Acute Ankle Sprain Treatment and Early Rehabilitation Care

1
Acute Ankle SprainTreatment and Early
Rehabilitation Care

• Virginia M. Clerkin RN, BSN
• June 2006
• vclerkin_at_ramapo.edu
• Website created and maintained by V. Clerkin,
  2006. All information contained in this website
  is based on medical research and is provided for
  general education. Always consult your doctor
  before you engage in any type of health remedy or
  procedure. This site is not a substitute for
  regular medical care.

2
Goals
(Cowboy Bob's Cowboy Calisthenics, 2000)

• Patient will
• regain full use of their ankle.
• prevent chronic pain.
• develop ankle stability.
• perform initial rehabilitative exercises.

3
Instructional Objectives

• Patient will
  (NCERx,2005)
• explain proper procedure for RICE.
• discover the reasons why exercise helps recovery.
• begin to perform rehabilitative exercises.
• choose rehabilitation that will lead to a full
  recovery.

4
Ankle Ecchymosis (bruising) (www.train.tcu.edu/
ross/ANKECCHY.JPG)
5
R I C E

• R Rest
• 
  
  
• 
  
  (Clayton
  Soccer, n.d.)
• 
  (Eastern Mennonite University, n.d.)

6
R I C E

• I Ice
• (bbc.co.uk,n.d.)

(McKinley Health Center, 2004)
7
R I C E

• C Compression
• (Brooksidepress.org, 2001)
  (Amazing Socks, n.d.)

8
R I C E

• E Elevation
• 
  (Growing Well, 2005)
• 
  (Family Health Media, 2005)

9
Review of RICEQuestion 1

• Should you walk on a sprain if it hurts?
• True False

10
Question 1, you answered true.

• Sorry, you should not walk on a sprained ankle if
  it hurts!
• Go Back and try again!

11
Question 1, you answered False.

• Yahoo! You are correct. If your sprained ankle
  hurts you should not walk on it. You should rest
  it, ice it, and after icing, compress it. and
  do not forget to elevate it above your heart.
• Click here for your next question,
• you are well on your way!

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Question 2 Should you exercise
your sprain?

• True False

13
Question 2, you answered true.

• Yippy, hooray!!!
• You should begin to move the joint as soon as
  possible as long as you do not have terrible
  pain!
• Click here for your next question,
• You are a champ, just one more to go!

14
Question 2, you answered false.

• Try again! If you do not exercise the joint, it
  will stiffen and you might have chronic pain and
  problems later in life!
• Go Back and try again!

15
Question 3 Do you want your ankle to fully
recover?

• True False

(Spinal Care On Line, n.d.)
Google Image, n.d.)
16
Question 3, you answered true.

• Congratulations, click here (EXERCISE) for early
  rehabilitation exercises. You are off too a good
  start. Please remember to follow up with your
  doctor, and get his permission to perform any
  exercise.

17
Question 3, you answered false.

• Please go back and answer true, because you need
  to know how to make a full recovery from your
  ankle sprain!
• Back

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To Restore Normal Ankle FunctionRange of
Motion Exercises must be performed McKinley
Health Center, 2004)
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Further Web information may be found at

• http//mset.rst2.edu/portfolios/c/clerkin_v/
• American Academy of Orthopaedic Surgeons
  Sprained Ankle http//orthoinfo.aaos.org/fact/thr
  _report.cfm?thread_id152topcategoryFoot
• McKinley Health Center Ankle Sprain -
  http//www.mckinley.uiuc.edu/handouts/anklesprain/
  anklesprain.html
• ePodiatry.com Ankle Sprains http//www.epodiatry
  .com/ankle-sprain.htm

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References

• Amazing Socks (2006). Air lite ankle brace.
  Retrieved June 14, 2006, from http//www.amazingso
  cks.com/search.asp?searchqueryankleaircastsear
  chtypecategory
• Clayton Soccer (n.d.). Fitness. Retrieved June
  13, 2006, from www.claytonsoccer.com/
  fitness/img/rice1.gif
• Cowboy Bob's Cowboy Calisthenics (2000).
  Stationary runner. Retrieved June 13, 2006, from
  www.lemen.com/jump24.gif
• Eastern Mennonite University (n.d.).
  Nursing-crutches. Retrieved June 13, 2006, from
  www.emu.edu/nursing/ nursing-crutches.jpg
• Family Health Media (2005). Venous leg ulcers.
  Retrieved June 14, 2006, from www.familyhealthmedi
  a.com/ images/Elevation.jpg
• Google Image (n.d.). Crutches. Retrieved June 15,
  2006, from www.cgh.com.sg/.../ images/Crutches201
  0(new).gif
• Growing Well (n.d.). First aid - Principles of
  managing an injury Rice for injury releif.
  Retrieved June 13, 2006, from http//www.growingwe
  ll.com/motherscorner/1staid.htm
• Kenny, T., Kenny, B. (2005, March). Sprains.
  Retrieved June 13, 2006, from http//www.prodigy.n
  hs.uk/ProdigyKnowledge/PatientInformation/Content/
  pils/PL284.htm
• McKinley Health Center (2004). Ankle sprain.
  Retrieved June 13, 2006, from http//www.mckinley.
  uiuc.edu/Handouts/anklesprain/anklesprain.html
• NCERx (2005, June 24). Exercise and lowering
  cholesterol. Retrieved June 14, 2006, from
  www.cholesterolfocus.com/.../ exercise.php
• Oster, J. (2006, April 24). Ankle Sprain.
  Retrieved June 13, 2006, from http//www.myfootsho
  p.com/detail.asp?ConditionAnkleSprain
• Smith, C. (n.d.). Do it yourself physio.
  Retrieved June 14, 2006, from newsimg.bbc.co.uk/..
  ./ jpg/_40834636_peas203.jpg
• Spinal Care On Line (n.d.). What is an ankle
  sprain?. Retrieved June 15, 2006, from
  http//www.spinalcareonline.com/anklesprains.htm
• Texas Christian University (n.d.). Ankle
  ecchymosis. Retrieved June 13, 2006, from
  www.train.tcu.edu/ ross/ANKECCHY.JPG