Effects of the standard physiotherapy programme on pain and isokinetic ankle strength in individuals with grade I ankle sprain

Abstract

Objectives The isokinetic evaluation of the ankle joint is important in determining the effectiveness of the rehabilitation programme for the management of ankle sprains. This study aimed to determine the effects of physiotherapy programme on isokinetic variables in individuals with grade I ankle sprains. Methods Seven patients with acute grade 1 ankle sprain (15 days of ankle sprain) were recruited. They were provided with 7 days of protection, optimal loading, ice, compression, and elevation (POLICE) treatment, and the standard physiotherapy programme consisted of towel stretching and balancing exercises on one leg. Pain scale score was recorded daily during the physiotherapy programme. The isokinetic ankle strengths of the patient's injured and uninjured legs were compared before and after the physiotherapy programme. Isokinetic tests were conducted in painless range of motion for the injured leg. Results Pain was significantly reduced after the patients underwent the standard physiotherapy programme. No significant differences were observed in terms of the ankle peak torque, time to peak torque, and ankle plantar flexion-to-dorsiflexion ratio of the injured and uninjured legs. The injured leg showed significant improvement in terms of ankle eversion-to-inversion ratio (E:I) after 7 days of performing the standard physiotherapy programme. Conclusion Performing the standard physiotherapy programme for 1 week reduces pain and improves the ankle E:I in patients with grade 1 ankle sprain.

Effects of Whole-Body Vibration and Balance Training on Female Athletes with Chronic Ankle Instability

“…Brent et al reported that ankle invertor and evertor strength was significantly increased in college students with CAI after a 6-week strength training program [ 49 ]. Mohd Salim et al also observed that the ankle eversion/inversion strength ratio improved in the ankles of patients with CAI after a 1-week standard physiotherapy program [ 51 ]. These studies suggest that ankle eversion or inversion strength in the ankles of patients with CAI could be increased compared with those with healthy ankles after specific exercise training for mitigating CAI [ 49 , 51 ].…”

“…Mohd Salim et al also observed that the ankle eversion/inversion strength ratio improved in the ankles of patients with CAI after a 1-week standard physiotherapy program [ 51 ]. These studies suggest that ankle eversion or inversion strength in the ankles of patients with CAI could be increased compared with those with healthy ankles after specific exercise training for mitigating CAI [ 49 , 51 ]. However, we are the first to further examine the ECC and CON of eversion and inversion strengths at various angular velocities and compare training and nontraining groups in the context of the ankles of patients with CAI.…”

Early functional treatment or trivialization? – current treatment strategies in lateral ligament injuries of the ankle

“…This is in line with our results, where of the 213 clinics examined only 120 had rehabilitation data for lateral ligament injuries available. Green et al also mentioned that the majority of the rehabilitation protocols are out of date, although recommendations for specific steps for the early rehabilitation after lateral ligament injuries of the ankle have been published recently (Chen et al, 2019; Doherty et al, 2017; Keene, Williamson, Bruce, Willett, & Lamb, 2014; Mohd Salim, Umar, & Shaharudin, 2018; van den Bekerom et al, 2013; Vuurberg et al, 2018). However, these recommendations might not have been employed into clinical practice yet and therefore were not sufficiently implemented in our evaluated rehabilitation protocols.…”

“…The differentiation is crucial for adequate therapy. For example, a grade III ligament lesion requires a more cautious therapy than a grade I lesion (Brison et al, 2016; Mohd Salim et al, 2018; Scillia et al, 2017). Further protocols are needed with an individual therapy that refers to the severity of the injury.…”

Integrated Rehabilitation Approach Utilizing Swiss Ball Training, Mulligan Taping, and Mobilization With Movement for Simultaneous Management of Sacroiliac Joint Dysfunction and Lateral Ankle Sprain in a Badminton Athlete: A Case Study

“…Interventions such as neuromuscular training and balance exercises have demonstrated effectiveness in dealing with deficiencies in muscle strength. The strength training of weakened muscles is vital for prompt recovery and acts as a preventive measure against future injuries [ 9 ]. The typical approach to treating SIJ dysfunction through physical therapy focuses on addressing the abdomino-lumbo-sacro-pelvic-hip complex.…”