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Phase I- Maximum Protection (Weeks 0 to 6)

  • Cast or boot for 6 weeks
  • Elevate the ankle above the heart
  • Non-weight bearing x 6 weeks
  • Multi-plane hip strengthening
  • Core and upper extremity strengthening

Phase II- Range of Motion and Early strengthening (Weeks 6 to 8)

  • Begin progressive weight bearing per physicians instructions
  • Orthotic support to maintain arch
  • Restoration of normal gait mechanics
  • Full active and passive ROM all planes
  • Isometric and early isotonic ankle
  • Foot intrinsic strengthening
  • Bilateral progressing to unilateral squat and linear step progression
  • Proprioception training with shoe and orthotic support
  • Non-impact cardiovascular work k

Phase III- Progressive Strengthening (3 to 6 months)

  • Pool progressing to dry land running
  • Functional training linear gradually progressing to lateral and rotational
  • Sport specific drills on field or court with orthotic
  • Sport test at 5-6 months based on progress

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