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What do you think about these 2 modalities to rehab ankle injuries:
1.Single leg stance
2.Ankle disk-circular

"Rehab" when it comes to your average fitness instructor, pod, physio, chiro, essentially involves strength/proprioception +/- core work. Of course exceptions apply. I am generalising when I speak of the average clinician etc.


What has continued to puzzle me for nearly a decade now, is that this icing is considered the cake. This stuff (strength/proprio/core) is an nth order issue when for instance, ROM has not been restored and a clinical impingement exists.

If you don't understand what matters most, if you can't recognise that the problematic ankle has a 50% lunge limited by an anterior impingement (for example); in other words if the cake is off, don't bother with the icing.

Understanding which factors are a priority in the (p)rehab phase will then explain to relevant parties why such recipe-based programs do not progress some conditions quickly enough, and also why in some situations, they are actually aggravating the problem.


Ron

John,

1: do single leg stance with eyes open and eyes closed
2: I prefer the AirEx pad to the disc. Patients can do a graded progression, stepping on and off the pad, single leg balancing on it, single leg dips, lunging onto it, jumping on and off, etc. How dynamic you make it depends on the patient's ability.

For inversion sprains, I add high velocity manipulation to the talocrural and subtalar joints. 'My 2 cents on this... 'Hope it helps.

Scott

Related threads:
Treatment of the Distal Fibular for Lateral Ankle Sprains
Syndesmosis - Diagnosis/Management (Conservative)

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