Interventions/ Management - 3 things Flashcards

1
Q

rest

A

Acute ankle injury goals

crutches

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2
Q

management of ______

  1. protect from further injury, ______, swelling
  2. re-establish _____, flexibility, tissue mobility
  3. re-establish neuromuscular control, muscle ______, endurance, power
  4. re-establish ______, coordination, agility
  5. re-establish _____ skills
A

key steps for managing ANY ankle sprain

  1. decrease pain
  2. ROM
  3. strength
  4. proprioception
  5. functional
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3
Q
  1. can provide short term _____ pain and function improvement, no evidence over 1 yr
  2. can decrease ___ on PF during _____ loading
  3. _______ medial arch collapse
  4. prevent foot _____
  5. pain on bottom of calcaneus? ______
  6. chronic PF symptoms? ______
A

Foot orthotics

Chronic plantar heel pain

  1. 3 mos
  2. strain, static
  3. reduce
  4. elongation
  5. heel cup
  6. BFO
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4
Q

______ goals

  1. Protect
  2. tissue ______
  3. limit pain, _____, spasm
  4. maintain function of____ tissues
  5. maintain overall _______
A

Acute ankle injury goals

  1. healing
  2. swelling
  3. non injured
  4. body conditioning
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5
Q

_______ acute management

  1. maintain ___ fitness w/o stressing ____
  2. maintain function of ____ tissues
  3. begin _____ of involved ______
  4. ____ stretching. - use ____
  5. progress from _____ to _____ for strengthening.
A

Low Ankle sprain
Secondary acute management

  1. CV, ankle
  2. non-involved
  3. mobility, ankle
  4. calf, towel
  5. OC, CC
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6
Q

_____ subacute phase

  1. ______ activities
  2. standing on _____ or _____
  3. ____ for strengthening
  4. ____ progression to return to sports or ADL
A

Low Ankle sprain
Late subacute phase

  1. balance
  2. disks, bosu balls
  3. CC
  4. functional
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7
Q

_______ acute management

maintain ______ fitness w/o stressing ____

  1. upper body _____
  2. _____ WB _____ running
  3. _______
A

Low Ankle sprain
Secondary acute management

CV, ankle

  1. ergometer
  2. non, water
  3. swimming
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8
Q
  1. more conservative approach to protect ____
  2. keep ankle in _____
  3. change ____ on exercise equip.
  4. ____ for WB activities
  5. Mobes?
A

High ankle sprain

  1. syndesmosis
  2. DF
  3. seat position
  4. wedge
  5. talocrural manip, tib-fib glides?
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9
Q

______ and calf stretching

  1. short term (2-4) month pain relief and ____ flexibility
  2. ____ specific is probably better than ___ only
  3. teach for ____
  4. grasp ball of foot and _____ for ____ times,
  5. _____ toes and ______ for___ times,
  6. maintain stretched position and ______ (____ to___ and ____ to ____)
A

Chronic plantar heel pain

Plantar fascia and calf stretching

  1. calf
  2. plantar fascia, calf
  3. HEP
  4. DF, 15-20
  5. extend, DF, 15-20
  6. massage, M-L, Heel-Toe
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10
Q

Strengthening of _______

  1. ____ toe - curling exercises with ___
  2. can be done ___ or ____ leg
  3. ___ foot exercises
  4. ___ foot in ___ direction
  5. bring head of _____ toward ____ without ___
  6. 3 sets of ___ holding arch in elevation for ____
A

strengthening of intrinsic foot muscles
Chronic plantar heel pain

  1. therabnd, grey band
  2. double, single
  3. short
  4. shorten, A-P
  5. 1st MTP, heel, flexing toes
  6. 5, 5
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11
Q

_______ acute management

begin \_\_\_\_\_ of involved \_\_\_\_\_\_
1. \_\_\_\_ and \_\_\_\_\_ ROM of involved \_\_\_\_\_\_ as \_\_\_\_\_
2. Use \_\_\_\_\_\_ for ROM in \_\_\_\_\_ WB
manual therapy 
3. \_\_\_\_\_ glides initiated \_\_\_\_\_\_
4. \_\_\_\_ stress to ATFL
5. grades \_\_\_\_ for pain and edema
A

Low Ankle sprain
Secondary acute management

mobility, ankle

  1. active, active assist, ankle, tolerated
  2. disk, partial
  3. A-P, ASAP
  4. no
  5. 1&2
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12
Q

bracing and taping

  1. improve _____ and _____
  2. _____ current evidence to say it increases it
  3. braces used for _____
A

Low Ankle sprain

  1. proprioception, joint position sense
  2. no
  3. injury prevention
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13
Q

Giving way, instability, persistent weakness
management
1. _____
2. A-P glide with increased ____ - ____ them into range to improve
3. strengthen with ___ & _____
4. progressive ____ exercises
5 stable surface to ____ with eyes _____
6. ___ leg stance
7. ______ and reach in ______

A

Chronic ankle instability

  1. MWM
  2. DF, push
  3. CC, OC
  4. balance
  5. disk, open and closed
  6. single
  7. stand, multiple directions
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14
Q

____ therapy

  1. can provide short and long term (___) improvement in pain and function
  2. _____ A-P (teach for HEP)
  3. ____ distraction manip
  4. _____ M-L glide
A

Manual therapy
Chronic plantar heel pain

  1. up to 6 mos
  2. talocrural
  3. subtalar
  4. subtalar
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15
Q

_____ acute management

Maintain function of _____ involved tissues

  1. ____ weight training
  2. _____ hip strength
  3. Strengthen _____ involved _____
A

Low Ankle sprain
Secondary acute management

non

  1. UE
  2. proximal
  3. non, LE
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16
Q

Things to give for ______ for ______

  1. ____ specific training
  2. ____ self mob
  3. Provide either ____ or ____ to support arch
  4. Foot ____ exercises with ____
A

Top 4 things to give on HEP for
Chronic plantar heel pain

  1. plantar fascia
  2. A-P
  3. BFO, taping
  4. intrinsic, theraband
17
Q

compression

A

Acute ankle injury goals

wrap 50% at toes and less as you go up. Fluid out of foot

  • u- pad for inc. compression
  • ankle pumps if tolerated with theraband - grey
18
Q

protect

A

Acute ankle injury goals

immediate bracing
aircast

19
Q

ice

A

Acute ankle injury goals

use in acute stage
vasoconstriction
1. 20 min on, 10 off, 10 on, 10 off, 10 on

20
Q

PRICE

A

Acute ankle injury goals

protect
rest
ice
compression
elevate