Ankle rehabilitation Flashcards
What are some common ankle injuries?
- Inversion sprain
- Eversion sprain
- Inferior tib/fib sprain
What are some common foot injuries?
- Plantar fasciitis
- Cuboid subluxation
- Retrocalcaneal bursitis
- Calcaneal exostosis
What are the objectives during the acute phase of ankle rehabilitation?
- Decrease pain: ice, TENS, IFC
- Reduce swelling: pressure
- Stability: cast, tape , splint, crutches
What are the objectives during the sub scute phase?
- Residual swelling
- Range of motion
- Weight bearing
- Mobilizations
- Flexibility
- Strength
- Proprioception
- Correct the cause
What are some ways to reduce residual swelling?
- Contrast baths
- Massage
- Compression pump
- Compression sock/tape
- Elevation
What are some ways to increase ROM?
- Passive ROM
- Active ROM: towel exercises, ‘draw the alphabet, cycling
What are the mobilizations of the ankle/foot?
- Talo-crural: anterior/posterior, traction
- Sub-talar: medial/lateral, traction
- Mid tarsal: anterior/posterior, rotational
- MTP joints: anterior/posterior, rotational, longitudinal
What types of modalities can be used and why?
- Ultrasound: prevent fibrosis, promote tissue extensibility
- HVPS: prevent fibrosis
- Cryokinetics: promote flexibility/ROM
What is a way to stretch the posterior compartment of the lower leg for flexibility?
- Wedge board straight leg: gastrocnemius
- Wedge board bent knee: soleus
What movements stretch which compartments with tubing strength exercises?
- Dorsiflexion: anterior compartment
- Plantar flexion: posterior compartment
- Inversion: deep flexors
- Eversion: peroneals
What are some proprioception exercises?
- Stork stand
- Wobble board/mini tramp
- Wobble board plus activity
- BOSU
What are some examples of power exercises?
- Hopping/skipping
- Double-single
- Plyometrics
What are some examples of agility exercises?
- Four square
- Ball dribbling
- Agility ladder
What are some ways to progress both physical and psychological preparedness?
- Individual rehearsal
- One on one (50% -100%)
- Team drills (no scrimmage)
- Team scrimmage
- Full participation
What are some ways to treat plantar fasciitis?
- Rest and ice
- Footwear
- Arch support
- Stretch and mobilize: arch, gastrocs, soleus
- Strengthen: intrinsic muscles of foot, lower leg
- Night splint
- Plantar fasciotomy (last resort)