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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)

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Ankle Rehabilitation

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  1. Ankle Rehabilitation By: Luke Kasper & Dave Schuber

  2. Ankle Anatomy • Bony • Tibia (medial malleolus) • Fibula (lateral malleolus) • Talus • Calcaneous • Cuboid • Cuneiforms • Navicular

  3. 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

  4. Ankle Anatomy (continued) • Lateral Ligaments • Medial Ligaments

  5. 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

  6. Rehabilitation Sequence • Range of Motion (ROM) • Passive (PROM) • Active (AROM) • Strengthening • Basic to advanced • Isometric to Isokinetic • Open versus Closed kinetic chain • Next Stages

  7. Rehabilitation Sequence (continued) • Proprioception • Balance • Coordination • Agility • Plyometrics • Functional Exercises • Return to Play

  8. 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

  9. 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

  10. 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

  11. Plyometrics • Incorporates strength and proprioception • Power, quick movements • Exercises • Hopping • Box jumps • Dot Drills Example Video • Back to Sequence

  12. 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

  13. 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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