\u00e1n-Muoz E, Rodr\u00edguez SS, Concha-Cisternas Y, Badilla PA, M\u00e9ndez-Rebolledo G. <a rel=\"nofollow\" class=\"external text\" href=\"http:\/\/archivosdemedicinadeldeporte.com\/articulos\/upload\/or02_guzman-ingles.pdf\">The effects of neuromuscular training on the postural control of university volleyball players with functional ankle instability: a pilot study.<\/a> Archivos de medicina del deporte. 2020;36(5):283-7.<\/span>\n<\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Barnes RY, Raubenheimer J, Wilson M. Effect of core stability, M. gluteus medius and proprioceptive exercise programme on dynamic postural control in netball players. South African Journal for Research in Sport, Physical Education and Recreation. 2020 May 27;42(1):1-1.<\/span>\n<\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Khalaj N, Vicenzino B, Smith MD. Hip and knee muscle torque is not impaired in the first three months of a first-time lateral ankle sprain. Physical Therapy in Sport. 2022 Jan 1;53:1-6.<\/span>\n<\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">de Ruvo R, Russo G, Lena F, Giovannico G, Neville C, Turolla A, Torre M, Pellicciari L. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mdpi.com\/2077-0383\/11\/16\/4925\/htm\">The Effect of Manual Therapy Plus Exercise in Patients with Lateral Ankle Sprains: A Critically Appraised Topic with a Meta-Analysis.<\/a> Journal of Clinical Medicine. 2022 Jan;11(16):4925.<\/span>\n<\/li>\n<li id=\"cite_note-:9-20\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:9_20-0\">20.0<\/a><\/sup> <sup><a href=\"#cite_ref-:9_20-1\">20.1<\/a><\/sup><\/span> <span class=\"reference-text\">Izaola-Azkona L, Vicenzino B, Olabarrieta-Eguia I, Saez M, Lascurain-Aguirrebe\u00f1a I. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/101\/8\/pzab111\/6231218?login=false\">Effectiveness of Mobilization of the Talus and Distal Fibula in the Management of Acute Lateral Ankle Sprain<\/a>. Physical therapy. 2021 Aug;101(8):pzab111.<\/span>\n<\/li>\n<li id=\"cite_note-21\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-21\">\u2191<\/a><\/span> <span class=\"reference-text\">Herb CC, Grossman K, Feger MA, Donovan L, Hertel J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5967278\/pdf\/i1062-6050-53-4-364.pdf\">Lower Extremity Biomechanics During a Drop-Vertical Jump in Participants With or Without Chronic Ankle Instability<\/a>. J Athl Train. 2018 Apr;53(4):364-371. <\/span>\n<\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">McGrath D, Patterson M, Persson UM, Caulfield B. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5737037\/pdf\/i1062-6050-52-11-1019.pdf\">Frontal-Plane Variability in Foot Orientation During Fatiguing Running Exercise in Individuals With Chronic Ankle Instability.<\/a> J Athl Train. 2017 Nov;52(11):1019-1027.<\/span>\n<\/li>\n<li id=\"cite_note-23\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-23\">\u2191<\/a><\/span> <span class=\"reference-text\">Smith MD, Vicenzino B, Bahr R, Bandholm T, Cooke R, Mendon\u00e7a LD, Fourchet F, Glasgow P, Gribble PA, Herrington L, Hiller CE. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bjsm.bmj.com\/content\/bjsports\/55\/22\/1270.full.pdf\">Return to sport decisions after an acute lateral ankle sprain injury: introducing the PAASS framework\u2014an international multidisciplinary consensus.<\/a> British journal of sports medicine. 2021 Nov 1;55(22):1270-6.<\/span>\n<\/li>\n<li id=\"cite_note-24\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-24\">\u2191<\/a><\/span> <span class=\"reference-text\">D\u2019Hooghe P, Cruz F, Alkhelaifi K. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12178-020-09631-1.pdf\">Return to play after a lateral ligament ankle sprain.<\/a> Current Reviews in Musculoskeletal Medicine. 2020 Jun;13(3):281-8.<\/span>\n<\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230109192855 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.141 seconds Real time usage: 0.152 seconds Preprocessor visited node count: 556\/1000000 Post\u2010expand include size: 61\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 19698\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 9.245 1 Special:Contributors\/Management_of_Lateral_Ankle_Sprains 100.00% 9.245 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redazione originale &#8211; Ewa Jaraczewska sulla base del corso di Helene Simpson Collaboratori principali &#8211; Ewa Jaraczewska e Jess Bell Contenuti 1 Introduzione 2 Linee guida generali 3 Sistema di valutazione 4 Gestione\/Interventi 4.1 Fase acuta 4.1.1 Linee guida generali: 4.1.2 Principi di trattamento 4.2 Fase di valutazione dettagliata e trattamento completo 4.2.1 Valutazione 4.2.2 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4482","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4482","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=4482"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4482\/revisions"}],"predecessor-version":[{"id":13449,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4482\/revisions\/13449"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=4482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}