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