Table Info

Table 1.

Rehab phases with exercises prescribed

Clinical activity	Intervention	Outcome
Evaluation Phase 1 Weeks 1–2	Ankle ROM Ankle circles Bike Seated calf stretches Ankle isodynamic strengthening Theraband	Passive ROM DF 8 degrees PF 50 degrees IV 25 degrees EV 15 degrees MMT DF 4/5 PF 4/5
Treatment 1 Phase 2 Weeks 3–4	Ankle isotonic strengthening Single-leg calf raises Single-leg shuttle press Ankle coordination training BAPS board Biodex single-leg stability training 3-Way step taps Single-leg balance Firm surface Foam surface Eyes open Eyes closed Blaze Pod training FxlHT (weeks 3 and 4)	Passive ROM DF 12 degrees PF 55 degrees IV 30 degrees EV 20 degrees MMT DF 4+/5 PF 5/5
Treatment 2 Phase 3 Weeks 5–6	Lower extremity strengthening Deadlift barbell Star excursion exercise Y balance exercise Single-leg calf raises Plyometrics DL depth drop from 0.3 m Seated to DL hop to 0.3 m box Single-leg lateral hops (0.91 m, 1.22 m, 1.52 m) Elliptical FxlHT (weeks 5 and 6)	ROM DF 12 degrees PF 55 degrees MMT DF 5/5 PF 5/5
Discharge assessment Phase 4	Lower extremity strengthening Single-leg calf raises, ×30 each Sport related exercises Z-cone drills T-cone drill Basketball shooting and layup drills Functional hop testing (discharge)	-

Clinical activity

Intervention

Outcome

Evaluation

Phase 1

Weeks 1–2

Ankle ROM

Ankle circles

Bike

Seated calf stretches

Ankle isodynamic strengthening

Theraband

Passive ROM

DF 8 degrees

PF 50 degrees

IV 25 degrees

EV 15 degrees

MMT

DF 4/5

PF 4/5

Treatment 1

Phase 2

Weeks 3–4

Ankle isotonic strengthening

Single-leg calf raises

Single-leg shuttle press

Ankle coordination training

BAPS board

Biodex single-leg stability training

3-Way step taps

Single-leg balance

Firm surface

Foam surface

Eyes open

Eyes closed

Blaze Pod training

FxlHT (weeks 3 and 4)

Passive ROM

DF 12 degrees

PF 55 degrees

IV 30 degrees

EV 20 degrees

MMT

DF 4+/5

PF 5/5

Treatment 2

Phase 3

Weeks 5–6

Lower extremity strengthening

Deadlift barbell

Star excursion exercise

Y balance exercise

Single-leg calf raises

Plyometrics

DL depth drop from 0.3 m

Seated to DL hop to 0.3 m box

Single-leg lateral hops (0.91 m, 1.22 m, 1.52 m)

Elliptical

FxlHT (weeks 5 and 6)

ROM

DF 12 degrees

PF 55 degrees

MMT

DF 5/5

PF 5/5

Discharge assessment

Phase 4

Lower extremity strengthening

Single-leg calf raises, ×30 each

Sport related exercises

Z-cone drills

T-cone drill

Basketball shooting and layup drills

Functional hop testing (discharge)

BAPS: Biomechanical Ankle Platform System; MMT: manual muscle test; -: blank cell

Declarations

Author contributions

MC and AB: Conceptualization, Investigation, Writing—original draft, Writing—review & editing. MA: Conceptualization, Writing—review & editing. All authors read and approved the submitted version.

Conflicts of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All investigating authors/participants are Good Clinical Practice (GCP) certified by the Collaborative Institutional Training Initiative (CITI Program) for human subject research, ethics compliance and safety training. In addition, although Case Reports do not require IRB oversight, Atrium Health IRB Associate Director and Research Privacy Officer formally exempted this project from IRB oversight. Research coordinator of Atrium Health, Carolinas Rehabilitation, Sports Physical Therapy Residency program (Charlotte Campus), reviewed and verified manuscript for HIPAA and ethical compliance; and this study complies with the Declaration of Helsinki.

Consent to participate

Informed consent to participate in the study was obtained from all participants.

Consent to publication

Not applicable.

Availability of data and materials

Not applicable.

Funding

Not applicable.

Copyright

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