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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

Ankle Rehabilitation

By: Luke Kasper

&

Dave Schuber

ankle anatomy
Ankle Anatomy
  • Bony
    • Tibia (medial malleolus)
    • Fibula (lateral malleolus)
    • Talus
    • Calcaneous
    • Cuboid
    • Cuneiforms
    • Navicular
ankle anatomy continued
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
ankle anatomy continued4
Ankle Anatomy (continued)
  • Lateral Ligaments
  • Medial Ligaments
common mechanisms of injury moi
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
rehabilitation sequence
Rehabilitation Sequence
  • Range of Motion (ROM)
    • Passive (PROM)
    • Active (AROM)
  • Strengthening
    • Basic to advanced
    • Isometric to Isokinetic
    • Open versus Closed kinetic chain
          • Next Stages
rehabilitation sequence continued
Rehabilitation Sequence (continued)
  • Proprioception
    • Balance
    • Coordination
    • Agility
  • Plyometrics
  • Functional Exercises
  • Return to Play
slide8
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
strengthening
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
proprioception
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
plyometrics
Plyometrics
  • Incorporates strength and proprioception
  • Power, quick movements
    • Exercises
      • Hopping
      • Box jumps
      • Dot Drills Example Video
  • Back to Sequence
functional exercises
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
return to play
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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