Ankle Sprain

Ankle Sprain

Best Ankle Sprain Treatment In Delhi NCR.

What is Ankle Sprain?

  • Ankle sprain is when the ligament the support the ankle get overly
    stretched or torned.
  •  It is common making 25% of all sports related injuries.
Signs and Symptoms
  • Pain
  • Soreness
  • Swelling
  • Trouble bearing weight or walking on the ankle
  • Brusing
What causes Ankle Sprain?

When the ankle twist or when the foot rolls onto its side.

Ankle Joint

Ankle joint is a hinged synovial joint that is formed by the articulation of the talus, tibia and fibula bones.

Function

  • The ankle joint is important during ambulation because it adapt
    to the surface on which one walks.
  • Movements occur at the ankle joint are plantar flexion, dorsi
    flexion, inversion and eversion.
BFRT- Blood Flow Restriction Training
  • It is the technique that combines low intensity exercise with blood flow occulusion that produces similar results to high intensity training.
  •  It was initially developed in the 1960s in Japan and known as KAATSU Training.
  • It involves the application of pneumatic cuff proximally to the muscles that is being trained.
  • It can be applied to either the upper or lower limbs.
  • The cuff is then inflated to a specific pressure.
  • The patient is then asked to perform resistance exercise at a low intensity of 20 to 30 % of one repetition maximum with high repetitions per set 15
    – 30 and short rest intervals between sets (30 seconds).

BFRT Equipments

  • BFR Cuff:
    It requires a tourniquet to be placed on a limb.
    The cuff needs to be tightened to a specific pressure.
  • BFR Cuff width:
    10 to 12 cm cuffs are generally used.
  • BFR Cuff Pressure:
    Standard pressure 180 mmhg
    Pressure relative to the patients thigh circumference. 
How does BFRT work?
  • By restricting blood flow on the limb using a cuff we can reduce the
    amount of blood flowing out of the limb but still allow blood to flow in.
  • When we combine BFRT with very light exercise such as lifting a light
    weight metabolites build up in the limbs.
  • We should wait for the tissues to heal before being able to load the
    muscles to get benefits by BFRT
Procedure

UPPER LIMB – The Tourniquet is placed on the upper arm.
The cuff is inflated to restrict 50% of the arterial blood flow and 100% of the venous flow.

LOWER LIMB – The touniquet is placed on the upper thigh.
The cuff is inflated to restrict 80% of the arterial blood flow and 100% of the venous flow.

BFRT Achieves benefit from
  •  Increased release of growth hormone and lactate which drives muscle
    growth.
  • Increased type 2 muscle fibre activation which means increased
    muscle growth.
  • Increased vascularisation of the tissues.
  • Increased heart rate which means there is a cardiovascular training
    effect as well as the strength training effect.
Who can benefit from BFRT?
  1. Post Operative Patients
    • ACL reconstruction
    • Achilles repairs
    • Knee replacement etc.
  2. Injured Athletes-
  3. Older Deconditioned people those with arthritis.
Prevention

To reduce the risk of Achilles tendinitis:

  • Gradually increase your exercise intensity and duration
  • Avoid activities that place excessive stress on your tendons and never skip a good warm up
  • Choose your shoes carefully and use arch supports if necessary.
  • Stretch daily
  • Strengthen your calf muscles
  • Cross-train. Alternate high-impact activities, such as running and jumping, with low-impact activities, such as cycling and swimming.

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