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Cause
Movements - especially twisting, turning, and
rolling of the foot - are the primary cause of an ankle
sprain.
The risk of a sprain is greatest during activities
that involve explosive side-to-side motion, such as
tennis or basketball. Sprained ankles can also occur
during normal daily activities such as stepping off a
curb or slipping on ice.
Returning to activity before the ligaments have
fully healed may cause them to heal in a stretched
position, resulting in less stability at the ankle joint.
This can lead to a condition known as Chronic Ankle
Instability (CAI), and an increased risk of ankle
sprains
Mobilization
A short period of immobilization in a belowknee cast or in an Aircast leads to a faster
recovery at 3 months compared to a tubular
compression bandage.Yet, a randomized
controlled trial has concluded that appropriate
exercise immediately after a sprain improves
function and recovery. The exercises were
focused on increasing ankle range of
movement, activation and strengthening of
ankle musculature, and restoring normal
sensorimotor control, and were carried out for
20 minutes, three times a day.
After the injury its probably best to not to walk for a couple of days
complete bed rest will increase the healing process and will also
eliminate the chance of mishandling of the affected part,if right ankle is
injured do not drive at all.
The amount of therapy that a person can handle will depend on their
level of pain and the grade of sprain they experienced. It is not
recommended to return to sports or extreme physical activities until
hopping on the ankle is achieved without pain.
Wearing high-top tennis shoes may also help prevent ankle sprains if
the shoes used are laced snugly and if the ankle is taped with a wide,
nonelastic adhesive tape.
Ankle exercises
To prevent sprains or re-injury from occurring, strengthening and
stretching exercises should be done through a full range of ankle motion.
To improve ankle mobility, ankle circles can be performed by extending
the legs in front of the body and then moving the foot up and down, side to
side, or rotating the foot in a circle. Another common exercise to improve
mobility as well as proprioception is to use the toes to draw the letters of
the alphabet in the air. Most importantly, the lateral aspect of the ankle
joint should be strengthened with eversion exercises (i.e. underside of the
foot is turned outward against resistance) to improve lateral ankle
stability. Stretching is also an important component of a strengthening
program, to help maintain joint flexibility.
Balance and stability training are especially important to retrain the ankle
muscles to work together to support the joint. This includes exercises that
are performed by standing on one foot and using the injured ankle to lift the
body onto its toes. To further enhance balance and stability, exercise
devices such as the wobble board can be used, progressing from double-leg
to single-leg stance, first with eyes open and then with eyes closed, for
enhanced effectiveness.
Flexibility exercises
Example of a flexibility exercise is a towel stratch and
writing the alphabet with toes which will increase the range
of motion.
Balance exercises
Balance exercises include the use of
a wobble board which help the whole body
function together. The use of wobble boards
have shown to produce significantly positive
results in gaining proper balance compared to
not using it