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Befor start, read the breif explantion about the sprain

• Inversion sprain
  1. Most common ankle sprain
  2. damaging ligaments are lateral side of the ankle joint
     1. anterior talofibular ligament : most common injured site
     2. calcaneofubular ligament : second most common injured site
     3. calcaneocuboid ligament : less frequently injured
• Eversion sprain
  • Less usual
  • damaging ligaments are medial side of the ankle joint : deltoid ligament

• Orthopaedic test
  1. Anterior drawer test
  2. Anterior talofibular ligamentous stress test
     • To assess the anterior talofibular ligament
     • therapist does Passive relaxed ROM of palntarflesion, inversion and addction applying overpressure at the end of the passive range.
  3. Inversion test = inversion talar tilt test = calcaneofubular ligamentous stress test
  4. Eversion test = Eversion talar tilt test =deltoid ligamentous stress test
     1. To assess anterior fibres of the deltoid ligament : therapist apply overpressure into eversion and plantarflexion of the ankle joint
     2. To assess middle fibres of the deltoid ligaments : therapist graps the hindfoot, then apply overpressure into eversion
     3. To assess posterior fibres of the deltoid ligaments : therapist apply overpressure into eversion and dorsiflexion of the ankle joint
  5. Calcaneocuboid ligamentous stress test
     1. To assess calcaneocuboid ligament
     2. Therapist supinate and adduct the forefoot with overpressure