• Avoid Ankle Sprains this Soccer Season

    May 05, 2016 | By Tony Yong

    Now that spring has arrived you and your family may finally be getting back to some of your favourite outdoor sports including soccer. Studies show that soccer has a surprisingly high injury rate and the lower body is the most affected area of the body. This is no surprise given the fast pace, rapid direction changes and player to player contact that characterizes this sport. This month we would like to discuss one of the most common injuries in soccer – lateral ankle sprains.

    What exactly is an ankle sprain?

    The term sprain refers to injuries, usually tears, to ligaments. Ligaments are strong pieces of connective tissue that join pieces of cartilage or bone together. Lateral ankle sprains, the most common type of ankle sprain, describes tearing to the ligaments that are located on the outside of the ankle (below what we often call our “ankle bone”). The typical cause of an ankle sprain is an inversion injury – the ankle is rolled inwards – which causes overstretching and even tearing to the ligaments that stabilize the outside of the joint.

    Sprains are classified in one of three ways depending on their severity:

    – A Grade 1 injury is the least severe and is described by mild swelling, pain and limited limping.

    – A Grade 2 injury is differentiated by having more pain, swelling, a noticeable limp and a longer recovery time.

    – A Grade 3 injury is the most severe and is characterized by significant pain, swelling, and an inability to put any weight on the foot. Recovery time can be up to 3 months.

     

    How can ankle sprains be prevented?

    Ankle sprains are common in sports that involve jumping and running – particularly when running and changing direction – such as basketball, soccer and gymnastics. Some people are predisposed to ankle sprains due to their foot mechanics or their body’s laxity (looseness) of ligaments throughout their body. Also once you have an ankle sprain you are more likely to experience another.

    But just because you have one or two of these predisposing factors doesn’t mean you are doomed to a life spent on the sidelines nursing a twisted ankle. There are things you can do to decrease your risk of an ankle injury. You must improve the stability of the joint by increasing your proprioception. Proprioception is our body’s ability to know where it is in space. This system becomes impaired after ligament injuries and is specifically experienced after ankle sprains as poor balance.

    If you have an ankle injury compare your ability to balance on just one foot on the injured side vs the uninjured side. If you notice you have decreased proprioception on one side then try these exercises to improve your ankle stability.

     

    One Leg Balance

    An Innovation Physical Thearpy physiotherapist demonstrating single leg balance

     

    1. Stand on just one leg for 30 seconds without holding onto anything. If this is too difficult then lightly place a few fingers on a countertop or the back of a chair. Gradually decrease your amount of support until you can do this without using your hands at all.

    2. Once you can do this then continue to challenge yourself by adding head movements or standing on a less stable surface like a shag carpet or pillow.

     

    One Legged Squats

    A diagram of a person squatting | Innovation Physical Therapy

     

    1. Do this exercise in front of a mirror so you can observe the position of your knee.

    2. Shift your bodyweight onto just one leg and slowly begin to squat down on your supporting leg.

    3. Watch the position of your knee as you lower your bodyweight – your kneecap should stay in line with your second and third toe. Resist the tendency of the knee to collapse inwards as you bend down.

     

    For more ways to challenge your proprioception and prevent ankle sprains schedule an appointment with your physiotherapist at Innovation Physical Therapy today!