Lesson 1Acute management (first 72 hours): PRICE vs POLICE, analgesia options, when to use immobilization or controlled ROME go detail evidence-based acute care for di first 72 hours, compare PRICE and POLICE, right analgesia, when to use immobilization or early controlled motion, and criteria for protected weight bearing 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 documentationE provide step-by-step on-field management for suspected ankle inversion injuries, including scene safety, check-up, safe removal from play, immobilization and weight-bearing decisions, initial documentation, and talk with coaching 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 managementE cover team-based prevention of ankle sprains using balance and proprioception drills, external supports, taping and bracing protocols, footwear choice, and load management for soccer training 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 involvementE define when to send for specialist or surgery opinion, including chronic instability, recurrent sprains, big avulsion fractures, syndesmotic injuries, osteochondral lesions, and when conservative care no work for 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 limitationsE describe clinical features and grading of lateral ankle sprains I–III, including how e happen, pain place, swelling, bruising, laxity, and functional limits, to help accurate diagnosis, prognosis, and treatment for 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 compromiseE identify red flags wey show fracture or high-risk injury, including Ottawa Ankle Rules, big deformity, no fit bear weight, persistent instability, serious pain, and neurovascular compromise wey need 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 templatesE address good communication with players and coaching staff, including explain diagnosis, prognosis, return-to-play timelines, risk of recurrence, shared decision making, and standard documentation 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 structuresE review bones, ligaments, tendons, and neurovascular structures of lateral ankle, stress ATFL, CFL, PTFL, peroneal tendons, and dem roles for stability, common injury patterns, and meaning for exam and rehab.
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, plyometricsE outline phased rehab from acute protection to full performance, mix range-of-motion restoration, proprioceptive retraining, progressive strengthening, plyometrics, and soccer-specific drills while watch pain, swelling, 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 ratiosE explain objective return-to-play criteria after ankle inversion sprain, including hop and Y-Balance tests, strength benchmarks, limb symmetry indices, and sport-specific drills to guide safe progression to training 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 ultrasoundE guide imaging decisions after ankle inversion injury, cover Ottawa Ankle Rules for X-ray, weight-bearing radiographs, and when to order MRI or ultrasound to check ligaments, tendons, cartilage, and hidden 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 tendernessE focus on key ankle exam maneuvers, including anterior drawer and talar tilt tests, palpation of ATFL, CFL, and bony landmarks, check swelling and range of motion, and document findings for ongoing 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 forcesE explore soccer-specific mechanisms of inversion sprain, including landing from headers, cutting, tackling, contact with opponents, and surface factors, link 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
