Table 1

International Ankle Consortium ROAST

What clinicians should assess following acute lateral ankle sprain injuryWhy?How?
Ankle joint painGuide progression of exercise-based rehabilitation.
Assess the efficacy of treatments implemented.
Numeric rating scale for pain.35
FADI.36
Ankle joint swellingSwelling can cause arthrogenic muscle inhibition.
Guide progression of exercise-based rehabilitation.
Evaluate the efficacy of treatments implemented.
Figure-of-eight.38–41
Ankle joint range of motionHigh propensity for the development of a dorsiflexion deficit.
Impairments in ankle joint range of motion are consistently identified in individuals with CAI.
Weight-bearing lunge test.44–46
Ankle joint arthrokinematicsDisruption in ankle joint arthrokinematics can result in a dorsiflexion deficit.
Impairments in ankle joint arthrokinematics are regularly identified in individuals with CAI.
Posterior talar glide test.48
Ankle joint muscle strengthImpairments in ankle joint strength compromise the functional integrity of the ankle joint.
Impairments in ankle joint strength are regularly identified in individuals with CAI.
Hand-held dynamometry.53
Static postural balanceImpairments in static postural balance are consistently identified in individuals with CAI.BESS.56
FLT.57
Dynamic postural balanceImpairments in dynamic postural balance are consistently identified in individuals with CAI.SEBT.58
GaitImpairments in gait are consistently identified in individuals with CAI.Visual assessment for antalgic gait.
Physical activity levelGuide the specificity of exercise-based rehabilitation.Tegner activity-level scale.63
Ankle joint specific patient-reported outcome measuresEvaluate the efficacy of treatments implemented.FADI.36
FAAM.65
  • BESS, Balance Error Scoring System; CAI, chronic ankle instability; FAAM, Foot and Ankle Ability Measure; FADI, Foot and Ankle Disability Index; FLT, Foot Lift Test; ROAST, Rehabilitation-Oriented AS-sessmenT; SEBT, Star Excursion Balance Test.