Ankle injury mechanism:
Ankle inversion or eversion movement ±rotational component
Return to play: After knee injury
July 23, 2018Ankle rehabilitation: Return to sport principles
Ankle Injury
Acute management
- Rest
- Ice
- Compression
- Splint or brace where appropriate
- Elevation
- Surgery where indicated
- Rehabilitation
Treatment
- Surgery: where appropriately indicated
- Non-operative: immobilization with brace/cast
Return to sport & match readiness after appropriate rehabilitation
- After appropriate rehabilitation
- Assess return to sport after completing battery of testing
Ankle testing for return to sport:
Range of motion (ROM)
| ROM | Test |
|
Active ROM= non-injured side or =/> standard sports specific norms |
Measure goniometer |
Foot/ankle ROM
Proprioception
| Proprioception | Test |
| Static & dynamic |
Stalk stand test (30s) Dynamic Five Dot-drill test |
Proprioception exercise
Circumference difference
| Limb difference | Test |
|
|
Calf concentric & eccentric strength
Agility
| Agility | Test |
| •Compare to pre-injury levels
•Assess execution of test |
|
Intrinsic foot strengthening
Muscular strength & endurance
| Strength | Test |
| Dynamic muscle strength & endurance field test |
Single leg standing toe raise:
Posterior tibialis strength:
|
Calf raise exercise
Calf raise exercise
Speed
| Test | |
| Speed | 40 m sprint |
Explosive power
| Test | |
| Focus on forward linear power watch abnormality especially favouring of non-injured leg | •Vertical jump
•Standing broad jump |
Vertical jump testing
Isokinetic test
| Isokinetic | Test |
|
Accurate analysis with comparative muscle strength analysis |
|
Calf strengthening exercises with foot in internal & external rotation
Calf strengthening exercises with foot in internal & external rotation
Ankle strapping
Full Strapping technique
In ASSIC strength app
