Ankle: Intervention

Question 1

How frequently do people experience chronic ankle instability (CAI) after acute ankle sprain? What type of intervention was most helpful after 4 weeks/

Answer 1

10-20% of the time.

Neuromuscular training; better FADI scores.

Question 2

What mode of intervention is best for achilles tendon disorders to decrease pain and improve function (Grade A evidence)?

Answer 2

Eccentric loading.

Question 3

What is better for achilles tendon disorders: stretching (PROM DF) or foot orthoses?

Answer 3

Stretching (Grade B) > orthoses (Grade C).

STRETCHING
-reduce pain and improve fcn

ORTHOSES
-reduce pain and alter kinematics

Question 4

How do night splints perform with achilles tendon disorders?

Answer 4

Not beneficial in reducing pain when compared to eccentric exer (Grade C).

Question 5

What level of evidence supports the use of modalities?

Answer 5

Low-level laser: reduce pain and stiffness

Ionto: dexamethasone, function

Grade B

Question 6

With posterior tibialis tendon dysfunction, what type of treatment is most effective (largest change in functional index)?

Answer 6

Orthoses, stretching and eccentric resistive exercise.

Orthoses
-tendon unloaded through arch support

Question 7

What are the 4 purposes of a shoe?

Answer 7

1. Protection
2. Traction
3. Motion control
4. Cushioning

Question 8

(T/F) Motion control footwear can limit excessive pronation after 1.5 km as well as maintain plantar pressure levels in individuals with pronated feet.

Answer 8

True.