Interventions/ Management - 3 things Flashcards
rest
Acute ankle injury goals
crutches
management of ______
- protect from further injury, ______, swelling
- re-establish _____, flexibility, tissue mobility
- re-establish neuromuscular control, muscle ______, endurance, power
- re-establish ______, coordination, agility
- re-establish _____ skills
key steps for managing ANY ankle sprain
- decrease pain
- ROM
- strength
- proprioception
- functional
- can provide short term _____ pain and function improvement, no evidence over 1 yr
- can decrease ___ on PF during _____ loading
- _______ medial arch collapse
- prevent foot _____
- pain on bottom of calcaneus? ______
- chronic PF symptoms? ______
Foot orthotics
Chronic plantar heel pain
- 3 mos
- strain, static
- reduce
- elongation
- heel cup
- BFO
______ goals
- Protect
- tissue ______
- limit pain, _____, spasm
- maintain function of____ tissues
- maintain overall _______
Acute ankle injury goals
- healing
- swelling
- non injured
- body conditioning
_______ acute management
- maintain ___ fitness w/o stressing ____
- maintain function of ____ tissues
- begin _____ of involved ______
- ____ stretching. - use ____
- progress from _____ to _____ for strengthening.
Low Ankle sprain
Secondary acute management
- CV, ankle
- non-involved
- mobility, ankle
- calf, towel
- OC, CC
_____ subacute phase
- ______ activities
- standing on _____ or _____
- ____ for strengthening
- ____ progression to return to sports or ADL
Low Ankle sprain
Late subacute phase
- balance
- disks, bosu balls
- CC
- functional
_______ acute management
maintain ______ fitness w/o stressing ____
- upper body _____
- _____ WB _____ running
- _______
Low Ankle sprain
Secondary acute management
CV, ankle
- ergometer
- non, water
- swimming
- more conservative approach to protect ____
- keep ankle in _____
- change ____ on exercise equip.
- ____ for WB activities
- Mobes?
High ankle sprain
- syndesmosis
- DF
- seat position
- wedge
- talocrural manip, tib-fib glides?
______ and calf stretching
- short term (2-4) month pain relief and ____ flexibility
- ____ specific is probably better than ___ only
- teach for ____
- grasp ball of foot and _____ for ____ times,
- _____ toes and ______ for___ times,
- maintain stretched position and ______ (____ to___ and ____ to ____)
Chronic plantar heel pain
Plantar fascia and calf stretching
- calf
- plantar fascia, calf
- HEP
- DF, 15-20
- extend, DF, 15-20
- massage, M-L, Heel-Toe
Strengthening of _______
- ____ toe - curling exercises with ___
- can be done ___ or ____ leg
- ___ foot exercises
- ___ foot in ___ direction
- bring head of _____ toward ____ without ___
- 3 sets of ___ holding arch in elevation for ____
strengthening of intrinsic foot muscles
Chronic plantar heel pain
- therabnd, grey band
- double, single
- short
- shorten, A-P
- 1st MTP, heel, flexing toes
- 5, 5
_______ acute management
begin \_\_\_\_\_ of involved \_\_\_\_\_\_ 1. \_\_\_\_ and \_\_\_\_\_ ROM of involved \_\_\_\_\_\_ as \_\_\_\_\_ 2. Use \_\_\_\_\_\_ for ROM in \_\_\_\_\_ WB manual therapy 3. \_\_\_\_\_ glides initiated \_\_\_\_\_\_ 4. \_\_\_\_ stress to ATFL 5. grades \_\_\_\_ for pain and edema
Low Ankle sprain
Secondary acute management
mobility, ankle
- active, active assist, ankle, tolerated
- disk, partial
- A-P, ASAP
- no
- 1&2
bracing and taping
- improve _____ and _____
- _____ current evidence to say it increases it
- braces used for _____
Low Ankle sprain
- proprioception, joint position sense
- no
- injury prevention
Giving way, instability, persistent weakness
management
1. _____
2. A-P glide with increased ____ - ____ them into range to improve
3. strengthen with ___ & _____
4. progressive ____ exercises
5 stable surface to ____ with eyes _____
6. ___ leg stance
7. ______ and reach in ______
Chronic ankle instability
- MWM
- DF, push
- CC, OC
- balance
- disk, open and closed
- single
- stand, multiple directions
____ therapy
- can provide short and long term (___) improvement in pain and function
- _____ A-P (teach for HEP)
- ____ distraction manip
- _____ M-L glide
Manual therapy
Chronic plantar heel pain
- up to 6 mos
- talocrural
- subtalar
- subtalar
_____ acute management
Maintain function of _____ involved tissues
- ____ weight training
- _____ hip strength
- Strengthen _____ involved _____
Low Ankle sprain
Secondary acute management
non
- UE
- proximal
- non, LE