From day one: active/passive mobilisation within pain tolerance.
Weightbearing within pain tolerance. Proprioception training (also
contralateral!) without weightbearing/partial weightbearing. Ultasound,
TENS: maybe, maybe not.
After deswelling: taping, strenghtening exercises (inversion first proximal
later careful distal), proprioception training on wobble board/soft
matras/with ball/eyes closed, etc.
Later more agressive training: figure 8, shuttle, etc.
Don't test stability of the ankle to soon. If stability problems
persist/come back you can test it.
Isaac
-----Opprinnelig melding-----
Fra: Henry Tsao [mailto:[log in to unmask]]
Sendt: 28. september 2001 01:20
Til: [log in to unmask]
Emne: inversion sprain
To all:
Yesterday, I had a 18 year old uni student who sprained his ankle following
an accident while playing soccer ~4/7 ago. He had immediate swelling, pain
and slight bruising. The Ultrasound scan showed grade 2 tear in the ATFL and
suspected a anterior capsule tear since they found blood surrounding the
joint. He has a lot of swelling still and is on crutches. Active
dorsiflexion, plantar flexion and inversion were all restricted. Can anybody
suggest whether there are any contraindications or precautions while
treating somebody with a suspected caspular tear? Can the person weight bear
on the ankle within his pain tolerance? How good is the recovery from other
people's experience of this kind of injury? any other suggestions for
management and rehabilitation would be great! Thank you in advance.
Henry***
_________________________________________________________________
Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp
|