16Grading Scales for Sprained Ankles Most common ankle sprain.Mild pain, still weight baring.More painful, report popping sound.Can not bear weight.Stretching of lateral ligaments of the ankle.Extreme pain. Usually complete tear of one of the ankle ligaments.Sometimes fracture occurs also.GRADE IGRADE IIGRADE III
17Rehab/Treatment Plan for Sprained Ankles RICEModalitiesExercises
18RICE Rest- stay off the Ankle, crutches may be needed Ice- 15 minutes a 4 to 5 times a dayCompression- ace wrap with horseshoe keeps the swelling downElevation- keep ankle above heart level when possible, allows gravity to pump out swelling
19Goals of RICE Limit Swelling Reduce pain Return to sport/activity quicker
20Modalities Used COLD WHIRLPOOL- 15 minutes a couple times a day Vasoconstrictors vessels around ankleStimulates pain killing receptorsSlows cell metabolismAids in reducing swelling
21Modalities Used HIGH VOLTAGE- Assists in activating pain killing receptors.Assists in muscle stimulation around ankle joint to aid in edema removal.ULTRASOUND-Assists in edema removal.Assists in bringing digestive enzymes to clean debris cells of the injured ankle.
22Rehab Exercises Range of Motion ABC’s One leg Stands BAPS Board Towel CurlsToe PickupsToe RisesTheraband
23Taping Vs. Wrapping TAPING- Psychologically better feeling to the athleteTight fitting at firstTape looses a large percentage of its support within the first minutes of competition
24Taping Vs. Wrapping WRAPPING- Purpose in wrapping is injury prevention.Wrapping will not eliminate sprained ankle, but it does minimize the severity of the sprain.
25Ankle Braces ANKLE BRACES- Many varieties and types. Lace Up Hinged Air CastsAll offer different levels of support.Large and competitive business market for ankle braces.