Ankle Sprains/Instability

Date 2007/5/2 15:40:00 | Topic: Ankle/Foot

Ankle sprains are a common injury. They usually occur when the foot is forcefully inverted or turned inward. Grade I (minor tear), Grade II (partial tear), or a Grade III (complete tear into two pieces) damage of the outer ligament complex (the anterior talofibular ligament and less often the calcaneofibular ligaments) is the result. Injuries to the inner aspect of the ankle are rare and often result in a fracture before ligamentous damage occurs.
Signs and symptoms of an ankle sprain include lateral ankle pain, swelling and a sense of instability. Stress X-rays may be helpful in ruling out fractures.

Treatment of an acute injury requires rest, ice, compression, elevation, and bracing of the injured ankle. Early rehabilitation assists in a rapid recovery. Surgery (reconstruction of the ligaments) is only necessary when the ankle is repeatedly sprained.

Possible Treatments
Aerobic/Endurance Exercise
Active Range of Motion (AROM)
Active Assistive Range of Motion (AAROM)
Cryotherapy or Cold Therapy
Electrotherapeutic Modalities
Gait or Walking Training
Isometrics
Mobilization
Progressive Resistive Exercises (PRE)
Passive Range of Motion (PROM)
Proprioception Exercises
Plyometrics
Physical Agents
Soft Tissue Mobilization
Stretching/Flexibility Exercise

Possible Treatment Goals
Improve Balance
Improve ability to bear weight/stand on the leg(s)
Decrease Risk of Reoccurrence
Improve Fitness
Improve Function
Optimize Joint Alignment
Improve Muscle Strength and Power
Increase Oxygen to Tissues
Improve Proprioception
Improve Range of Motion
Self-care of Symptoms
Improve Safety
Improve Tolerance for Prolonged Activities




This article comes from Chicago Rehabilitation Services, Inc. - Physical Therapy
http://chicagorehab.net

The URL for this story is:
http://chicagorehab.net/modules/news/article.php?storyid=15