Additional exam:shoes

PLAN
1. HMP on anterolat aspect of R ankle in longsitting x 20 mins to dec pain and inc tissue extensibility(?)
2. AROM towards plantarflexion, dorsiflexion, inversion, and eversion in shortsitting on R ankle x 8 reps x 3
sets to improve fluid dynamics and maintain joint integrity???
3. Toe curls on R foot in sitting position x 8 reps x 3 sets to maintain muscle integrity and inc circulation (ratio
from pp 52 to 53 of kisner)
4. Towel crumpling exercise on R foot x 8 reps x 2 sets to maintain muscle integrity, improve circulation, and
strenthen foot intrinsics
5. Writing the alphabet in air using R foot x 2 sets to strengthen foot intrinsics
6. Grade III distraction technique on R ankle x 1 min to inc ROM
7. MWM towards plantarflexion on R ankle in hooklying x 8 reps x 3 sets to inc ROM and improve joint
tracking
8. MWM towards dorsiflexion on R ankle in standing with on foot on a chair x 8 reps x 3 sets to unc ROM and
improve joint tracking
9. PNF stretching using hold-relax technique of R ankle plantarflexors, dorsiflexors, invertors, and evertors x
15sh x 3 reps to inc ROM
10. PREs using red theraband on R ankle towards plantarflexion, dorsiflexion, inversion, and eversion x 8 reps x
3 sets to inc muscle strength
11. Proprioceptive training on leveled surface c eyes open and eyes closed on R foot x 1 min x 3 sets to improve
proprioceptive
12. Balance training on leveled surface c perturbations x 1 min x 3 sets to improve balance
13. Gait retraining using bilat axillary crutches c visual, verbal, and tactile cues using modified 3-point gait
pattern on leveled surface ~20 m x 2 sets to improve amb

PROGRESSION
1. HMP on anterolat aspect of R ankle in longsitting x 20 mins to dec pain and inc tissue extensibility(?)
2. AROM towards plantarflexion, dorsiflexion, inversion, and eversion in shortsitting on R ankle x 12 reps x 3
sets to improve fluid dynamics and maintain joint integrity???
3. Toe curls on R foot in sitting position x 12 reps x 3 sets to maintain muscle integrity and inc circulation
4. Towel crumpling exercise c 2 lbs wts on R foot x 8 reps x 2 sets to inc muscle strength
5. Grade IV distraction technique on R ankle x 1 min to inc ROM
7. MWM towards plantarflexion on R ankle in hooklying x 10 reps x 3 sets to inc ROM and improve joint
tracking
8. MWM towards dorsiflexion on R ankle in standing with on foot on a chair x 10 reps x 3 sets to unc ROM and
improve joint tracking
9. PNF stretching using hold-relax technique (using new range) of R ankle plantarflexors, dorsiflexors,
invertors, and evertors x 15sh x 3 reps to inc ROM
10. PREs using green theraband on R ankle towards plantarflexion, dorsiflexion, inversion, and eversion x 8
reps x 3 sets to inc muscle strength
11. Proprioceptive training using wobble board c eyes open and eyes closed on R foot x 1 min x 3 sets to
improve proprioception
12. Balance training on leveled surface c perturbations x 1 min x 3 sets to improve balance

13. Gait retraining in // bars c visual, verbal, and tactile cues using FWB on leveled surface ~20 m x 2 sets to
improve amb
14. LE ergometer x 15 minutes to improve endurance
15. Plyometrics using vertical jump x 1 min x 3 sets to improve power
16. Running x 10 minutes to improve agility
PATIENT EDUCATION
1. Wear splint prn
2. Teach pt open basket taping technique
3. Proper shoes in cheerdancing should be worn
4. Teach patient how to land properly
HEP
1. AROM towards plantarflexion, dorsiflexion, inversion, and eversion in shortsitting on R ankle x 8 reps x 3
sets to improve fluid dynamics and maintain joint integrity
2. Toe curls on R foot in sitting position x 8 reps x 3 sets to maintain muscle integrity and inc circulation
3. Towel crumpling exercise on R foot x 8 reps x 2 sets to maintain muscle integrity, improve circulation, and
strenthen foot intrinsics
4. Writing the alphabet in air using R foot x 2 sets to strengthen foot intrinsics
5. GPS of R ankle dorsifexors, plantarflexors, invertors, and evertors x 20 s x 2 reps to inc ROM