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PT management in lateral ankle sprain - Coggle Diagram
PT management in lateral ankle sprain
Office workers
Goals
Recurrent prevention
ADLs
Mental
กลัวเจ็บจนไม่กล้าขยับข้อเท้า
Physical
Lifestyle
Sedentary
Treatments
Phase I
Reduced pain & Inflammation
Promote the healing of damage tissue
Prevent further injuries
PRICE
P : Price
R : Rise
I : Ice
C : Compression
E : Elevation
Phase II
Improved ROM ของข้อเท้า
ROM exercise and education
ป้องกันไม่ให้เส้นเอ็นได้รับการบาดเจ็บ
Phase III
Prevent recurent
ฝึกกล้ามเนื้อรอบข้อเท้า ได้แก่ peroneal และกลุ่มกล้ามเนื้อน่อง
Propioceptive exercises
Balance training
FITT
F: Frequency
I : Intensity
T : Time
T : Type
Athletes
Goals
ADLs
Recurrent prevention
Sport performance
Mental
Stress
Sport performance
Can't practice
เนื่องจากกลัวไม่ได้ลงแข่ง
High pain tolerance level
Loss of self confidence
High self motivation
Physical
Life style
Active
Treatments
Phase I : Acute phase
คือ ช่วงแรก หลังการบาดเจ็บ
Reduced pain & inflammation
Prevent further injuries
Promote the healing of damaged tissue
POLICE
P : Prevention
O : Optimal
I : ICE
C : Compression
Unwrapped wetted ice bag
20-25 minutes/ 3-4 times
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E : Elevation
Phase II : Advance phase
ทำเมื่อบวมลดลง
Remain
Flexibility
Passive physiological movement
Active exercise
Joint mobilzation
Stretching
Static stretching
Active
Passive
Ballistic stretching
Propioceptive neuromascular facilitation (PNF)
Contract-relax
Hold-relax
Slow-reversal-hold-relax
Strength
Isometric
Delayed muscular atrophy
Concentric
Specific adaptationimposed demand theory (SAID)
Cardiovascular fitness
Upper extremity
Propioception
Balance training
Phase III : Return to play phase
ทำหลังพิสัยเป็นปกติ และไม่มีอาการเจ็บในขณะทำการเคลื่อนไหวแล้ว
Prevent recurrence
Intrinsic risk factors
Mental health
Level of physical fitness
Age
History of previous injury
Nutrition
Musculoskeletal abnormalities
Extrinsic factors
Environment
Position
Type of sport
Duration&intensity
Professional/Amature
Return to sport
Skill acquistion
Cardiovascular fitness
Upper extremity
Propioception
Balance training (Advanced)
Capable of full weight bearing
Sport specific skills
Functional exercise
Flexibility
Strength
Type of strengthening training
Isometric
Isotonic
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Plyometric
Motor re-education and muscle activation
Take time and patience
Visualized or correct muscle action
Use the instructions that clue the correct action
Focus on precision
Facilitation techniques
FITT
F : Frequency ↑
I : Intensity ↑
T : Time ↑
T : Type (Advanced)