Lateral Ankle Sprain MASTER CLASS for Physical Therapists [Evidence Based]

By dpope2020

August 26, 2023

ankle injury, ankle pain, ankle rehab, ankle sprain, ankle sprain exercises, ankle sprain recovery, ankle sprain rehab, ankle sprain treatment, ankle sprains, dan pope, fitness pain free, how to, lateral ankle sprain, ortho eval pal, paul marquis pt, physical therapy, physio student, physio tutors, sports therapist, sprained ankle, sprained ankle exercises, sprained ankle treatment, student physio, talar tilt test, twisted ankle, youtube physio, youtube physiotherapy

Lateral Ankle Sprain MASTER CLASS for Physical Therapists [Evidence Based]

To go along with today's episode I have a nice infographic to share...

Evidence Based Lateral Ankle Sprain "Cheat Sheet" for Clinicians

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Click HERE to Download FREE

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In today's episode we go over a Lateral Ankle Sprain MASTER CLASS for Physical Therapists [Evidence Based]

Welcome coaches and clinicians to another video!  In today's video we go in depth on lateral ankle sprains:

  • Prevalence of Lateral Ankle Sprains
  • History of Lateral Ankle Sprains
  • Clinical Presentation of Lateral Ankle Sprains
  • Prognosis / Natural History of Lateral Ankle Sprains
  • Risk Factors for Developing Lateral Ankle Sprains
  • Mechanism of Injury for Lateral Ankle Sprains
  • Anatomy of Lateral Ankle Sprains
  • Diagnosis of Lateral Ankle Sprains
  • Differential Diagnosis of Lateral Ankle Sprains
  • Treatments for Lateral Ankle Sprains
  • Return to Work / Sport for Lateral Ankle Sprains
  • Future Injury Prevention of Lateral Ankle Sprains

That was about as much ankle information as anyone can really handle...

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Vuurberg G, Hoorntje A, Wink LM, et al. Br J Sports Med 2018

  2. van Middelkoop M, van Rijn RM, Verhaar JA, Koes BW, Bierma-Zeinstra SM. Re-sprains during the first 3 months after initial ankle sprain are related to incomplete recovery: an observational study. J Physiother. 2012;58(3):181-8. doi: 10.1016/S1836-9553(12)70109-1. PMID: 22884185.

  3. Kemler E, Thijs KM, Badenbroek I, van de Port IG, Hoes AW, Backx FJ. Long-term prognosis of acute lateral ankle ligamentous sprains: high incidence of recurrences and residual symptoms. Fam Pract. 2016 Dec;33(6):596-600. doi: 10.1093/fampra/cmw076. Epub 2016 Aug 17. PMID: 27535328.

  4. Bendahou M, Khiami F, Saïdi K, Blanchard C, Scepi M, Riou B, Besch S, Hausfater P. Compression stockings in ankle sprain: a multicenter randomized study. Am J Emerg Med. 2014 Sep;32(9):1005-10. doi: 10.1016/j.ajem.2014.05.054. Epub 2014 Jun 12. PMID: 25043629.

  5. Link: https://www.jospt.org/doi/10.2519/jospt.2013.4792 Cleland JA, Mintken PE, McDevitt A, Bieniek ML, Carpenter KJ, Kulp K, Whitman JM. Manual physical therapy and exercise versus supervised home exercise in the management of patients with inversion ankle sprain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2013;43(7):443-55. doi: 10.2519/jospt.2013.4792. Epub 2013 Apr 29. PMID: 23628755.

  6. Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J Orthop. 2020 Dec 18;11(12):534-558. doi: 10.5312/wjo.v11.i12.534. PMID: 33362991; PMCID: PMC7745493.

  7. Wagemans J, Bleakley C, Taeymans J, Schurz AP, Kuppens K, Baur H, Vissers D. Exercise-based rehabilitation reduces reinjury following acute lateral ankle sprain: A systematic review update with meta-analysis. PLoS One. 2022 Feb 8;17(2):e0262023. doi: 10.1371/journal.pone.0262023. PMID: 35134061; PMCID: PMC8824326.

  8. Smith MD, Vicenzino B, Bahr R, Bandholm T, Cooke R, Mendonça LM, Fourchet F, Glasgow P, Gribble PA, Herrington L, Hiller CE, Lee SY, Macaluso A, Meeusen R, Owoeye OBA, Reid D, Tassignon B, Terada M, Thorborg K, Verhagen E, Verschueren J, Wang D, Whiteley R, Wikstrom EA, Delahunt E. Return to sport decisions after an acute lateral ankle sprain injury: introducing the PAASS framework-an international multidisciplinary consensus. Br J Sports Med. 2021 Nov;55(22):1270-1276. doi: 10.1136/bjsports-2021-104087. Epub 2021 Jun 22. PMID: 34158354.

  9. Melanson SW, Shuman VL. Acute Ankle Sprain. [Updated 2022 May 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459212/

  10. Longo UG, Loppini M, Romeo G, van Dijk CN, Maffulli N, Denaro V. Bone bruises associated with acute ankle ligament injury: do they need treatment? Knee Surg Sports Traumatol Arthrosc. 2013 Jun;21(6):1261-8. doi: 10.1007/s00167-013-2383-5. Epub 2013 Jan 19. PMID: 23334625.

  11. Roos KG, Kerr ZY, Mauntel TC, Djoko A, Dompier TP, Wikstrom EA. The Epidemiology of Lateral Ligament Complex Ankle Sprains in National Collegiate Athletic Association Sports. Am J Sports Med. 2017 Jan;45(1):201-209. doi: 10.1177/0363546516660980. Epub 2016 Oct 1. PMID: 27573356.

  12. Ankle Sprain Image: 

    1. URL: https://commons.wikimedia.org/wiki/File:Ankle_sprain_6_--_Smart-Servier.png 

    2. Attribution: Laboratoires Servier, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons

  13. Johannsen, A. 1978. Acta Orthopaedica. Radiological diagnosis of lateral ligament lesion of the ankle: a comparison between talar tilt and anterior drawer sign.

  14. Sman AD, Hiller CE, Rae K, Linklater J, Black DA, Nicholson LL, Burns J, Refshauge KM. Diagnostic accuracy of clinical tests for ankle syndesmosis injury. Br J Sports Med. 2015 Mar;49(5):323-9. doi: 10.1136/bjsports-2013-092787. Epub 2013 Nov 19. PMID: 24255766.

  15. Ankle Sprain Image: URL: https://commons.wikimedia.org/wiki/File:Sprained_foot.jpg Attribution: Boldie, Public domain, via Wikimedia Commons

  16. Leong NL, Kator JL, Clemens TL, James A, Enamoto-Iwamoto M, Jiang J. Tendon and Ligament Healing and Current Approaches to Tendon and Ligament Regeneration. J Orthop Res. 2020 Jan;38(1):7-12. doi: 10.1002/jor.24475. Epub 2019 Sep 30. PMID: 31529731; PMCID: PMC7307866.

  17. Friel K, McLean N, Myers C, Caceres M. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train. 2006 Jan-Mar;41(1):74-8. PMID: 16619098; PMCID: PMC1421486.

  18. Powers CM, Ghoddosi N, Straub RK, Khayambashi K. Hip Strength as a Predictor of Ankle Sprains in Male Soccer Players: A Prospective Study. J Athl Train. 2017 Nov;52(11):1048-1055. doi: 10.4085/1062-6050-52.11.18. Epub 2017 Nov 8. PMID: 29116830; PMCID: PMC5737041.