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Essays on ankle injuries
Studies on ankle injuries in sport
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PT Rehabilitation Plan
Ankle Sprains Overview
Ankle sprains have three degrees of injury ranging from 1-3. The level of the ankle sprain is determined by the amount that the ligament is torn or stretched. A grade one sprain is categorized as a slight stretching and damage to the fibers of the ligament. A grade 2 sprain is characterized as partial tearing of the ligament and abnormal laxity of the ankle. A grade 3 sprain is characterized by complete tear of the ligament if it can be pushed or pulled in certain movements there is gross instability. The movements of the ankle are abduction, adduction, plantar flexion, dorsiflexion, and inversion, eversion. The ligaments of the ankle hold the ankle bones and joint into position. These ligaments protect the ankle joint from abnormal movements such as twisting, turning, and rolling of the foot.
Lateral ligaments and their biomechanics: The anterior talofibular ligament, the calcaneofibular ligament, and the posterior talofibular ligament. When referring to the anatomic subtalar joint, the lateral complex is composed of the following ligaments: CFL, Lateral talocalcaneal ligament, the cervical ligament, and the interosseous talocalcaneal ligament.
In dorsiflexion the ATFL is loose, the CFL is taut, and the PTFL is maximally stretched. The reversed happens in plantarflexion. The CFL prevents adduction and acts virtually independently in neutral and in dorsiflexed positions. The maximum load to failure of the CFL is roughly 2-3.5 times greater than that for the ATFL. The ATFL can stretch the greatest amount before failure this allows internal rotation of the talus during plantarflexion, in contrast to the CFL and PTFL. The ATFL main role is to restrict internal rotation of the talus ...
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...is the only issue that they have to worry about. When a patient is able to walk for a specific period of time without pain then they can jog for the other 50% of the time. Progressing on through activities that require more strength for pushing off running is the next activity that is tested. Eventually a person can walk backwards and do patterned running such as figure 8’s, S’s and Z’s. Sports oriented rehab for ankles requires a little longer recovery time because their ankle must stand up to the forces that their sport demands. Such activities must take place under a trainer, coach, or physical therapist that is familiar with the sport. Activities whether they be every day or in a sport can be accompanied by ankle braces every often to add strength to the joint until strength is built up completely.
Works Cited
www.aafp.org
http://emedicine.medscape.com
Sometimes the UCL will weaken and stretch (technically a sprain), making it incompetent. Other times a catastrophic stress will cause the structure to "pop" or blow out. The injury isn't tremendously painful, and it can be incredibly diffic...
Achilles tendinopathy and its contributing pathologies has been a heavily researched topic throughout multiple professions. Although a unified consensus and classification on the underlying pathology is yet to be reached, a shift from the term tendinitis to tendinosis has slowly been adopted, and is now believed to follow a continuum. Previous incorrect belief of an inflammatory pathophysiology has lead to the development of treatment options that are inappropriate and unsuccessful, leaving the tendon unable to adequately heal or strengthen increasing its risk of repetitive re-injury and the development of chronic Achilles tendinopathy. As a result an understanding of the pathophysiology, its effect on lower limb function and biomechanical risk factors contributing to the development of Achilles tendinopathy need to be considered when developing a rehabilitation program to coincide with new research and to address the underlying degeneration and failed healing of the tendon.
Researchers have studied how to treat an ankle sprain, but there are not as many that have looked at whether using tape or using a brace is more effective in preventing injury.1, 3 Those who focus on prevention take into account proprioception, patient satisfaction, cost-benefit, and kinematics.2, 3, 4, 5 Evaluating various evidence provided in research, athletic trainers can decide which intervention is best suited for their practice.
Therapeutic stretches of the gastrocnemius and soleus muscles. If the ligament are weakened, cross fiber friction them to try to regain some of the integrity of the ankle back.
This article is about the results of a survey conducted by three PhD’s; Janet Simon, Matthew Donahue, and Carrie Docherty, and was published by the International Journal of Athletic Therapy and Training. The purpose of the survey was to determine Athletic Trainers current utilization of ankle support, and to determine ATs current attitudes towards the use of ankle taping and bracing. It gives some history and benefits of ankle bracing and taping, and how it has become a multimillion dollar industry, considering that 66-73% of all college athletes have reported an ankle sprain. Also, a third of people with ankle sprains will either re-sprain the ankle or report feelings of instability after the initial sprain. Ankle taping has become essential part of sports medicine,
C. As the body of calcaneum progresses proximally and lateral, it causes the superolateral fragment to rotate medially and to impact into spongy calcaneous bone which sweeps out the sheared off lateral wall fragment and results in commounited fragments impinging into the peronal tendon space against fibula.
ACL Injuries in Athletes The Anterior Cruciate Ligament (ACL) attaches the femur, which is the thighbone, and the tibia, which is the shin, together (northstar). A torn ACL is one of the most excruciating experiences in an athlete’s life. It is the first thing that comes to mind when they hurt their knee on the field; for many it is their greatest fear. A torn ACL can sometimes mean the end of an athlete’s career.
A 18-year-old male collegiate soccer athlete presented into the athletic training room with ankle pain. This ankle pain was due to a change of direction drill. The soccer team had been out on the field to get in shape for pre-season sprinting. The athlete had plantar flexed and inverted his left ankle. This athlete stated that he had no previous health issues prior to ankle in...
Ligaments are tough, non-stretchable fibers that hold bones together. Damage to cruciate ligaments, which crisscross the knee to give it stability, is one of the most common sports injuries. The “tear” occurs from changing direction rapidly, slowing down from running, or landing from a jump improperly. The A.C.L tear is one injury that worries athletes in all sports at all levels because of its devastating effects. People ages 15-25 that participate in basketball and other sports that require pivoting are especially at risk.
High school football players sustain a major proportion of season injuries. A major part of these regions are due to ligament sprains, targeted stretching exercises may be beneficial. The most injured players were those with the position of running back and linebackers. In the 2005-2006 season there were more than half a million injuries nationally of high school football players. This data was collected from over 100 high school football teams.
There are many injuries in general, but sports injuries? Sprains and Strains are the most common injuries in sports. “Sprains are injuries to ligaments, the tough bands connecting in a joint. Suddenly stretching ligaments past their limits deforms or tears them” (Hoffman 1). Ligaments are like springs in a sense that when you stretch a spring, it will return to it’s normal state unless they are
An ankle fracture is a break in one or more of the three bones that make up the ankle joint. The ankle joint is made up by the lower (distal) sections of your lower leg bones (tibia and fibula) along with a bone in your foot (talus). Depending on how bad the break is and if more than one ankle joint bone is broken, a cast or splint is used to protect and keep your injured bone from moving while it heals. Sometimes, surgery is required to help the fracture heal properly.
In order to understand how the menisci can be injured, you must understand the basic anatomy of the menisci and why they are important. The menisci are two oval (semilunar) fibrocartilages that deepen the articular facets of the tibia and cushion any stresses placed on the knee joint. They enhance the total stability of the knee, assist in the control of normal knee motion, and provide shock absorption against compression forces between the tibia and the femur (Booher, 2000). Articular cartilage covers the ends of the bones that make up the joint. The articular cartilage surface is a tough, very slick material that allows the surfaces to slide against one another without damage to either surface. This ability of the meniscus to spread out the force on the joint surfaces as we walk is important because it protects the articular cartilage from excessive forces occurring in any one area on the joint surface, leading to degeneration over time (Sutton, 1999).
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
These types of injuries could take upwards to eighteen months to return to playing condition, and in this time an athlete will often fall behind in the sport that they love. This often causes the athlete to quit the sport they once loved because they can no longer truly compete amongst their peers. I know that there has to be a way to accelerate this process of recovery and get those athletes back on the field. This is where my passion for orthopaedics