Today I had my first online triage of the semester. I was nervous as I thought I would be rusty. This was not the case. As soon as I got into the call I was confident in my questioning of the client and my overall diagnosis. I approached this triage differently as opposed to offering any treatment on the call I opted to develop a full treatment plan for the client post call and emailed it on the same day. This gave me more time to think through the rehab and I feel like it worked well for me as although I had a good idea of what I wanted to do for the rehab even on the call, it gave me an opportunity to better articulate and explain things as to not confuse the client. Ive inserted the treatment plan below.
Rehab plan-
To be completed every day if possible, working within RPE 13-16 – see BORG scale attached.
You may experience some swelling etc after conducting these exercises. I recommend that you Ice your ankle if you are experiencing discomfort after the exercises for 15-20 minutes.
| Exercise | Description | Sets and reps | Video link |
| Ankle ROMS | Take you ankle to the end range of movement for each exercise shown. End range is the point where you can’t move your ankle any further. Hold at end range for 6-10 seconds depending on tolerance. | 3 sets of 10 reps of all movements shown in the video.
6-10 second hold at end range. |
https://youtu.be/ViRsbvnL6uQ |
| Ankle ROMS with Towel | This exercise should help with dorsiflexion which you were saying you struggled with. Take the ankle to end range with the towel. Should see gradual increase in ROM throughout sets. | 10 sets of 3 reps.
6-10 second hold at end range. |
https://youtu.be/Zz30hjRKgqk |
| Marching/ Weight shifting | Weight transfers will help develop stability surrounding the ankle joint. | 3 sets of 10 weight transfers.
Once weight is transferred hold weight on foot for 5 seconds- increase time held depending on RPE tolerance. |
https://youtu.be/uvcJOSnivpw |
| Jockeys | One thing to take note of is foot and ankle placement at each stage. This will work on correct stance and movement in sit to stands . | 3 sets 10 reps
6 second hold at top of movement. |
https://youtu.be/NhZGW_zAPhc |
| Stork stands | This will really develop proprioception in your ankle and increase overall stability.
To begin with don’t worry if you cant come onto the ball of your foot but gradually incorporate this.
Make sure you’re working both legs |
5 sets of max time holds- relevant to RPE. | https://youtu.be/atDzc08CW54 |