1. Ankle Rehabilitation

2. Rehabilitation Sequence ► Range of Motion (ROM) Range of Motion (ROM) Range of Motion (ROM)  Passive (PROM)  Active (AROM) ► Strengthening Strengthening  Basic to advanced  Isometric to Isokinetic  Open versus Closed kinetic chain

3. Rehabilitation Sequence (continued) ►P►P►P►P rrrr oooo pppp rrrr iiii oooo cccc eeee pppp tttt iiii oooo nnnn BBBBalance CCCCoordination AAAAgility ►P►P►P►P llll yyyy oooo mmmm eeee tttt rrrr iiii cccc ssss ►F►F►F►F uuuu nnnn cccc tttt iiii oooo nnnn aaaa llll E E E E xxxx eeee rrrr cccc iiii ssss eeee ssss ►R►R►R►Return to Play

4. ROM ► Decreased ROM following injury ► Must increase ROM to prevent any gait abnormalities.  Exercises ► Towel Stretch ► ABC’s Ankle Alphabets Ankle AlphabetsAnkle Alphabets ► Slant Board ► Stationary Bike

5. Strengthening ► Increase strength to help with stability of joint and return to prior strength levels  Exercises ► 4 way Theraband ► 4 way ankle weights ► BAPS board ► Towel curls ► Marble Pickups ► Calf Raises

6. Proprioception ► Proprioception is lost due to the damage to the sensory nerves in the ankle. ► Body loses the ability to determine where it is without sight  Exercises ► Single leg balance ► Single leg balance on different surfaces ► PNF patterns ► Jogging on trampoline

7. Plyometrics ►I►I►I►Incorporates strength and proprioception ►P►P►P►Power, quick movements EEEExercises ►H►H►H►Hopping ►B►B►B►Box jumps ►D►D►D►Dot Drills

8. Functional Exercises ► These drills should mimic the athletes sport, but in a controlled environment. ► Drills should be sports specific.  Examples ► Football- running, cutting, blocking ► Volleyball- agility, jumping, sliding ► Soccer- running, cutting, kicking ► Return to Play Return to Play Return to Play

9. Return to Play ► Once the athlete has been cleared by the physician and team athletic trainer they are able to return to play. ► They may have to wear some support or brace once they have returned.  Donjoy  Mueller  Ankle Tape