Conservative treatment of ankle sprain according to a recent literature

Due to complicated structure of ankle, it is exceptionally susceptible to injuries, of which one of the most common is a sprain. The sprain involves soft-tissue injuries that, depending on their level of seriousness, are categorized as first-, second- or third-degree sprains. The main goals of rehab...

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Main Authors: Urszula Kaźmierczak, Szymon Kwiatkowski, Agnieszka Radzimińska, Katarzyna Strojek, Magdalena Weber-Rajek, Walery Zukow
Format: Article
Language:English
Published: Kazimierz Wielki University 2017-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:http://www.ojs.ukw.edu.pl/index.php/johs/article/view/4223
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author Urszula Kaźmierczak
Szymon Kwiatkowski
Agnieszka Radzimińska
Katarzyna Strojek
Magdalena Weber-Rajek
Walery Zukow
author_facet Urszula Kaźmierczak
Szymon Kwiatkowski
Agnieszka Radzimińska
Katarzyna Strojek
Magdalena Weber-Rajek
Walery Zukow
author_sort Urszula Kaźmierczak
collection DOAJ
description Due to complicated structure of ankle, it is exceptionally susceptible to injuries, of which one of the most common is a sprain. The sprain involves soft-tissue injuries that, depending on their level of seriousness, are categorized as first-, second- or third-degree sprains. The main goals of rehabilitation in the acute phase after the injury include reduction of pain, swelling and hematoma, as well as prevention from secondary injuries. During the subacute phase the emphasis should be put on restoring the joint’s function and its range of motion, as well as on gentle loading of the joint. Proprioception training, strength and stretching exercises should also be introduced. The next stage, during which the reconstruction of the damaged tissues takes place, involves the implementation of gradual progressive loading and the variety of earlier introduced procedures. In the final phase of rehabilitation, it is vital to reassure that the patient is able to return to full activity, especially if he or she is an athlete. Therefore, functional testing such as the Dorsiflexion Lunge Test or The Star Excursion Balance Test may be of help. The main predisposing factor for an ankle sprain is a previous injury of the same type. It is due to the fact that such an injury leads to impaired proprioceptive function and impaired postural control. Improper rehabilitation or the lack of thereof may cause the development of chronic ankle instability, which substantially reduces the chances of physical activity and the patient’s quality of life. The implementation of adequate preventive measures based on employing external stabilisers and neuromuscular training appears to be essential. The objective is to regain a good sense of proprioception as well as muscle reaction time within the ankle joint.
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spelling doaj.art-b671ff48ae024d9493989bebdd09038b2022-12-21T19:56:49ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062017-02-017311714210.5281/zenodo.2677184015Conservative treatment of ankle sprain according to a recent literatureUrszula Kaźmierczak0Szymon Kwiatkowski1Agnieszka Radzimińska2Katarzyna Strojek3Magdalena Weber-Rajek4Walery Zukow5Department of Physiotherapy, Division of Principles of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, BydgoszczDepartment of Physiotherapy, Division of Principles of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, BydgoszczDepartment of Physiotherapy, Division of Principles of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, BydgoszczDepartment of Physiotherapy, Division of Principles of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, BydgoszczDepartment of Physiotherapy, Division of Principles of Physiotherapy, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, BydgoszczInstitute of Physical Coulture, Faculty of Physical Education, Health and Tourism, Kazimierz Wielki University, BydgoszczDue to complicated structure of ankle, it is exceptionally susceptible to injuries, of which one of the most common is a sprain. The sprain involves soft-tissue injuries that, depending on their level of seriousness, are categorized as first-, second- or third-degree sprains. The main goals of rehabilitation in the acute phase after the injury include reduction of pain, swelling and hematoma, as well as prevention from secondary injuries. During the subacute phase the emphasis should be put on restoring the joint’s function and its range of motion, as well as on gentle loading of the joint. Proprioception training, strength and stretching exercises should also be introduced. The next stage, during which the reconstruction of the damaged tissues takes place, involves the implementation of gradual progressive loading and the variety of earlier introduced procedures. In the final phase of rehabilitation, it is vital to reassure that the patient is able to return to full activity, especially if he or she is an athlete. Therefore, functional testing such as the Dorsiflexion Lunge Test or The Star Excursion Balance Test may be of help. The main predisposing factor for an ankle sprain is a previous injury of the same type. It is due to the fact that such an injury leads to impaired proprioceptive function and impaired postural control. Improper rehabilitation or the lack of thereof may cause the development of chronic ankle instability, which substantially reduces the chances of physical activity and the patient’s quality of life. The implementation of adequate preventive measures based on employing external stabilisers and neuromuscular training appears to be essential. The objective is to regain a good sense of proprioception as well as muscle reaction time within the ankle joint.http://www.ojs.ukw.edu.pl/index.php/johs/article/view/4223ankle, conservative treatment, sprain, ankle sprain
spellingShingle Urszula Kaźmierczak
Szymon Kwiatkowski
Agnieszka Radzimińska
Katarzyna Strojek
Magdalena Weber-Rajek
Walery Zukow
Conservative treatment of ankle sprain according to a recent literature
Journal of Education, Health and Sport
ankle, conservative treatment, sprain, ankle sprain
title Conservative treatment of ankle sprain according to a recent literature
title_full Conservative treatment of ankle sprain according to a recent literature
title_fullStr Conservative treatment of ankle sprain according to a recent literature
title_full_unstemmed Conservative treatment of ankle sprain according to a recent literature
title_short Conservative treatment of ankle sprain according to a recent literature
title_sort conservative treatment of ankle sprain according to a recent literature
topic ankle, conservative treatment, sprain, ankle sprain
url http://www.ojs.ukw.edu.pl/index.php/johs/article/view/4223
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AT katarzynastrojek conservativetreatmentofanklesprainaccordingtoarecentliterature
AT magdalenaweberrajek conservativetreatmentofanklesprainaccordingtoarecentliterature
AT waleryzukow conservativetreatmentofanklesprainaccordingtoarecentliterature