Lesson 1Acute management (first 72 hours): PRICE vs POLICE, analgesia options, when to use immobilization or controlled ROMDetails evidence-based acute care in de first 72 hours, comparin PRICE and POLICE, right analgesia, when to use immobilization vs early controlled motion, and criteria for 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 documentationProvides stepwise on-field management of suspected ankle inversion injuries, includin scene safety, assessment, safe removal from play, immobilization and weight-bearin decisions, initial documentation, and communication 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-based prevention of ankle sprains usin balance and proprioception drills, external supports, tapin and bracin protocols, footwear choice, and load management strategies fit for soccer trainin and match demands.
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 to refer for specialist or surgical opinion, includin chronic instability, recurrent sprains, large avulsion fractures, syndesmotic injuries, osteochondral lesions, and failure of conservative care in competitive 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 clinical features and gradin of lateral ankle sprains I–III, includin mechanism, pain location, swellin, bruisin, laxity, and functional limitations, to support accurate diagnosis, prognosis, and treatment plannin 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 compromiseIdentifies red flags dat suggest fracture or high-risk injury, includin Ottawa Ankle Rules, marked deformity, inability to bear weight, persistent instability, severe pain, and neurovascular compromise needin urgent 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 templatesAddresses effective communication wid players and coachin staff, includin explainin diagnosis, prognosis, return-to-play timelines, risk of recurrence, shared decision makin, and standardized documentation and reportin 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 structuresReviews de bones, ligaments, tendons, and neurovascular structures of de lateral ankle, stressin ATFL, CFL, PTFL, peroneal tendons, and dem roles in stability, common injury patterns, and implications for examination and rehabilitation.
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, plyometricsOutlines phased rehabilitation from acute protection to full performance, integratin range-of-motion restoration, proprioceptive retrainin, progressive strengthenin, plyometrics, and soccer-specific drills while monitorin pain, swellin, and 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 objective return-to-play criteria after ankle inversion sprain, includin hop and Y-Balance tests, strength benchmarks, limb symmetry indices, and sport-specific drills to guide safe progression to trainin and competition.
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 imaging decisions after ankle inversion injury, coverin Ottawa Ankle Rules for X-ray, weight-bearin radiographs, and indications for MRI or ultrasound to assess ligaments, tendons, cartilage, and occult fractures.
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 on key ankle examination maneuvers, includin anterior drawer and talar tilt tests, palpation of ATFL, CFL, and bony landmarks, assessment of swellin and range of motion, and documentation of findins for ongoin management.
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 forcesExplores soccer-specific mechanisms of inversion sprain, includin landin from headers, cuttin, tacklin, contact wid opponents, and surface-related factors, linkin biomechanical forces to typical tissue injury patterns.
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
