Download as PDF

Phase I- Maximum Protection (Weeks 0 to 8)

  • Cast or boot for 8 weeks
  • Elevate the ankle above the heart
  • Non-weight bearing x 8 weeks
  • Multi-plane hip strengthening
  • Core and upper extremity strengthening

Phase II- Range of Motion and Early strengthening (Weeks 8 to 12)

  • Partial weight bearing based on healing and physician instruction
  • Passive and active ROM all planes
  • Isometric progressing to isotonic dorsi/plantarflexion
  • Hip, quadriceps and hamstring strengthening
  • Foot intrinsic strengthening
  • Orthotic Arch Support

Phase III- Progressive Strengthening (3 to 6 months)

  • Gradually wean out of boot and progress to full weight bearing
  • Restore full ROM all planes
  • Normalize gait mechanics
  • Progressive strengthening all planes
  • Closed chain bilateral progressing to unilateral strengthening
  • Proprioception training
  • Gradual progression to non-impact cardio-vascular and fitness activities

Download as PDF

Start typing and press Enter to search