presented by Todd Davenport
This course is part of our OCS Prep-Program. Learn more about the full prep-program here: MedBridge OCS Prep-Program.
Lateral ankle sprains are a common injury that frequently results in prolonged pain and disability. The research evidence for physical therapy management of lateral ankle sprains is increasingly voluminous, making it difficult for the busy physical therapist to keep up their reading of the latest research evidence in order to engage in evidence based practice. This course provides recommended interventions based on the clinical practice guidelines for lateral ankle sprain and applies the interventions through a patient case scenario. Specific practical approaches and pearls will be highlighted, in order to help the learner integrate best practice recommendations from the clinical practice guideline.
Be sure to watch the first part of this two part series ICF Clinical Practice Guidelines Update: Lateral Ankle Sprains
Todd serves as a tenured Associate Professor in the Department of Physical Therapy in the Thomas J. Long School of Pharmacy and Health Sciences at the University of the Pacific in Stockton, California, where he teaches in the Doctor of Physical Therapy (DPT) program. Todd is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institute of Health in Bethesda, Maryland. Todd is a graduate of the Master of Public Health program at the Berkeley campus of the University of California. He has been continuously recognized as a Board-Certified Orthopedic Clinical Specialist by the American Board of Physical Therapy Specialties since 2005. Todd has worked to translate evidence from scientific research into best practices for physical therapy. He is a member of the Evidence-Based Documents Task Force of the Orthopedic Section of the American Physical Therapy Association (APTA), through which he has been involved with authoring two CPGs to date with emphasis on foot and ankle health conditions. He also has served on the multidisciplinary Primer Writing Committee of the International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (IACFS/ME) and as a content reviewer for clinical practice guidelines created by the American College of Occupational and Environmental Medicine. Todd is an Associate Editor of the Journal of Orthopaedic and Sports Physical Therapy, as well as a reviewer for several journals in the fields of rehabilitation and rheumatology. In addition to his teaching, scholarship, and service work, Todd practices clinically at the Kaiser Permanente offices in Stockton, California.
Hands-on treatments are very common in physical therapy and may be appropriately applied to people with lateral ankle sprains to reduce symptoms, improve range of motion, and increase function. The purpose of this chapter is to describe the research evidence and also guidelines-informed applications of specific manual physical therapy interventions.
This chapter will review therapeutic exercise applications for people with ankle sprains. Physical therapists, as human movement specialists, use exercise and activity as their chief form of intervention. The ability for physical therapists to plan and progress an exercise program for people with lateral ankle sprains will be critical for the best possible patient outcomes.
Early supported mobilization, manual therapy, and exercise form the backbone for best practices in physical therapy management of lateral ankle sprains. Other interventions were cited in the clinical practice guideline as having strong evidence for effectiveness, as well. The purpose of this section is to discuss strategies for providing other interventions that have a high likelihood of contributing to beneficial patient outcomes, specifically, external support and cryotherapy.
The purpose of this chapter is to demonstrate the application of the CPG to a specific patient’s case, in order to provide a comprehensive example of how the course content can be utilized.