MSK pathology- lateral ankle sprain

Question 1

a lateral ankle sprain involves injury to what?

Answer 1

the ligaments of the lateral ligament complex

Question 2

what two ligaments are most commonly affected by a lateral ankle sprain?

Answer 2

anterior talofibular ligament
calcaneofibular ligament

Question 3

a lateral ankle sprain typically occurs secondary to an __ stress to the ankle

Answer 3

inversion

Question 4

a lateral ankle sprain is more likely to occur in individuals who participate in sports requiring high levels of __ or __

Answer 4

agility or jumping

Question 5

what risk factors (4) are associated with lateral ankle sprains

Answer 5

history of ankle sprains
ligamentous laxity
poor proprioception
decreased ankle DF mobility

Question 6

what are the signs and symptoms (7) associated with a lateral ankle sprain?

Answer 6

pain and tenderness at the lateral aspect of the ankle
ecchymosis (discoloration under the skin typically due to bleeding that is caused by bruising)
edema
limited and painful inversion and PF ROM
laxity with ligamentous testing
decreased proprioception
antalgic gait

Question 7

what should initial physical therapy treatment of a lateral ankle sprain focus on __ __ through what interventions (6)?

Answer 7

controlling pain through rest, ice, compression, elevation, progressive weightbearing (using AD as indicated) and bracing or taping

Question 8

after the acute phase, treatment should focus on restoration of what things (5)?

Answer 8

restoration of ankle mobility
restoration of ankle strength
proprioceptive exercises
balance exercises
sport-specific agility training as indicated

Question 9

according to the acute lateral ankle sprain (ALAS) CPG, physical therapy should incorporate __ weightbearing following injury, __ or __, therapeutic exercise including what 5 types of intervention and what 3 types of manual therapy procedures

Answer 9

partial WB following injury
bracing or taping
therex: ROM, stretching, neuromuscular training, postural re-ed, balance training
manual: lymphatic drainage, soft tissue mobilization, joint mobilization

Question 10

for more severe, acute lateral ankle sprains, the CPG states that a physical therapist should use what kind of bracing/casting?

Answer 10

semi-rigid

Question 11

according the the acute lateral ankle sprain (ALAS) CPG, a physical therapy may use what type of modality may be used by the physical therapist?

Answer 11

cryotherapy

Question 12

according the the acute lateral ankle sprain (ALAS) CPG, a physical therapy may use what type of modality should be avoided by the physical therapist?

Answer 12

ultrasound

Question 13

according the the chronic ankle instability (CAI) CPG, what types of manual and therapeutic exercise should be used by the physical therapist?

Answer 13

manual: joint mobilization
therex: proprioceptive and neuromuscular exercises

Question 14

according the the chronic ankle instability (CAI) CPG, what types of interventions should be avoided by the physical therapist when being used as a stand alone intervention?

Answer 14

bracing or taping