Ankle injury mechanism:
Ankle inversion or eversion movement ±rotational component
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Return to Sport Guidelines after Ankle Rehabilitation
Ankle rehabilitation: Return to sport principles
Ankle Injury
Acute management
Treatment
- Rest
- Ice
- Compression
- Splint or brace where appropriate
- Elevation
- Surgery where indicated
- Rehabilitation
- 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 a 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 |
|
Proprioception exercise
Circumference difference
| Limb difference | Test |
|
|
Calf concentric & eccentric strength
Agility
| Agility | Test |
•Compare to pre-injury levels •Assess execution of test | Ilionois Agility Drill- compare time difference |
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 | |
Accurate analysis with comparative muscle strength analysis |
|
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
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