196,694 research outputs found
Penatalaksanaan Fisioterapi pada Kondisi Sprain Ankle Sinistra
No full textNama : Anre Novita Sari Br Malau
Program studi : D-III Fisioterapi
Judul : Penatalaksanaan Fisioterapi pada Kasus Sprain Ankle
Pembimbing : Rosintan M Napitupulu, AMd.Ft., SKM., MKM
Latar Belakang : Sprain Ankle adalah Sprain atau dalam bahasa awam dikenal dengan keseleo, cedera ini bisa terjadi karena peregangan yang berlebihan maupun stres secara mendadak pada sendi ankle sehingga menyebabkan robeknya ligamen yang berfungsi sebagai stabilitas persendian terhadap gerakan yang dilakukan. Tujuan : Untuk mengetahui penatalaksanaan fisioterapi pada kondisi sprain ankle sinistra dengan menggunakan modalitas terapi Tens, Ultrasound dan terapi latihan free active ke active resisted exercise. Metode : Metode penelitian studi kasus (case study) berisi tentang hasil intervensi fisioterapi menggunakan modalitas terapi Tens, Ultrasound dan terapi latihan free active ke active resisted exercise. Hasil : Setelah dilakukan terapi sebanyak 3 kali didapat hasil penilaian nyeri gerak Sprain ankle menurun pada Terapi Pertama 4 skala NPRS menjadi Terapi ke dua 5 skala NPRS, kekuatan otot (MMT) sprain ankle sinistra pada Terapi Pertama 4 menjadi Terapi ke dua 5 melawan tahanan abduksi shoulder sinistra Terapi Pertama tidak mampu melawan tahanan, Kesimpulan : terapi Tens,Ultrasound dan terapi latihan free active ke active resisted exercise dapat mengurangi nyeri, meningkatkan kekuatan otot dan meningkatkan aktivitas fungsional pada kasus sprain ankle
Kata Kunci : Sprain Ankle, Tens, Ultrasound dan terapi latihan free active ke active resisted exercise. / Name : Anre novita sari
Study program: D-III Physiotherapy
Title : Physiotherapy Management in Ankle Sprain Cases
Advisor : Rosintan M Napitupulu, AMd.Ft., SKM., MKM
Background: Ankle sprain is a sprain or in layman's language it is known as a sprain, this injury can occur due to excessive stretching or sudden stress on the ankle joint, causing tearing of the ligaments that function as joint stability against movements performed.Objectives: To determine the physiotherapy management of the left ankle sprain by using the therapeutic modalities of Tens, Ultrasound and free active exercise therapy to active resisted exercise.Method: The case study research method contains the results of the interventionphysiotherapy uses Tens therapy modalities, Ultrasound and free active exercise therapy to active resisted exercise.Results: After 3 times of therapy, the results of the assessment of motion pain were obtained The ankle sprain decreased on the 4 NPRS scale to a 2 scale NPRS, left ankle sprain muscle strength (MMT) at 4 to 5,against left shoulder abduction resistance T1: unable to resist resistance,Conclusion: Tens therapy, Ultrasound and free active exercise therapy to active resisted exercise can reduce pain, increase muscle strength and increase functional activity in cases of sprained ankle
Keywords: Sprain Ankle, Tens, Ultrasound and free active exercise therapy to active resisted exercis
Ankle sprain and podoscopic footprint pattern in female volleyball players
No full text: Ankle sprain (AS) is the most common sports injury that can be complicated by chronic joint instability. The aim of this study was to examine the relationship between foot types and the ankle sprain events suffered during the sport career in female volleyball players. In this retrospective study, we randomly selected 98 female volleyball players competing in several divisions. Data were obtained from self-administered questionnaires in which the athlete noted data about volleyball practice, whether they had had ankle sprains and the number of these events. Plantar footprint was photographed by a plantoscope classifying each foot as normal, flat or cavus (196 feet). Of the 196 feet, 145 (74.0%) were normal, 8 (4.1%) were flat 43 and (21.9%) were cavus. Thirthy-five athletes reported at least one AS during volleyball practice. In total 65 sprain injuries were reported (35 to the right side and 30 to the left side). In 22 ankles (14 right, 8 left) sprain reinjure (AS >1) have been reported. A higher AS reinjury rate is correlated to the cavus footprint pattern (p = 0,005). Cavus foot associates to a higher risk of reinjury for ankle sprains in female volleyball players. Knowing the athletes which are more likely to sustain a reinjure may be helpful for the orthopedic surgeon to plan preventive strategies
Functional effects of ankle sprain
No full textAnkle sprain is one of the most common sports-related injuries and can lead to recurrences and chronic ankle instability (CAI). In the acute phase, ankle sprain patients experience mostly pain, limited ankle mobility, and reduced ankle muscle strength. CAI patients have a history of their ankle “giving way” and/or “feeling unstable,” after at least one significant ankle sprain. They continue to suffer from pain and impaired performance during functional tasks. Both acute ankle sprains and CAI have a negative influence on daily life activities such as walking, sports-related activities such as jump landings, as well as on patients’ perception of health and function. Functional deficits should be carefully assessed for appropriate clinical decision making and to propose the most suitable, individualized (physiotherapeutic) intervention. Acute ankle sprains are first treated according to the rest, ice, compression, and elevation (RICE) protocol. Nonsteroidal anti-inflammatory drugs may also be recommended for pain management. A short period of immobilization by means of a lower leg cast can facilitate rapid decrease in pain and swelling. Afterward, functional exercise therapy is recommended. In the case of CAI, patients should wear external ankle support during sporting activities to reduce the risk of recurring sprains and undergo exercise therapy including balance and muscle strengthening exercises. New technologies could be implemented in future rehabilitation programs in order to offer athletes greater flexibility in terms of training time and more varied, sports-related, exercises at home
Epidemiology of Ankle Sprain at the United States Military Academy
No full textBackground
Ankle sprain is a common injury in athletic populations that results in significant time lost to injury.
Hypothesis
The incidence rates (IRs) of ankle ligament sprains are influenced by gender, height, weight, body mass index (BMI), physical conditioning, level of competition, type of sport, and athlete exposure to sport.
Study Design
Cohort study; Level of evidence, 2.
Methods
A longitudinal cohort study was performed to determine the effect of risk factors for ankle sprain at the United States Military Academy between 2005 and 2007.
Results
A total 614 cadets sustained new ankle sprains during 10 511 person-years at risk, resulting in an overall IR of 58.4 per 1000 person-years. Women (96.4), compared with men (52.7), had a significantly increased rate ratio (IRR) for ankle sprain of 1.83 (95% confidence interval [CI], 1.52-2.20). Men with ankle sprains had higher mean height, weight, and BMI than uninjured men (P < .001). Men with ankle sprains had higher average scores in push-ups, sit-ups, and run time than uninjured men (P < .001). Ankle sprain occurred most commonly during athletics (64.1%). Ankle sprain IR did not significantly differ between intercollegiate and intramural athletic competition after controlling for athlete-exposure (IRR, 1.05; 95% CI, 0.81-1.37). The ankle sprain IRR of female compared with male intercollegiate athletes was 0.93 (95% CI, 0.67-1.32) per 1000 person-years and 1.04 (95% CI, 0.74-1.47) per 1000 athlete-exposures. The intercollegiate sports of men's rugby, women's cheerleading, and men's/women's basketball, soccer, and lacrosse had the highest ankle sprain IR.
Conclusion
Higher mean height and weight in men, increased BMI in men, greater physical conditioning in men, and athlete exposure to selected sports were all risk factors for ankle sprain
Peroneal nerve palsy after ankle sprain: an update
No full textAnkle sprains are extremely common in the general population and the most common injuries in athletes. Although rare, peroneal nerve palsy may occur simultaneously with ankle sprain. The exact incidence of nerve injury after ankle sprain is not known; few cases of peroneal nerve palsy associated with ankle sprains have been reported in the literature. The function of the peroneal nerve should be evaluated in all patients with a history of inversion ankle sprain as part of the initial and follow-up evaluation, even if the initial neurological status is normal, because delayed peroneal nerve palsy is possible. This article discusses the incidence, pathophysiology, evaluation, diagnosis and differential diagnosis, and management of the patients with peroneal nerve palsy after ankle sprain aiming to increase the awareness of the treating physicians for this nerve injury. © 2016, Springer-Verlag France
Persistent pain following ankle sprain: Bilateral accessory soleus muscles
No full textPersistent pain following ankle sprain remains a difficult diagnostic and management dilemma. We report a 22 year old rugby player who presented with a persistent painful left ankle following a minor ankle sprain. After examination and imaging investigations, a symptomatic accessory soleus muscle was diagnosed on the left ankle, and an asymptomatic accessory soleus muscle on the right
Plyometric Training Versus Resistive Exercises After Acute Lateral Ankle Sprain
No full text Background: Plyometric training is a widely used method to improve performance in healthy athletes. It is highly recommended in the late stage of rehabilitation of many lower limb injuries. However, its effects on muscle strength and function in management of lateral ankle sprain have not been reported. Therefore, the objective of the current study was to determine the effects of plyometric training versus resistive exercises on muscle strength and function following acute lateral ankle sprain. Materials and Methods: Twenty-two athletes (aged from 20 to 35 years) of both sexes with grade I or II unilateral inversion ankle sprain participated in the study (at least 3 weeks after acute injury). They were randomly assigned to two groups. The first group received plyometric training, whereas the second one received resistive training for 6 weeks. Isokinetic peak torque/body weight for invertors and evertors at 30 degrees/s and 120 degrees/s and functional tests were assessed before and after training. Results: Both plyometric and resistive training improve isokinetic evertor and invertor peak torques and functional performance of athletes p < 0.05. There were no significant differences between groups concerning peak torque/body weight for invertors and evertors at both speeds measured p > 0.05. The functional test measures of the plyometric group were significantly higher than that of resistive group. Conclusion: Plyometrics were more effective than resistive exercises in improving functional performance of athletes after lateral ankle sprain. Level of Evidence: I, Prospective Randomized Study </jats:p
Y-balance test performance and BMI are associated with ankle sprain injury in collegiate male athletes
No full textObjectives: To determine if static balance, dynamic balance, ankle range of motion, body mass index (BMI), or history of an ankle sprain were associated with ankle sprain injuries within male and female collegiate athletes. Design: Prospective cohort. Methods: Three hundred and eighty-four male (age = 19.79 ± 1.80 years, height = 178.02 ± 10.39 cm, mass = 85.71 ± 17.59 kg) and one hundred and sixty seven female (age = 19.80 ± 1.52 years, height = 165.61 ± 7.08 cm, mass = 66.16 ± 10.53 kg) collegiate athletes involved in a variety of sports at a NCAA Division II or NAIA institution participated. Baseline measures of the Y-Balance (YBT), modified Balance Error Scoring System (mBESS), weight-bearing lunge test (WBLT), BMI, and history of ankle sprain were recorded. Participants were followed prospectively for two years and incidence of ankle sprain injury was documented. The average of the WBLT, mBESS, and YBT measures were used for analysis. Male and female participants were analyzed separately. Mann–Whitney U tests were utilized to identify variables which may be significantly associated with ankle sprain injury for logistic regression analysis. Results: A total of 59 (38 males and 21 females) individuals sustained an ankle sprain during the follow up period. The binary logistic regression revealed BMI (Nagelkerke R2 = 0.069; X2 = 12.89; p \u3c 0.001; OR = 3.85; 95% CI, 1.90–7.79; p \u3c 0.001) and anterior reach of the YBT (Nagelkerke R2 = 0.074; X2 = 13.70, p \u3c 0.001; OR = 3.64; 95% CI = 1.83–7.23; p = 0.01) were significantly associated with ankle sprain injury in male athletes. No variables were associated with ankle sprain injury within female athletes. Conclusions: Male collegiate athletes with greater BMI and lesser YBT anterior reach were at a greater risk of sustaining an ankle sprain injury
Identification of ankle sprain motion from normal activities by dorsal foot kinematics data.
No full textChan, Yue Yan.Thesis (M.Phil.)--Chinese University of Hong Kong, 2008.Includes bibliographical references (leaves 36-40).Abstracts in English and Chinese.Abstract --- p.iChinese abstract --- p.iiAcknowledgement --- p.iiiTable of Contents --- p.ivList of figures --- p.viList of tables --- p.viiChapter Chapter 1: --- Introduction --- p.1Chapter Chapter 2: --- Review of literature --- p.4Chapter 2.1 --- Chapter introduction --- p.4Chapter 2.2 --- Anatomy and kinematics of the ankle --- p.4Chapter 2.3 --- Epidemiology of ankle sprain --- p.6Chapter 2.4 --- Grading system for classification of ankle sprain --- p.7Chapter 2.5 --- Previous measures of protecting ankle from sprain injury --- p.7Chapter 2.6 --- Usage of motion sensors in human motion detection --- p.9Chapter Chapter 3: --- A mechanical supination sprain simulator for studying ankle supination sprain kinematics --- p.11Chapter 3.1 --- Chapter Introduction --- p.11Chapter 3.2 --- Methods --- p.12Chapter 3.3 --- Results --- p.17Chapter 3.4 --- Discussion --- p.17Chapter Chapter 4: --- Identification of simulated ankle supination sprain from other normal motions by gyrometers and accelerometers --- p.19Chapter 4.1 --- Chapter introduction --- p.19Chapter 4.2 --- Methods --- p.20Chapter 4.2.1 --- Data collection --- p.20Chapter 4.2.2 --- Support Vector Machine for classification of human motion --- p.22Chapter 4.2.3 --- Training the Support Vector Machine --- p.23Chapter 4.2.4 --- Support Vector Machine verification --- p.24Chapter 4.2.5 --- Choose the optimal position of motion sensor --- p.25Chapter 4.3 --- Results --- p.25Chapter 4.4 --- Discussion --- p.29Chapter Chapter 5: --- Summary and future development --- p.34References --- p.36List of publications --- p.41List of presentations at international and local conferences --- p.41Appendix I: --- p.42Related publication:"Chan, Y. Y., Fong, D. T. P., Yung, P. S. H., Fung, K. Y., & Chan, K. M (1998). A mechanical supination sprain simulator for studying ankle supination sprain kinematics. Journal of Biomechanics. 41(11), 2571-2574."Appendix II: --- p.46Ethical approval of the investigation of ankle torque and motion signal pattern in foot segment during simulate sprain and other motio
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