PT management in lateral ankle sprain
Office workers
Athletes
Goals
Recurrent prevention
ADLs
Mental
กลัวเจ็บจนไม่กล้าขยับข้อเท้า
Physical
Lifestyle
Sedentary
Treatments
FITT
Phase I
Phase II
Phase III
Reduced pain & Inflammation
Promote the healing of damage tissue
Prevent further injuries
PRICE
P : Price
R : Rise
I : Ice
C : Compression
E : Elevation
Improved ROM ของข้อเท้า
ป้องกันไม่ให้เส้นเอ็นได้รับการบาดเจ็บ
ROM exercise and education
F: Frequency
I : Intensity
T : Time
T : Type
Prevent recurent
ฝึกกล้ามเนื้อรอบข้อเท้า ได้แก่ peroneal และกลุ่มกล้ามเนื้อน่อง
Propioceptive exercises
Balance training
Goals
ADLs
Recurrent prevention
Sport performance
Mental
Stress
Sport performance
Can't practice
เนื่องจากกลัวไม่ได้ลงแข่ง
Physical
Life style
Active
Treatments
FITT
Phase I : Acute phase
คือ ช่วงแรก หลังการบาดเจ็บ
Phase II : Advance phase
ทำเมื่อบวมลดลง
Phase III : Return to play phase
ทำหลังพิสัยเป็นปกติ และไม่มีอาการเจ็บในขณะทำการเคลื่อนไหวแล้ว
Reduced pain & inflammation
Prevent further injuries
Promote the healing of damaged tissue
POLICE
P : Prevention
O : Optimal
I : ICE
C : Compression
E : Elevation
Unwrapped wetted ice bag
20-25 minutes/ 3-4 times
Apply bandage with an extra pressure
Remain
Flexibility
Passive physiological movement
Strength
Active exercise
Joint mobilzation
Stretching
Static stretching
Active
Passive
Ballistic stretching
Propioceptive neuromascular facilitation (PNF)
Contract-relax
Hold-relax
Slow-reversal-hold-relax
Isometric
Delayed muscular atrophy
Concentric
Specific adaptationimposed demand theory (SAID)
Cardiovascular fitness
Upper extremity
Propioception
Balance training
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
Concentric
Eccentric
Isokinetic
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
F : Frequency ↑
I : Intensity ↑
T : Time ↑
T : Type (Advanced)
High pain tolerance level
Loss of self confidence
High self motivation