Transcript Ankle Rehabilitation

Ankle Rehabilitation
By: Luke Kasper
&
Dave Schuber
Ankle Anatomy
► Bony
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Tibia (medial malleolus)
Fibula (lateral malleolus)
Talus
Calcaneous
Cuboid
Cuneiforms
Navicular
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 (continued)
► Lateral
Ligaments
► Medial
Ligaments
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
► 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)
► Proprioception
 Balance
 Coordination
 Agility
► Plyometrics
► Functional
Exercises
► Return to Play
ROM
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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
► 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
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
► Incorporates
strength and proprioception
► Power, quick movements
 Exercises
►Hopping
►Box
jumps
►Dot Drills Example Video
► Back
to Sequence
Functional Exercises
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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
► 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