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Ankle Rehabilitation PowerPoint PPT Presentation


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Ankle Rehabilitation. By: Luke Kasper & Dave Schuber. Ankle Anatomy . Bony Tibia (medial malleolus) Fibula (lateral malleolus) Talus Calcaneous Cuboid Cuneiforms Navicular. Ankle Anatomy (continued). Ligaments Lateral Anterior Talofibular Ligament (ATF)

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Ankle Rehabilitation

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Ankle rehabilitation l.jpg

Ankle Rehabilitation

By: Luke Kasper

&

Dave Schuber


Ankle anatomy l.jpg

Ankle Anatomy

  • Bony

    • Tibia (medial malleolus)

    • Fibula (lateral malleolus)

    • Talus

    • Calcaneous

    • Cuboid

    • Cuneiforms

    • Navicular


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Ankle Anatomy (continued)

  • Ligaments

    • Lateral

      • Anterior Talofibular Ligament (ATF)

        • Most commonly injured ligament

      • Calcaneofibular Ligament (CF)

      • Posterior Talofibular Ligament (PTF)

    • Medial

      • Deltoid Ligament

    • Anterior

      • Anterior Tibiofibular Ligament


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Ankle Anatomy (continued)

  • Lateral Ligaments

  • Medial Ligaments


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Common Mechanisms of Injury (MOI)

  • Inversion

    • Damages the lateral ankle ligaments

    • Most common type of ankle injury

  • Eversion

    • Damages the medial ankle ligaments

  • Extreme Dorsiflexion

    • Damages the anterior ankle ligaments


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Rehabilitation Sequence

  • Range of Motion (ROM)

    • Passive (PROM)

    • Active (AROM)

  • Strengthening

    • Basic to advanced

    • Isometric to Isokinetic

    • Open versus Closed kinetic chain

      • Next Stages


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Rehabilitation Sequence (continued)

  • Proprioception

    • Balance

    • Coordination

    • Agility

  • Plyometrics

  • Functional Exercises

  • Return to Play


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ROM

  • Decreased ROM following injury

  • Must increase ROM to prevent any gait abnormalities.

    • Exercises

      • Towel Stretch

      • ABC’s Ankle Alphabets

      • Slant Board

      • Stationary Bike

  • Back to Sequence


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Strengthening

  • Increase strength to help with stability of joint and return to prior strength levels

    • Exercises

      • 4 way Theraband

      • 4 way ankle weights

      • BAPS board

      • Towel curls

      • Marble Pickups

      • Calf Raises

  • Back to Sequence


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Proprioception

  • Proprioception is lost due to the damage to the sensory nerves in the ankle.

  • Body loses the ability to determine where it is without sight

    • Exercises

      • Single leg balance

      • Single leg balance on different surfaces

      • PNF patterns

      • Jogging on trampoline

  • Back to Sequence


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Plyometrics

  • Incorporates strength and proprioception

  • Power, quick movements

    • Exercises

      • Hopping

      • Box jumps

      • Dot Drills Example Video

  • Back to Sequence


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Functional Exercises

  • These drills should mimic the athletes sport, but in a controlled environment.

  • Drills should be sports specific.

    • Examples

      • Football- running, cutting, blocking

      • Volleyball- agility, jumping, sliding

      • Soccer- running, cutting, kicking

        • Return to Play


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Return to Play

  • Once the athlete has been cleared by the physician and team athletic trainer they are able to return to play.

  • They may have to wear some support or brace once they have returned.

    • Donjoy

    • Mueller

    • Ankle Tape


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