P5140110

II

Posł-Acute (when acute post traumatic symptoms subsidc)

Elpctrical niodalities: as indicated prior to treatment

Lower Leg Iymphedema massape: 5 to 10 minutes posteriorly, 5 to 10 minutes anteriorly

Correcfiyę Kinesio Taping Application: Oncc the edema/swelling has been reduced, may only use anterior Iymphatic drainage strip.

Contrast Whirlpool: Contrast treatmcnt inidally from cold to warm Whirlpool. May start patient in cold Whirlpool for 4 minutes and hot for 1 minutes, repeat cycle 5 times and end in cold Whirlpool. As edema is reduced, use 3 cold - 2 hot, next 2 1 /5 cold 2 1 /5 hot, next 3 hot and 2 cold, next 4 hot and 1 cold. Each treatment pattem is used for 1 to 2 days and as edema is reduced ean initiate morę hot than cold Whirlpool treatments.

ROM: activc movemenłs as listed in acute treatment.

BAPS fbalanee) board: dockwise rotations, counterdockwise rotations, dorsi/plontar flexion, inversion and eversion

Progressiye Resistance Exerdses fPRE): graduaHng resistance as tolerated by patient 3 x 20 dorsiflexion 3 x 20 dorsi/lexion/extemaI rotation 3 x 20 dorsiflexion/intemal rotation (eversion sprains only)

3 x 20 plantar flexion 3 x 20 plantar flexioń with femur intemally rotated 3 x 20 plantar f!exion with femur exfemally rotated

<;ianthnard: 3 minutes, use of an board with inereasing angle of inclination to stretch posterior compartment musdes (gastrocnemius, soleus), which becomes shortenened due to lack of movement.

<?t.-ihilizaHon: Stand on toes of the injured foot for a total of 3 minutes with the longest repetition being no Ionger than 1 minutę.

Cardioyascular Training: Minimum of 30 minutes daily

Open Kinetic Chain Hxercises: When able to walk with normal gate may begin straight linę jogging and sport specific exercises as indicated by patient tolerance.

EiectricaJ Modaliries: As indicated following treatment

Kinesio Taping Method Application: Basic Kinesio Taping for musdes as indicated by mechanism of injury, or weakness. Application of Correction Application Techniąues to assist limitation of re-injury.

||    Medial view of lymphatic correcttoe techniąue to

the anterior, posterior, medial and lateral aspects of lower leg.

Photo on left: use of appropriate compression over the lymphatic corrective techniąue. A "horseshoe" has been appilied over the lateral malleolus. Madę of 1/2 iheh othopedic felt in a "U" shape. Covered by a light eompressive dressing: TUBIGR1P, Tetra Grip.

Photo on right: example of completed appUcation of "horseshoe" and compresssion.