Ankle Rehabilitation
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Transcript Ankle Rehabilitation
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)
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
►
►
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
►
►
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