Lesson 1Acute management (first 72 hours): PRICE vs POLICE, analgesia options, when to use immobilization or controlled ROMDetails evidence-based acute care in di first 72 hours, comparin' PRICE an' POLICE, right painkillers, when fi use brace-up or early controlled movement, an' rules fi protected weight bearin' in 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 on-field handlin' fi suspected ankle inversion injuries, includin' scene safety, check-up, safe take-off from play, brace-up an' weight-bearin' choices, first write-up, an' chat wid coachin' staff.
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 managementCovers team prevention fi ankle sprains usin' balance an' proprioception drills, outside supports, tapin' an' bracin' rules, shoe pickin', an' load handlin' plans fit fi soccer trainin' an' match needs.
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 involvementDefines when fi send fi specialist or surgery opinion, like chronic wobbly, repeat sprains, big bone chips, syndesmotic damage, bone surface lesions, an' when conservative care fail 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 how lateral ankle sprains I–III show up an' grade dem, includin' how it happen, pain spot, swellin', bruisin', looseness, an' daily limits, fi right diagnosis, outlook, an' treatment plan in soccer players.
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 compromisePoints out danger signs fi break or high-risk injury, like Ottawa Ankle Rules, big bend, can't bear weight, constant wobble, bad pain, an' nerve-blood trouble needin' quick referral.
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 chat wid players an' coachin' staff, explainin' diagnosis, outlook, return-to-play times, repeat risk, team decisions, an' standard write-up an' report templates.
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 bones, ligaments, tendons, an' nerve-blood parts of di side ankle, focusin' ATFL, CFL, PTFL, peroneal tendons, an' dem roles in steadyin', common hurt patterns, an' exam-rehab meanin's.
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, plyometricsLays out phased rehab from quick protect to full play, mixin' motion fix, feel-back trainin', step-up strength, jumps, an' soccer drills while watchin' pain, swell, an' function.
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 ratiosExplains clear return-to-play rules after ankle twist sprain, like hop an' Y-Balance tests, strength marks, side match, an' sport drills fi safe step-up to trainin' an' games.
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 pic choices after ankle twist hurt, coverin' Ottawa Rules fi X-ray, standin' pics, an' when fi MRI or ultrasound fi check ligaments, tendons, cartilage, an' 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 tendernessFocuses key ankle exam moves, like front pull an' tilt tests, feelin' ATFL, CFL, bone spots, checkin' swell an' motion range, an' recordin' fi 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 sprain ways it happen, like landin' headers, cuttin', tacklin', bump wid opponents, an' ground factors, linkin' body forces to usual tissue damage.
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
