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After two weeks most of the rehabilitation is achieved through active exercise, although the physiotherapist may help regain range of movement by carrying out passive mobilising techniques. This involves the physio gently moving the bones of the ankle to help restore range of movement and relieve stiffness.
Exercise 1 |
The first exercise is to help restore the ankle's range of movement. Sitting on the floor, the ankle is pumped forward and back. 20 repetitions, 5 times daily. The patient progresses to doing the same exercise while sitting on a high bench or chair, letting the feet hang down. |
Exercise 2 |
This exercise uses a Resistance Band to strengthen the dorsi flexor muscles that pull the toes back towards the knee.
Slowly the foot is pulled back towards the knee.
20 repetitions, 5 times daily. |
Exercise 3 |
This exercise is designed to strengthen the plantar flexor muscles that
push the foot down, such as when pushing the peddles of a car.
20 repetitions, 5 times daily. |
Exercise 4 |
This exercise is a progression of the previous plantar flexor strengthening
exercises. 20 repetitions, 5 times daily. |
Exercise 5 |
This exercise is designed to strengthen the evertor muscles that enable
the foot to turn outwards. 20 repetitions, 5 times daily. |
Apart from mobilising and strengthening exercises, the rehabilitation for a sprained ankle can be greatly enhanced by practicing what are called proprioception exercises. These enhance neuromuscular control around a joint and are very important to the professional sportsperson. These exercises should be started as soon as pain allows.
The patient balances on the affected leg while partial weight-bearing. This should be done for 1 minute, followed by rest periods to avoid muscular fatigue.
Proprioception exercises can be done while partial weight-bearing first, then progressed to full weight-bearing, such as using a Wobble Board (below). The Wobble Board together with Ankle Brace are commonly used in the rehabilitation of ankle instability. Wobble boards are designed to assist the re-education of the proprioceptive system by improving sensory nerve function. Research has shown that wobble board training improves single leg stance ability and balance, while other studies have suggested that patients with ankle instability who underwent wobble board training experienced significantly fewer recurrent sprains during a follow-up period than those who did not follow the training programme.

The patient balances on the affected leg for 1 minute, followed by rest periods to avoid muscular fatigue.
For more proprioceptive exercises, see our Guide to Proprioception.
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