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
Things to give for ______ for ______
- ____ specific training
- ____ self mob
- Provide either ____ or ____ to support arch
- Foot ____ exercises with ____
Top 4 things to give on HEP for
Chronic plantar heel pain
- plantar fascia
- A-P
- BFO, taping
- intrinsic, theraband
compression
Acute ankle injury goals
wrap 50% at toes and less as you go up. Fluid out of foot
- u- pad for inc. compression
- ankle pumps if tolerated with theraband - grey
protect
Acute ankle injury goals
immediate bracing
aircast
ice
Acute ankle injury goals
use in acute stage
vasoconstriction
1. 20 min on, 10 off, 10 on, 10 off, 10 on
PRICE
Acute ankle injury goals
protect rest ice compression elevate
