Lower Leg, Ankle and Foot

Minimaledema slightjointstiffness nolof gradeiisprain

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Unformatted text preview: g Exercises Isotonic Dorsiflexion w/ Theraband Isotonic Plantarflexion w/ Theraband Rehabilitation Techniques Rehabilitation Isotonic Strengthening Exercises Toe Raises Towel Crunches Rehabilitation Techniques Rehabilitation Closed Kinetic Chain Exercises Lateral Step­ups Squats on BOSU Ball Leg Press on the Shuttle Rehabilitation Techniques Rehabilitation PNF Strengthening Exercises • • D1 patterns moving into flexion and extension D2 patterns moving into flexion and extension Rehabilitation Techniques for Specific Injuries Specific Ankle Sprains Ankle Fractures and Dislocations Subluxation and Dislocation of the Peroneal Tendons Tendonitis Excessive Pronation and Supination Stress Fractures in the Foot Rehabilitation Techniques for Specific Injuries Specific Plantar Fasciitis Cuboid Subluxation Hallux Valgus Deformity (Bunions) Morton’s Neuroma Turf Toe Tarsal Tunnel Syndrome Ankle Sprains Ankle Ankle sprains are one of the most common injuries seen in the sports medicine realm There are three classifications of ankle sprains: • • • Inversion sprains Eversion sprains Syndesmotic sprains Ankle Sprains Ankle Severity of ankle sprains are graded as followed: Grade I Sprain • • • • • • Slight stretching of the ligamentous fibers w/ minimal to no tearing Little to no joint instability Mild P! Minimal edema Slight joint stiffness No LOF Grade II Sprain • • • • • • Slight tearing of the ligamentous fibers Moderate joint instability Moderate to severe P! Moderate edema Joint stiffness to be expected Slight LOF Grade III Sprain • • • • • • • Complete rupture of the ligament Gross instability of the joint Severe P! initially, but will then dissipate due to tearing of the local nerves (may feel a dull ache) Profuse edema may be present Severe joint stiffness Complete LOF Immobilization may be required Ankle Sprains Ankle Rehabilitation Concerns • The main objective of the initial phase of ankle rehabilitation is to control swelling • Other goals of the initial treatment are controlling bleeding, pain, and protection of the healing ligaments • Limiting the amount of initial edema can significantly reduce the rehabilitation time • Initial treatment includes the R.I.C.E. principles Ankle Sprains Ankle Rehabilitation Progressions • Vigorous exercise is discouraged in the early phase of rehabilitation • Immobilization may be required depending on severity • Weight bearing should be initiated as soon as possible, in order to reduce chance for complications • Aquatic exercises may be beneficial, because it provides for weight bearing in a gravity­reduced environment • ROM exercises should be done immediately, possibly refraining from inversion and eversion in the early phases until tenderness over the ligament decreases • Initiate inversion and eversion exercises in conjunction with plantarflexion and dorsiflexion exercises • Progress from non­weight bearing to weight bearing exercises Ankle Sprains Ankle Rehabilitation Progressions • Stretching exercises should accompany ROM exercises • Isometric exercises should be used in the early phase of rehab until normal ROM is restored • Isotonic exercises for plantarflexion and dorsiflexion may be used early in the rehab, because they present no danger of damaging the ligaments any further • As the phases of healing progress, strengthening exercises may be done in all planes of motion • Isotonic high repetition...
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