Lesson 1Acute management (first 72 hours): PRICE vs POLICE, analgesia options, when to use immobilization or controlled ROMLooks at proven first aid in the first 72 hours, comparing PRICE and POLICE, right pain relief, when to brace or start gentle movement, and rules for safe weight on the leg for soccer players.
PRICE versus POLICE principlesCryotherapy, compression, and elevation useAnalgesia and anti-inflammatory optionsIndications for immobilization devicesEarly controlled ROM and weight bearingLesson 2On-field immediate management protocols: safe removal, immobilization options, and documentationGives step-by-step field handling for suspected ankle twists, covering safety first, checks, safe take-off play, bracing and weight choices, first notes, and chats with coaches.
Primary survey and scene safetyRapid ankle assessment on the fieldCriteria for assisted or stretcher removalOn-field immobilization and supportInitial documentation and handover notesLesson 3Prevention strategies for teams: balance/proprioception programs, external supports/taping protocols, footwear and load managementTalks about team ways to stop ankle sprains with balance drills, supports, taping rules, shoe picks, and load plans fit for soccer practice and matches.
Designing balance and proprioception circuitsProgressive single-leg stability trainingTaping techniques for lateral ankle supportBrace selection and fitting for soccerFootwear, surfaces, and load monitoringLesson 4Indications for specialist referral or surgical consideration: chronic instability, large avulsion fractures, syndesmotic involvementTells when to send to experts or think surgery, like ongoing wobbles, repeat twists, big bone pulls, ligament joins hurt, bone damage, or failed simple care in top soccer players.
Indicators of chronic ankle instabilityLarge avulsion fractures and loose bodiesSuspected syndesmotic or high ankle injuryOsteochondral lesions and cartilage damageFailure of rehab and return-to-play issuesLesson 5Clinical presentation and grading of lateral ankle sprains (I–III): signs, symptoms, and functional limitationsDescribes signs and grades of side ankle sprains I-III, like how it happened, pain spot, swelling, marks, looseness, and daily limits, to help right diagnosis, outlook, and plans for soccer folks.
Typical history and injury mechanismsGrade I clinical signs and functionGrade II clinical signs and functionGrade III clinical signs and functionFunctional impact on soccer performanceLesson 6Red flags indicating fracture or high-risk injury: Ottawa Ankle Rules, persistent instability, neurovascular compromiseSpots danger signs for breaks or bad hurts, using Ottawa Ankle Rules, big bends, no weight, lasting shakes, bad pain, and nerve-blood issues needing quick send-off.
Key elements of Ottawa Ankle RulesSigns of fracture and gross deformityInability to bear weight or severe painNeurovascular assessment and compromiseUrgent referral and emergency pathwaysLesson 7Communication with coaching staff and player: delivering prognosis, RTP timelines, documentation templatesHandles good talks with players and coaches, explaining what's wrong, outlook, play-back times, repeat risk, joint choices, and standard note forms.
Explaining diagnosis in clear languageDiscussing prognosis and RTP timelinesManaging expectations with coachesShared decision making and consentInjury reports and RTP documentationLesson 8Anatomy of the lateral ankle: ligaments, bones, tendons, and neurovascular structuresGoes over side ankle parts: bones, bands, ropes, and nerve-blood bits, key on ATFL, CFL, PTFL, side ropes, their steady role, usual hurts, and exam-rehab links.
Bony anatomy of ankle and hindfootATFL, CFL, and PTFL structure and rolesPeroneal tendons and dynamic stabilizersRetinacula and joint capsule supportNeurovascular structures at riskLesson 9Rehabilitation phases for ankle sprain: range-of-motion, proprioception, progressive strength, plyometricsMaps rehab steps from first protect to full play, mixing motion return, feel retrain, step strength, jumps, and soccer drills watching pain, swell, work.
Acute phase goals and protection strategiesRestoring dorsiflexion and plantarflexion ROMProgressive strengthening and endurance workProprioception and dynamic balance retrainingPlyometrics and soccer-specific reconditioningLesson 10Functional testing and objective criteria for return to training and competition: hop tests, Y-Balance, strength ratiosShows clear play-back rules post twist, with hop Y-balance, strength marks, side match, and game drills for safe step-up to train and match.
Single and triple hop test protocolsY-Balance test setup and scoringIsokinetic and handheld dynamometry useLimb symmetry index thresholds for RTPSoccer-specific functional field testsLesson 11Initial imaging and diagnostic choices: indications for X-ray, weight-bearing radiographs, and when to order MRI or ultrasoundGuides picture choices post twist, Ottawa for X-ray, stand films, and when MRI or scan for bands, ropes, cart, hidden breaks.
Applying Ottawa Ankle Rules for X-rayWhen to request weight-bearing radiographsMRI indications for ligament and cartilageUltrasound for ligaments and tendonsTiming and sequencing of imaging testsLesson 12Physical exam maneuvers for ankle: anterior drawer, talar tilt, palpation for ATFL/CFL/Osseous tendernessKeys on ankle checks: front pull, tilt test, feel ATFL CFL bones, swell motion note for ongoing care.
Inspection, swelling, and deformity checkPalpation of ATFL, CFL, and malleoliAnterior drawer test technique and gradingTalar tilt test performance and meaningAssessing ROM and strength at the ankleLesson 13Mechanisms of inversion sprain specific to soccer: landing, contact, and inversion forcesLooks at soccer twist ways: head lands, cuts, tackles, bumps, ground, linking forces to hurt spots.
Non-contact cutting and pivoting injuriesLanding from jumps and aerial duelsContact injuries from tackles and collisionsRole of playing surface and weatherFootwear, studs, and traction mechanics
