Lesson 1Acute management (first 72 hours): PRICE vs POLICE, analgesia options, when to use immobilization or controlled ROMExplains proven first care in first 72 hours, comparing PRICE and POLICE, right pain relief, when to use brace or early gentle movement, and rules for safe weight on foot 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 care for suspected ankle twist, including safety first, check-up, safe take off field, brace and weight choices, first notes, and talk 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 managementCovers team ways to stop ankle twists using balance drills, supports, tape and brace rules, shoe choice, 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 expert or surgery think, like long-term wobble, repeat twists, big bone pulls, joint band hurts, bone surface damage, and 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 levels of side ankle twists grade I to III, like how it happened, pain spot, swell, bruise, looseness, and daily limits, to help right diagnosis, outlook, and plan 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 compromisePoints out danger signs for break or bad injury, like Ottawa Ankle Rules, big bend, no weight stand, lasting wobble, 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 templatesDeals with good talk with players and coaches, explaining diagnosis, outlook, return times, repeat risk, joint choices, and standard note and report 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 structuresLooks at side ankle parts: bones, bands, ropes, nerve-blood lines, key ATFL, CFL, PTFL, side ropes, their steady role, usual hurt ways, exam and heal effects.
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 heal steps from first protect to full play, mixing motion return, feel retrain, step strength, jumps, 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 return rules after ankle twist, like hop Y-Balance tests, strength marks, side match, sport drills for safe step to train and play.
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 after ankle twist, Ottawa Rules for X-ray, weight stand pics, MRI or sound 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 tendernessCenters on main ankle checks: front pull, tilt test, feel ATFL CFL bone sore spots, swell motion check, note for 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 ball land, cut, tackle, bump, ground factors, link force to hurt 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
