MIDTERMS: Ankle Sprains Flashcards
Q1: What are the three main goals of lateral ankle sprain (LAS) rehabilitation?
A1: Reduce pain/swelling, restore ROM/strength/proprioception, and prevent chronic ankle instability (CAI).
Q3: What does the POLICE principle stand for in acute ankle sprain management?
A3: Protect, Optimal Loading, Ice, Compression, Elevation.
Q2: What ligament is most commonly injured in LAS?
A2: Anterior talofibular ligament (ATFL).
Q4: What are the three phases of LAS rehabilitation?
A4: Acute Phase (0-2 weeks), Subacute Phase (3-6 weeks), and Chronic Phase (6-12 weeks+).
Q5: Name two manual therapy techniques used for LAS rehabilitation.
A5: Posterior mobilization of the talocrural joint and fibular mobilization.
Q6: At what phase should plyometric exercises be introduced?
A6: Chronic Phase (6-12 weeks+).
Q7: What functional test is commonly used to assess proprioception before return to sport?
A7: Y-Balance Test (>80% LSI required).
Q9: When should sport-specific drills like cutting and lateral movements be introduced?
A9: Chronic Phase (6-12 weeks+).
T/F5: Neuromuscular electrical stimulation (NMES) is contraindicated in ankle sprain rehab.
A: False – NMES can help with muscle activation in early rehab.
Q8: What is the primary mechanism of injury for a lateral ankle sprain?
A8: Excessive supination of the rearfoot with external tibial rotation.
Q10: What are the three key return-to-sport (RTS) criteria after LAS?
A10: No pain/swelling, full ROM & strength (>90% symmetry), and restored proprioception (>80% Y-Balance Test).
T/F2: Chronic ankle instability (CAI) is a rare complication of repeated ankle sprains.
A: False – CAI is common if LAS is not managed properly.
T/F1: The Anterior Drawer Test is used to assess ATFL integrity.
A: True.
T/F3: Immobilization is always required for Grade I ankle sprains.
A: False – Early mobilization is recommended.
T/F4: Proprioception training is essential for preventing recurrent ankle sprains.
A: True.
T/F6: Heel raises and step-ups are commonly used in the Subacute Phase of LAS rehab.
A: True.
T/F7: Strengthening the peroneal muscles helps prevent future ankle sprains.
True
T/F8: The Acute Phase of LAS rehab focuses on plyometric and agility training.
A: False – The focus is on pain/swelling reduction and gentle ROM exercises.
When should progressive resistance training be introduced in LAS rehab?
A) Acute Phase (0-2 weeks)
B) Subacute Phase (3-6 weeks)
C) Chronic Phase (6-12 weeks)
D) Never
B) Subacute Phase (3-6 weeks)
T/F9: LAS commonly affects the deltoid ligament.
A: False – The deltoid ligament is on the medial side; LAS affects lateral ligaments like the ATFL.
T/F10: The Y-Balance Test is a key assessment tool before returning to sport.
True
Which ligament is most frequently injured in a lateral ankle sprain?
A) Deltoid ligament
B) Anterior talofibular ligament (ATFL)
C) Posterior cruciate ligament (PCL)
B) Anterior talofibular ligament (ATFL)
What is the primary treatment approach for an acute lateral ankle sprain?
A) Complete immobilization for 6 weeks
B) POLICE principle and early mobilization
C) Surgery
D) Heavy strength training
B) POLICE principle and early mobilization
Which exercise is appropriate in the Subacute Phase (3-6 weeks) of LAS rehab?
A) Single-leg stance on a wobble board
B) Sprinting and cutting drills
C) Immobilization and bed rest
D) None of the above
A) Single-leg stance on a wobble board
