Thursday, January 1, 2015

ANKLE SPRAIN EXERCISES

                                                          ANKLE SPRAIN EXERCISES


Abstract 
Ankle sprain exercises include controlling and regaining the full ankle range of motion, increasing the muscle strength and power, and improving proprioceptive abilities by the use of flexibility exercises, and progressive strength and balance-training exercises.

Keywords 
Ankle sprain exercises, Range of motion, Dorsiflexion, Inversion

Introduction 
Ankle sprain exercises include controlling and regaining the full ankle range of motion, increasing the muscle strength and power, and improving proprioceptive abilities by the use of flexibility exercises, and progressive strength and balance-training exercises. Early functional treatment of the ankle sprain should include range-of-motion exercises, isometric, isotonic strength-training exercises and Resistance Exercises. 1,2

Range of Motion Exercises (ROM)
The Ranges of motion exercises are maintain the flexibility and mobility of the joints, these exercises decrease the stiffness and prevent or slow down the freezing of the joints as the ankle sprain develop and lack of motion. Various range of motion exercise is use in the treatment of ankle sprain such as Dorsiflexion (Pull leg upward), Plantar flexion (Push leg downward), Inversion:Push leg inward (toward the midline of the body), Eversion:Push leg outward (away from the midline of the body), Alphabet.

Isometric Exercises 
Isometric exercises allow building strength around injured ankle joint without moving joint against resistance. Resistance can be provided by an immovable item such as wall or floor. Isometric exercises included the eversion isometrics and inversion isometrics.

Resistance Exercises 
Resistance exercises are carrying out by moving the joint against a force in the opposite direction that you are moving. These exercises work to strengthen the muscles around your ankle to provide additional support to the joint. 
Partial and Full Weight-Bearing Exercises
Weight-Bearing Exercises will help set more weight on the injured foot as well as strengthen it. This type of exercises included following process such as Seated Calf Raise, Single Leg Stand, Lateral Stepping, and Lateral Jump. 


Balance Activities
Decreased balance ability is found in the Patients with ankle sprain, Single Leg Stance on a Towel exercise is used in the treatment of ankle sprains.3,4,5

Conclusion 
Early functional treatment of the ankle sprain should include range-of-motion exercises, isometric, isotonic strength-training exercises and Resistance Exercises.

References 
1.Mattacola Carl G, Dwyer Maureen K. Rehabilitation of the Ankle after Acute Sprain or Chronic Instability. Journal of Athletic Training 2002; 37(4):413–429.
2.Terada Masafumi, Pietrosimone Brian G, Gribble Phillip A., Therapeutic Interventions for Increasing AnkleDorsiflexion After Ankle Sprain: A Systematic Review. Journal of Athletic Training 2013; 48(5):696–709. 
3.Whitmana J.M, Childsc J.D, Walker V. The use of manipulation in a patient with an ankle sprain injury not responding to conventional management: a case report. Manual Therapy 10 (2005) 224–231.
4.Wolfe Michael W, UHL Tim L, Mattacola Carl G, Mccluskey Leland C, Management of Ankle Sprains. American Family Physician, January 1, 2001 / Volume 63, Number 1.
5.Dubin Joshua C, Comeau Doug, McClelland Rebecca I, Dubin PT Rachel A., Ernest Ferrel. Lateral and syndesmotic ankle sprain injuries:a narrative literature review. Journal of Chiropractic Medicine (2011) 10, 204–219.