Ultrasound and Ankle Theraband Exercise for Grade 1 Dextra Ankle Sprain Rehabilitation

Authors

DOI:

https://doi.org/10.37251/jthpe.v2i2.3344

Keywords:

Ankle Sprain, Exercise Therapy, Joint Range of Motion, Muscle Strength, Ultrasound Therapy

Abstract

Purpose of the study: This study aimed to determine the effectiveness of physiotherapy management using ultrasound (US) modality and ankle theraband exercise in reducing pain, increasing joint range of motion, improving muscle strength, and restoring functional mobility in patients with grade 1 dextra ankle sprain.

Methodology: This study used a descriptive case study method involving one patient with grade 1 dextra ankle sprain. Physiotherapy interventions included Ultrasound (US) modality and Ankle Theraband Exercise conducted in three therapy sessions. Evaluation instruments consisted of Visual Analog Scale (VAS), goniometer for joint range of motion assessment, and Manual Muscle Testing (MMT) for muscle strength evaluation.

Main Findings: The findings showed a significant reduction in pain intensity, including tenderness, movement pain, and resting pain after three therapy sessions. Joint range of motion in the ankle increased progressively in sagittal and frontal movements. Muscle strength in flexor and inversor muscles also improved following intervention. Ultrasound and ankle theraband exercise effectively enhanced joint mobility, reduced pain, and increased muscle strength in grade 1 dextra ankle sprain patients.

Novelty/Originality of this study: This study provides practical evidence regarding the combined application of Ultrasound (US) modality and Ankle Theraband Exercise in managing grade 1 dextra ankle sprain. The originality of this research lies in integrating therapeutic exercise and physical modality interventions to simultaneously improve pain reduction, joint mobility, and muscle strength within a short physiotherapy treatment period

References

[1] K. S. P. D. S, N. Kadek, and Y. Fridayani, “Physiotherapy interventions in sprain ankle,” Kinesiol. Physiother. Compr., vol. 1, no. 1, pp. 14–18, 2022, doi: 10.62004/kpc.v1i1.5.

[2] M. Terada, B. G. Pietrosimone, and P. A. Gribble, “Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: A systematic review,” J. Athl. Train., vol. 48, no. 5, pp. 696–709, 2013, doi: 10.4085/1062-6050-48.4.11.

[3] B. J. Mccriskin et al., “Management and prevention of acute and chronic lateral ankle instability in athletic patient populations,” World J. Orthop, vol. 6, no. 2, pp. 161–171, 2015, doi: 10.5312/wjo.v6.i2.161.

[4] T. W. Kaminski and A. R. Needle, “Prevention of lateral ankle sprains,” J. Athl. Train., vol. 54, no. 6, pp. 650–661, 2019, doi: 10.4085/1062-6050-487-17.

[5] R. P. Mcgovern and R. L. Martin, “Managing ankle ligament sprains and tears : current opinion,” J. Sport. Med. ISSN, vol. 15, no. 4, 2020, doi: 10.2147/OAJSM.S72334.

[6] T. J. Hubbard, E. A. Wikstrom, and E. A. Wikstrom, “factors , and management strategies Ankle sprain : pathophysiology , predisposing factors , and management strategies,” J. Sports Med., vol. 15, no. 4, 2020, doi: 10.2147/oajsm.s9060.

[7] R. J. Brison et al., “Effect of early supervised physiotherapy on recovery from acute ankle sprain : randomised controlled trial,” BM J., vol. 13, no. 1, pp. 1–12, 2020, doi: 10.1136/bmj.i5650.

[8] T. J. Hubbard and C. A. Hicks-little, “Ankle ligament healing after an acute ankle sprain: An evidence-based approach,” J. Athl. Train., vol. 43, no. 5, pp. 523–529, 2020, doi: 10.4085/1062-6050-43.5.523.

[9] M. A. Tully, C. M. Bleakley, L. G. Rocke, D. C. Macauley, I. Bradbury, and S. Keegan, “sprain : randomised controlled trial,” BMJ J., vol. 13, no. 1, 2021, doi: 10.1136/bmj.c1964.

[10] M. J. Rivera, Z. K. Winkelmann, C. J. Powden, and K. E. Games, “Proprioceptive training for the prevention of ankle sprains: An evidence-based review,” J. Athl. Train., vol. 52, no. 11, pp. 1065–1067, 2020, doi: 10.1155/2015/842804.4.

[11] G. Caffini, S. Battista, A. Raschi, and M. Testa, “Physiotherapists ’ knowledge of and adherence to evidence ‑ based practice guidelines and recommendations for ankle sprains management : a cross ‑ sectional study,” BMC Musculoskelet. Disord., vol. 12, no. 1, pp. 1–12, 2022, doi: 10.1186/s12891-022-05914-5.

[12] G. Vuurberg et al., “Diagnosis , treatment and prevention of ankle sprains : update of an evidence-based clinical guideline,” BM J., vol. 52, no. 1, 2021, doi: 10.1136/bjsports-2017-098106.

[13] P. O. Mckeon and L. Donovan, “A perceptual framework for conservative treatment and rehabilitation of ankle sprains: an evidence- based paradigm shift,” J. Athl. Train., vol. 54, no. 6, pp. 628–638, 2019, doi: 10.4085/1062-6050-474-17.

[14] M. Quittan, “Rehabilitation of ligamentous ankle injuries: a review of recent studies,” Biomed Res. Int., vol. 12, no. 4, pp. 291–295, 2020, doi: 10.1136/bjsm.37.4.291.

[15] W. Petersen et al., “Treatment of acute ankle ligament injuries : a systematic review,” Arch Orthop Trauma Surg, vol. 133, no. 8, pp. 1129–1141, 2023, doi: 10.1007/s00402-013-1742-5.

[16] A. K. Sarcon, N. Heyrani, E. Giza, and C. Kreulen, “Lateral ankle sprain and chronic ankle instability,” Foot Ankle Orthop., vol. 4, no. 2, pp. 1–10, 2021, doi: 10.1177/2473011419846938.

[17] M. M. Herzog, Z. Y. Kerr, S. W. Marshall, and E. A. Wikstrom, “Epidemiology of ankle sprains and chronic ankle instability,” J. Athl. Train., vol. 54, no. 6, pp. 603–610, 2021, doi: 10.4085/1062-6050-447-17.

[18] E. Delahunt, “Risk factors for lateral ankle sprains and chronic ankle instability,” J. Athl. Train., vol. 54, no. 6, pp. 611–616, 2021, doi: 10.4085/1062-6050-44-18.

[19] M. Reiner, C. Niermann, D. Jekauc, and A. Woll, “Long-term health benefits of physical activity – a systematic review of longitudinal studies,” BMC Public Health, vol. 13, no. 1, pp. 1–9, 2023, doi: 10.1186/1471-2458-13-813.

[20] V. D. W. Dawm, V. D. H. Gj, V. D. B. S, G. Riet, D. W. Af, and V. D. B. Mpj, “Therapeutic ultrasound for acute ankle sprains ( Review ),” Cochrane Database Syst. Rev., vol. 12, no. 2, 2020, doi: 10.1002/14651858.CD001250.

[21] T. M. Best, K. E. Wilk, C. T. Moorman, and O. David, “Low intensity ultrasound for promoting soft tissue healing: A systematic review of the literature and medical technology,” Int. Med. Rev., vol. 2, no. 11, pp. 1–9, 2020, doi: 10.18103/imr.v2i11.271.Low.

[22] M. M. Hall, “Musculoskeletal ultrasound in physical medicine and rehabilitation,” J. Sport. Med. Cent., vol. 12, no. 1, pp. 38–47, 2023, doi: 10.1007/s40141-012-0003-9.

[23] H. Guan, Y. Wu, X. Wang, B. Liu, and T. Yan, “Ultrasound therapy for pain reduction in musculoskeletal disorders : a systematic review and meta-analysis,” Ther. Adv. Chronic Dis., vol. 15, no. 1, pp. 1–11, 2024, doi: 10.1177/20406223241267217.

[24] J. Paul, “Effect of ultrasound therapy and cryotherapy over taping technique in patients with acute lateral ankle sprain,” Int. J. Life Sci. Pharma Res., vol. 11, no. 4, pp. 9–15, 2021, doi: 10.22376/ijpbs/lpr.2021.11.4.L9-L15.

[25] C. D. D. L, “Effects of ultrasound therapy with taping PNF training and PNF training with taping in treatment and rehabilitation of sports injuries of high ankle sprain,” ournal Dr. NTR Univ. Heal. Sci., vol. 92, no. 6, 2021, doi: 10.4103/2277-8632.208003.

[26] G. Stucki, A. Cieza, and J. Melvin, “The international classification of functioning, disability and health: A unifying model for the conceptual description of the rehabilitation strategy,” Found. Rehabil. Inf., vol. 34, no. 12, pp. 279–285, 2020, doi: 10.2340/16501977-0041.

[27] D. T. Wade, “What is rehabilitation ? An empirical investigation leading to an evidence-based description,” Oxford Inst. Nursing, Midwifery Allied Heal., vol. 12, no. 2, 2020, doi: 10.1177/0269215520905112.

[28] D. Yin and K. Chong, “Benefits and challenges with gamified multi-media physiotherapy case studies : a mixed method study,” Chong Arch. Physiother., vol. 9, no. 1, pp. 1–11, 2019, doi: 10.1186/s40945-019-0059-2.

[29] K. M. Sattelmayer, K. C. Jagadamma, F. Sattelmayer, R. Hilfiker, and G. Baer, “The assessment of procedural skills in physiotherapy education : a measurement study using the Rasch model,” . Arch. Physiother., vol. 10, no. 1, pp. 1–11, 2020, doi: 10.1186/s40945-020-00080-0.

[30] N. Carey et al., “A comparative case study of prescribing and non-prescribing physiotherapists and podiatrists,” BMC Health Serv. Res., vol. 12, no. 1, pp. 1–20, 2020, doi: 10.1186/s12913-020-05918-8.

[31] N. R. Olsen, P. Bradley, K. Lomborg, and M. W. Nortvedt, “Evidence based practice in clinical physiotherapy education : a qualitative interpretive description,” BMC Med. Educ., vol. 13, no. 2, 2023, doi: 10.1186/1472-6920-13-52.

[32] S. Luiz et al., “Low-intensity pulsed ultrasound accelerates healing in rat calcaneus tendon injuries,” J. Orthop., vol. 41, no. 7, pp. 526–531, 2021, doi: 10.2519/jospt.2011.3468.

[33] P. Maria, A. Aling, and I. Maulang, “Physiotherapy management of grade i ankle sprain: A case report,” Indones. Sci. J. Physiother., vol. 13, no. 3, pp. 523–527, 2025, doi: 10.24843/mifi.000000367.

[34] T. Watson, “Ultrasound in contemporary physiotherapy practice,” Ultrasonics, vol. 48, no. 8, pp. 321–329, 2020, doi: 10.1016/j.ultras.2008.02.004.

[35] A. A. Saber and A. Saber, “Therapeutic ultrasound: Physiological role, clinical applications and precautions,” J. Surg., vol. 5, no. 1, pp. 61–69, 2028, doi: 10.11648/j.js.s.2017050301.22.

[36] A. T. O. Brien et al., “Impact of therapeutic interventions on pain intensity and endogenous pain modulation in knee osteoarthritis: A systematic review and meta-analysis,” Pain Med., vol. 20, no. January, pp. 1000–1011, 2019, doi: 10.1093/pm/pny261.

[37] Y. Shi and W. Wu, “Multimodal non ‑ invasive non ‑ pharmacological therapies for chronic pain : mechanisms and progress,” BMC Med., vol. 21, no. 1, pp. 1–29, 2023, doi: 10.1186/s12916-023-03076-2.

[38] L. Biase, E. Falato, M. L. Caminiti, P. M. Pecoraro, F. Narducci, and V. Di Lazzaro, “Focused ultrasound (fus) for chronic pain management: Approved and potential applications,” Neurol. Res. Int., vol. 23, no. 2, 2021, doi: 10.1155/2021/8438498.

[39] J. A. Cleland et al., “Manual physical therapy and exercise versus supervised home exercise in the management of patients with inversion ankle sprain: A multicenter randomized clinical trial,” J. Orthop. Sport. Phys. Ther., vol. 43, no. 7, pp. 443–455, 2023, doi: 10.2519/jospt.2013.4792.

[40] P. Mclaughlin, D. Stephensen, M. Hurley, P. Chowdary, and K. Khair, “Physiotherapy interventions for pain management in haemophilia : A systematic review,” Haemophilia, vol. 23, no. 9, pp. 667–684, 2020, doi: 10.1111/hae.14030.

[41] C. C. Lin, A. M. Moseley, R. D. Herbert, and K. M. Refshauge, “Pain and dorsiflexion range of motion predict short- and medium-term activity limitation in people receiving physiotherapy intervention after ankle fracture : an observational study,” Aust. J. Physiother., vol. 55, no. 1, pp. 31–37, 2009, doi: 10.1016/S0004-9514(09)70058-3.

[42] P. Xia et al., “Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta- analysis,” J. Pain Res., vol. 7, no. 9, 2017, doi: 10.2147/JPR.S131482.

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2026-05-30

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Ultrasound and Ankle Theraband Exercise for Grade 1 Dextra Ankle Sprain Rehabilitation. (2026). Multidisciplinary Journal of Tourism, Hospitality, Sport and Physical Education, 2(2), 256-264. https://doi.org/10.37251/jthpe.v2i2.3344