165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

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Skateboarder’s Ankle Sprain Gets Better!

 

Ligaments Lateral View, ankle of skateboarder

At Comstock Physical Therapy we treat all kinds of folks, younger, older, and in between. We treat athletes from club teams, recreational athletes and folks with other,  more unique kinds of injuries.  

This young man received an ankle sprain when falling off his skateboard and  had a lot of pain walking an appreciable distance when he first came to physical therapy.  He had difficulty even fully squatting to tie his shoes, or pick something up from the ground.  He was not able to skateboard, which is his long term goal.  

After he started physical therapy, it was found that he had pain with squatting due to pinching and painful feeling where he actually sprained his ankle, on the outside and front of the ankle.  The ligament is called the anterior talofibular ligament.  

The ligament swelled and got pinched.  After moving the specific joints to improve his ability to squat, and giving him strengthening exercises, he began to get better.   His exercises inclued balance exercises on a dynadisc, theraband exercises for strengthening and range of motion exercises to improve his mobility both with his foot up in the air (open chain exercises) and with his foot in the ground and him in the sitting position (closed chain with partial weight bearing).  

After about 4 weeks we put him on an IJOY machine which challenges patients in side to side motions and kind of moves like a skateboard.  Here is a picture of how he did:

 

 

After another week he got quite a bit better and actuallty did a 180 flip on the IJOY

 

 

This week I've asked him to skateboard on a dry, flat surface and he has been cut down to 1x/week.  Hopefully he'll be done sone and back to the sport he loves:

skateboarding!

Comstock
Physical Therapy

165 Lilly Rd. NE, Suite B
Olympia, Washington 98506

360.455.8014

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8 hours ago

Comstock Physical Therapy

We have a rebounder at Comstock PT

Enjoy the video below. Funny ending! :)

5 Tool Sport
UPPER EXTREMITY PLYOMETRICS (wait til the end 😂)
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Plyos are a mainstay exercise for athletes in the mid-to-late stages of rehab for upper or lower extremity injuries (or can also be used for prevention)😏. They begin to prepare the affected structures and tissues to tolerate forces and stress more closely related to sport. For the #thrower 🥎⚾️, we like to use these as a precursor before interval throwing programs.
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There are many ways of accomplishing this, but here we show how to use a rebounder/trampoline to achieve dynamic shoulder plyos.
1️⃣ Chest pass
2️⃣ Diagonals
3️⃣ Overhead chop
4️⃣ 0° IR
5️⃣ 90° IR
6️⃣ 0° ER
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All incorporate a controlled concentric to eccentric phase and have the added bonus of adjusting to an external object. What others do you like??
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🔹Swanik et al. The effect of shoulder plyometric training on amortization time and upper extremity kinematics. JSR. 2016.
🔹 Wright, et al. Exercise prescription for overhead athletes with shoulder pathology: a systematic review with best evidence synthesis. BJSM. 2018.





#shoulder #upperextremity #plyometrics #overheadathlete #baseball #softball #baseballrehab #throwingrehab #sports #sportsrehab #sportsrehabilitation #sportsperformance #physicaltherapy #physicaltherapist #physiotherapy #DPT #studentphysicaltherapist #physio #sportsphysicaltherapist #sportsphysio #sportsphysicaltherapy #athletictrainer #athletictraining #ATC #sportsmedicine #rehabilitation #continuingeducation #exercise #strength
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8 hours ago

Comstock Physical Therapy
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