ankle sprain

Question 1

What is a lateral ankle sprain (LAS)?

Answer 1

an injury to the lateral ligaments of the ankle, usually resulting from forced PF or inversion moment

Question 2

what can be used to diagnose a LAS?

Answer 2

• palpation
• rom
• WB status
• anterior drawer test
• reverse anterolateral drawer test

Question 3

acute LAS

Answer 3

full return to sport: largelly dependent on injury grade, patient and activity
-‘copers’ = recover:no
symptoms/limitations w/ months to years

Question 4

CAI

Answer 4

recurrent ankle sprains
when symptoms of instability conitnue beyond 1 year after LAS
- Hx multiple sprains, self reported instability, sensorimotor impairmetns in the foot, ankle, knee hip

Question 6

what % of ankle sprains does LAS account for?

Answer 6

40% of sports related injuries
- more common in women
- children, adolescents and athletes
- 7x higher. prevalence in court sports vs field sports

Question 7

from the LAS CPG what were the findings?

Answer 7

• rehab of las injures
• reducing sensorimotor and ROM impairments
• decrease the risk of further injury
• prevent the development of chronic ankle instability (CAI)

Question 8

what are some predictive tests that can be performed to assess risk of LAS?

Answer 8

• y balance
• multiple hip test
• single leg hip test (adolescents w/greater than 15.4 sec)

Question 9

therapeutic exercies for LAS recovery include

Answer 9

• early mob and exercise improve outcomes
• exercise based interventions vs usual care
• proprioceptive and balance retraining
• protected active ROM
• stretching exercises
• neuromuscular training
• postural re-edu

Question 10

• proprioceptive and balance reraining
• protected active ROM
• stretching exercises
• neuromuscular training
• postural re-edu

are considered what grade for LAS?

Answer 10

grade A

Question 11

what exercises were considered grade A for CAI?

Answer 11

• propriopcetive and abalance retraining
• neuromuscualr training