Objectives : The purpose of this study was to increase the utilization of Korean Medicine Clinical Practice Guidelines for ankle sprain by investigating the recognition of guideline developed in 2015 and evaluating the current status of treatment (satisfaction and difficulty) .

Methods : An e - mail questionnaire survey was conducted for Korean medicine doctor registered in Korean Medicine Association. Survey data were analyzed through Excel.

Results :
1. Investigation of guideline recognition
The respondents who did not know(54.7%) the guideline were more than the respondents they knew(heard of guideline(35.2%), knew the contents(35.2%)). Most respondents who knew the guideline were learned via the Internet. 29.1% of the respondents who knew the contents utilized about 50-70% of the guideline. In the case of a later revision, respondents most thought it is necessary to update evidence and adjust recommendation ratings(29.1%). A majority of all respondents(51.3%) said they would like to know about the revised guideline through the Internet.
2. Investigation of improvement plan of guideline
The most common Korean medicine treatments used in clinic were acupuncture(selection of adjacent points)(28.5%), cupping therapy(including pricking-cupping bloodletting)(19.7%), pharmacopuncture(9.8%), electro-acupunct- ure(9.7%), selection of distant points(8.5%), and moxibustion(7.2%). And the treatments with high patient satisfaction were acupuncture(selection of adjacent points)(27.9%), moxibustion(22.4%), herbal medicine(10.4%), fire needling or electrothermic needle(8.7%), pharmacopuncture(7.7%), and electro-acupunct- ure(7.6%).
Respondents selected herbal medicine(17.9%), tuina(10.7%), embedding therapy(9.2%), fire needling or electrothermic needle(8.9%), pharmaco- puncture(8.8%), acupotomy therapy(6.2%), cupping therapy(5.8%), taping therapy(5.8%), and moxibustion(5.2%) were difficult to perform during treatment.
The reason why it was difficult to perform, the herbal medicine, tuina, embedding therapy, pharmacopuncture and taping therapy was the economic burden of the patient. The difficulty in performing fire needling or electrothermic needle, acupotomy therapy and cupping therapy was due to the difficulty of the procedure and the moxibustion was the concern for side effects.

3. Investigation of utilization plan of guideline
In the expected revision effect, the first order was ''presentation of standardized treatment method''(27.8%), the second was ''establishing the basis of Korean medicine treatment''(22.4%), and the third was ''strengthening the status of Korean medicine as therapeutic medicine''(14.1%). Many respondents wished to add exercise therapy(31.5%) if the guideline was revised. In order to increase the utilization rate of the guideline, many respondents thought it should be included in textbooks (22.6%) and 773 respondents (90.6%) answered that they would use more than 50% of the revised guideline.