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Prophylactic Ankle Taping and Bracing: A Numbers-Needed-to-Treat and Cost-Benefit Analysis
Source:
Olmsted LC, Vela LI, Denegar CR, et al: Journal of Athletic Training 39(1): 95–100, 2004
Summary:
The high incidence of ankle sprains in sports and the residual disability that occurs due to the sprains has led to implementation of prophylactic bracing or taping in many sports. Utilizing previously published studies plus a numbers-needed-to treat (NNT) analysis the authors were able to ascertain the benefit of prevention and the cost for that prevention. The authors conclude after analyzing published papers that“…cost-benefit analysis of ankle taping versus bracing revealed taping to be approximately 3 times more expensive than bracing.” The cost-benefit not only determines the least cost, but also places values on effectiveness. The Aircast Air-Stirrup was the prophylactic brace of choice in the articles cited.


Utilizing a retail cost of the Air-Stirrup vs. taping (which did not include the cost of prewrap, tape adherent, heel and lace pads, or the salary of an athletic trainer and time element associated with taping), the bracing proved to demonstrate savings of several thousands dollars per season.