Introduction

From POLICE to PEACE & LOVE

Up to 40% of ankle injuries have residue instability or pain after 1 year. International guideline ‘P.O.L.I.C.E’ (BJSM 2018), calls for earlier, more comprehensive, functional rehabilitation, replacing 'Rest' with 'Optimal Loading'. Contemporary acronyms ‘PEACE & LOVE’ (BJSM 2020) further encompasses the continuum of care to reduce high % of re-injuries and chronic ankle instability (CAI).

Explore sections below to learn more...

P: Protection and C: Compression

A: Avoid Anti-inflammatory medications and use C: Compression instead

Optimal L: Loading Exercises with walker

NMES with Superimposed E: Exercises O: Optimism

V: Vascularization with Photobiomodulation

NMES Superimposed E: Exercise for Safe RTS

Conclusion: PEACE & LOVE

Supplementary Materials

P - Protection and

C - Compression

Protected ambulation with AirStirrup ankle brace which acts as a edema pump.

‍

A - Avoid Anti Inflammatory and

C - Compression

Avoid Anti-inflammatory medications to prevent negative effect on long-term tissue healing and opioid addiction.

Ice cooling and numbing effect is only on the skin surface, however controlled CryoCompression delivers the coldness deep down to the joint, reduce pain and swollenness.

‍

L - Load

Optimal Loading Exercises (stretching, strengthening, body coordination) combined with walker to strengthen the ankle are essential. They should be performed early and continued throughout rehab.

‍

L - Load and

O - Optimism and

E - Exercise

Superimposing NMES with exercises can improve exercise quality & efficiency for ankle injury rehabilitation. ‘Optimistic patient expectations are associated with better outcomes and prognosis’ (BJSM 2020)

‍

V - Vascularization

Photobiomodulation promotes Vascularization at the injury site, helping to move from inflammation stage towards proliferation stage, prevent stagnation.

‍

E - Exercise

NMES can be superimposed with functional Exercises to improve quality, and translate improved strength into functional movement, enable safe RTS.

‍

PEACE & LOVE aims for favorable long-term outcomes - 'treat the person with the injury rather than the injury of the person' (BJSM 2020).

‍

Supplementary Materials

References:

‘Diagnosis, treatment and prevention of ankle sprains’ Updated evidence based guideline. Vuurberg G et al, Br J Sports Med 2018 https://pubmed.ncbi.nlm.nih.gov/29514819/

‍Soft-tissue injuries simply need PEACE and LOVE Dubois et al, Br J Sports Med (54), 2, 2020

Youtube: https://www.youtube.com/watch?v=W-WipmHrXVM

‍

Product Brochures mentioned in above clinical evidence papers can be downloaded here (by clicking the picture):

‍

‍

‍

‍

ACADEMY | Leading educational content and training for your clinic

Contact your
local distributor

LEARN MORE



Enovis Asia-Pacific Ltd.

Unit 1905 19/F, Tower 2,
Grand Central Plaza,
138 Shatin Rural Committee Road,
Shatin, Hong Kong 🇭🇰

General Enquiry

 +852 3105 1415

 marketing.ap[@]djoasia.com

Recovery Science
Ms Crystal Leung

 +852 3105 3723

 crystal.leung[@]enovis.com

Bracing
Ms Joe Cheung

 +852 3105 1415

 joe.cheung[@]enovis.com

Business Inquiry
Mr Stephen Chung

 stephen.chung[@]enovis.com

Targeted Treatment for Patellofemoral Pain (TIPPS) - Strong, Weak, Pronated Group

PFP patients who were non responders to traditional treatment could follow ‘Targeted Interventions of PFP (TIPP)’ protocol to recovered well after targeted treatment as 1 of 3 subgroups.

Foot

28/3/2024

Ankle Injury Management, Rehab and RTS - from P.O.L.I.C.E. to PEACE & LOVE

To avoid residue instability or pain after the rehabilitation treatment, contemporary acronyms ‘PEACE & LOVE’ is a efficient way to assist you overcome it.

Foot/Ankle

20/2/2024

Enovis Knee OA E-Workshop Based on AAOS Sept 2021 Guideline

International Knee OA Guidelines recommend movement & functional exercises for OA and TKR rehabilitation, but challenges include pain, stiffness, instability, kinesiophobia. Motion Is Medicine approach encourages Optimal Loading.

Knee

20/2/2024

From POLICE to PEACE & LOVE - Ankle E-Workshop

New P.O.L.I.C.E-based guidelines move past R.I.C.E. approach to reduce post-injury complications and promote faster patient recovery. New multi-disciplinary techniques focus on holistic kinetic chain approach.

Foot/Ankle

16/2/2024

Laser Therapy: A Simple Solution for Running Injuries

Fact: if you run, your body is going to hurt somewhere. So what can you do minimize the pain and heal up quickly? This is where the benefits of deep tissue laser therapy come in to play.

Whole Body

10/8/2023

ACLR Rehabilitation and Function Checklists for Return to Play

One of the most common injuries that occurs during non-contact sport is a tear of the ACL, a crucial ligament in the twisting, turning and pivoting that many non-contact sport requires.

Knee

6/2/2024