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Rehabilitation for Foot and Ankle Disorders

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Foot and Ankle Disorders

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Abstract

  1. 1.

    Rehabilitation to promote functional recovery and prevent complication should be considered as a part of the management of ankle and foot disorder and postsurgical care

  2. 2.

    The various types of rehabilitation approach, including modalities, range of motion exercises, stretching and strengthening exercises, proprioception, desensitization, and reconditioning, can be applied according to the impairment and symptoms presented.

  3. 3.

    The rehabilitation program adapts the three-phase system (acute, recovery, and functional phase) based on the acuteness and severity of the patient’s condition.

  4. 4.

    Proprioception and balance training have an important role in protecting the articular cartilage of the ankle and preventing recurrent injury in ankle instability.

  5. 5.

    Eccentric strengthening exercise of gastroc-soleus muscles is effective for pain relief and functional gain in patients with Achilles tendon dysfunction.

  6. 6.

    Understanding the basic physiology of electromyogram/nerve conduction studies for peripheral nerve injury of the foot and ankle assists clinicians in achieving optimal clinical management.

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References

  1. Lehmann JF, Brunner GD, Stow RW. Pain threshold measurements after therapeutic application of ultrasound, microwaves and infrared. Arch Phys Med Rehabil. 1958;39:560–5.

    CAS  PubMed  Google Scholar 

  2. Lehmann JF, Masock AJ, Warren CG, et al. Effect of therapeutic temperatures on tendon extensibility. Arch Phys Med Rehabil. 1970;51:481–7.

    CAS  PubMed  Google Scholar 

  3. Wright V, Johns RJ. Quantitative and qualitative analysis of joint stiffness in normal subjects and in patients with connective tissue diseases. Ann Rheum Dis. 1961;20:36–45.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  4. Schmidt KL, Ott VR, Rocher G, et al. Heat, cold and inflammation [review]. Rheumatology. 1979;38:391–404.

    CAS  Google Scholar 

  5. Lewis T. Observations upon the reactions of the vessels of the human skin to cold. Heart. 1930;15:177–208.

    Google Scholar 

  6. McGown HL. Effects of cold application on maximal isometric contraction. Phys Ther. 1967;47:185–92.

    CAS  PubMed  Google Scholar 

  7. Miglietta O. Action of cold on spasticity. Am J Phys Med. 1973;52:198–205.

    CAS  PubMed  Google Scholar 

  8. Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002;32(4):166–73.

    Article  PubMed  Google Scholar 

  9. Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Sports Med. 2006;36(3):263–77.

    Article  PubMed  Google Scholar 

  10. Nightingale EJ, Moseley AM. Passive dorsiflexion flexibility after cast immobilization for ankle fracture. Clin Orthop Relat Res. 2007;456:65–9.

    Article  PubMed  Google Scholar 

  11. Drewes LK, McKeon PO, Kerrigan DC, et al. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport. 2009;12(6):685–7.

    Article  PubMed  Google Scholar 

  12. Shaffer MA, Okereke E. Effects of immobilization on plantar-flexion torque, fatigue resistance, and functional ability following an ankle fracture. Phys Ther. 2000;80(8):769–80.

    CAS  PubMed  Google Scholar 

  13. Lin CW, Donkers NA. Rehabilitation for ankle fractures in adults. Cochrane Database Syst Rev. 2012;11:CD005595.

    Google Scholar 

  14. Moseley AM, Herbert RD. Passive stretching does not enhance outcomes in patients with plantar flexion contracture after cast immobilization for ankle fracture: a randomized controlled trial. Arch Phys Med Rehabil. 2005;86(6):1118–26.

    Article  PubMed  Google Scholar 

  15. Mortensen NH, Skov O, Jensen PE, et al. Early motion of the ankle after operative treatment of a rupture of the Achilles Tendon. A prospective, randomized clinical and radiographic study. J Bone Joint Surg Am. 1999;81(7):983–90.

    CAS  PubMed  Google Scholar 

  16. Macklin K, Healy A, Chockalingam N. The effect of calf muscle stretching exercises on ankle joint dorsiflexion and dynamic foot pressures, force and related temporal parameters. Foot. 2012;22(1):10–7.

    Article  CAS  Google Scholar 

  17. Terada M, Pietrosimone BG, Gribble PA. Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: a systematic review. J Athl Train. 2013;48(5):696–709.

    Article  PubMed Central  PubMed  Google Scholar 

  18. McKnight CM, Armstrong CW. The role of ankle strength in functional ankle instability. J Sport Rehab. 1997;6:21–9.

    Google Scholar 

  19. Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013;18(5):425–30.

    Article  PubMed  Google Scholar 

  20. McKeon PO, Fourchet F. Freeing the foot, integrating the foot core system into rehabilitation for lower extremity injuries. Clin Sports Med. 2015;34:347–61.

    Article  PubMed  Google Scholar 

  21. Alfredson H, Pietilä T, Jonsson P, et al. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998;26:360–6.

    CAS  PubMed  Google Scholar 

  22. Kedia M, Wiliams M, Jain L, et al. The effects of conventional physical therapy and eccentric strengthening for insertional Achilles tendinopathy. Int J Sports Phys Ther. 2014;9(4):488–97.

    PubMed Central  PubMed  Google Scholar 

  23. Lephart SM, Pincivero DM, Giraido JL, et al. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997;25(1):130–7.

    Article  CAS  PubMed  Google Scholar 

  24. Ashton-Miller JA, Wojtys EM, Huston LJ, et al. Can proprioception really be improved by exercises? Knee Surg Sports Traumatol Arthrosc. 2001;9:128–36.

    Article  CAS  PubMed  Google Scholar 

  25. Tropp H, Ekstrand J, Gillqurist J. Stabilometry in functional instability of the ankle and its value in predicting injury. Med Sci Sport Exerc. 1984;16:64–6.

    Article  CAS  Google Scholar 

  26. Chinn L, Hertel J. Rehabilitation of ankle and foot injuries in athletes. Clin Sports Med. 2010;29(1):157–67.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Fong DT, Hong Y, Chan LK, et al. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94.

    Article  PubMed  Google Scholar 

  28. Holme E, Magnusson SP, Becher K, et al. The effect of supervised rehabilitation on strength, postural sway, position sense and re-injury risk after acute ankle sprain. Scand J Med Sci Sports. 1999;9:104–9.

    Article  CAS  PubMed  Google Scholar 

  29. Youdas JW, McLean TJ, Krause DA, et al. Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain. J Sport Rehabil. 2009;18(3):358–7.

    PubMed  Google Scholar 

  30. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364–75.

    PubMed Central  PubMed  Google Scholar 

  31. Hopkins JT, Brown TN, Christensen L, et al. Deficits in peroneal latency and electromechanical delay in patients with functional ankle instability. J Orthop Res. 2009;27:1541–6.

    Article  PubMed  Google Scholar 

  32. Keles SB, Sekir U, Gur H, et al. Eccentric/concentric training of ankle evertor and dorsiflexors in recreational athletes: muscle latency and strength. Scand J Med Sci Sports. 2014;24(1):29–38.

    Article  Google Scholar 

  33. Konradsen L, Olesen S, Hansen HM. Ankle sensorimotor control and eversion strength after acute ankle inversion injuries. Am J Sports Med. 1998;26(1):72–7.

    CAS  PubMed  Google Scholar 

  34. Akbari M, Karimi H, Farahini H, et al. Balance problems after unilateral lateral ankle sprains. J Rehab Res Dev. 2006;43(5):819–24.

    Article  Google Scholar 

  35. Bernier JN, Perrin DH. Effect of coordination training on proprioception of the functionally unstable ankle. J Orthop Sport Phys Ther. 1998;27(4):264–75.

    Article  CAS  Google Scholar 

  36. Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2007;37(6):303–11.

    Article  PubMed  Google Scholar 

  37. Olsen OE, Myklebust G, Engebretsen L, et al. Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ. 2005;330(7489):449.

    Google Scholar 

  38. Behm DG, Colado JC. Instability resistance training across the exercise continuum. Sports Health. 2013;5(6):500–3.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Diaz I, Gil JJ, Sanchez E. Lower-limb robotic rehabilitation: literature review and challenges. J Robot. 2011; Article ID 759764.

    Google Scholar 

  40. Roy A, Krebs HI, Williams DJ, et al. Robot-aided neurorehabilitation: a novel robot for ankle rehabilitation. Robotics IEEE Trans Robot. 2009;25(3):569–82

    Google Scholar 

  41. Punt I, Ziltener J, Monnin D, et al. Wii FitTM exercises therapy for the rehabilitation of ankle sprains: its effect compared with physical therapy or no functional exercises at all. Scand J Med Sci Sports. 2015. [Epub ahead of print].

    Google Scholar 

  42. Shields CA, Needle AR. Effect of elastic taping on postural control deficits in subjects with healthy ankles, copers, and individuals with functional ankle instability. Foot Ankle Int. 2013;4(10):1427–35.

    Article  Google Scholar 

  43. De Ridder R, Willems TM, Vanrenterghem J, et al. Effect of tape on dynamic postural stability in subjects with chronic ankle instability. Int J Sports Med. 2015;36(4):321–6.

    Article  PubMed  Google Scholar 

  44. Miyamoto W, Takao M, Yamada K, et al. Accelerated versus traditional rehabilitation after anterior talofibular ligament reconstruction for chronic lateral instability of the ankle in athletes. Am J Sports Med. 2014;42(6):1441–7.

    Article  PubMed  Google Scholar 

  45. Petrera M, Dwyer T, Theodoropoulos JS, et al. Short- to medium-term outcomes after a modified Broström repair for lateral ankle instability with immediate postoperative weight bearing. Am J Sports Med. 2014;42(7):1542–8.

    Article  PubMed  Google Scholar 

  46. Beckenkamp PR, Lin CW, Chaqpar S, et al. According to a meta-analysis study, the functional recovery after ankle fracture may remain incomplete even two years after the injury. J Orthop Sports Phy Ther. 2014;44(11):841–51.

    Article  Google Scholar 

  47. Kingma JJ, De Knikker R, Wittink HM, et al. Eccentric overload training in patients with chronic Achilles tendinopathy: a systematic review. Br J Sports Med. 2007;41, e3.

    Article  CAS  PubMed  Google Scholar 

  48. Rees JD, Lichtwark GA, Wolman RL, et al. The mechanism for efficacy of eccentric loading in Achilles tendon injury: an vivo study in humans. Rheumatology. 2008;47(10):1493–7.

    Article  CAS  PubMed  Google Scholar 

  49. Magnussen RA, Dunn WR, Thomson AB. Nonoperative treatment of midportion Achilles tendinopathy, a systematic review. Clin J Sports Med. 2009;19:54–64.

    Article  Google Scholar 

  50. Habets B, van Cingel RE. Eccentric exercise training in chronic mid-portion Achilles tendinopathy: a systematic review on different protocols. Scand J Med Sci Sports. 2015;25(1):3–15.

    Article  CAS  PubMed  Google Scholar 

  51. van der Plas A, de Jonge S, de Vos RJ, et al. A 5-year follow-up study of Alfredson’s heel-drop exercise programme in chronic midportion Achilles tendinopathy. Br J Sports Med. 2012;46:214–8.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Donoghue OA, Harrison AJ, Laxton P, et al. Lower limb kinematics of subjects with chronic Achilles tendon injury during running. Res Sports Med. 2008;16(1):23–38.

    Article  PubMed  Google Scholar 

  53. Azevedo LB, Lambert MI, Vaughan CL, et al. Biomechanical variables associated with Achilles tendinopathy in runners. Br J Sports Med. 2009;43(3):288–92.

    Article  CAS  PubMed  Google Scholar 

  54. Suchak AA, Spooner C, Reid DC, et al. Postoperative rehabilitation protocols for Achilles tendon ruptures: a meta-analysis. Clin Orthop Relat Res. 2006;445:216–21.

    PubMed  Google Scholar 

  55. de Jong JR, Vlaeyen JW, Onghena P, et al. Reduction of pain-related fear in complex regional pain syndrome type I: the application of graded exposure in vivo. Pain. 2005;116(3):264.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Konkuk University Medical Center, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, Korea

    Heeyoune Jung MD

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  1. Heeyoune Jung MD
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Correspondence to Heeyoune Jung MD .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Konkuk University Medical Center, Seoul, Korea (Republic of)

    Hong-Geun JUNG

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Jung, H. (2016). Rehabilitation for Foot and Ankle Disorders. In: JUNG, HG. (eds) Foot and Ankle Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54493-4_19

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  • DOI: https://doi.org/10.1007/978-3-642-54493-4_19

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  • Print ISBN: 978-3-642-54492-7

  • Online ISBN: 978-3-642-54493-4

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