ANGKLE INJURY (SPRAIN ANGKLE)

N A M A K E L O M P O K :
1. SANDRA
2. DINAR
3. NABILA DWI LESTARI
4. MEILIA
5. NANA
6. NIKHLATUN
7. NINDYA
8. SAMUEL
9. SAYYID
10. SONI
11. WIDIANI
12. WILLY AFRILIAN ASRI
13. WINDA ARI PREHATYANI
 MENGENAL SPRAIN ANGKLE

CONTENTS ANATOMI ANGKLE

MEKANISME CIDERA

PENATALAKSANAAN FISIOTERAPI

KESIMPULAN
SPRAIN ANGKLE???
 Keseleo pergelangan kaki merupakan
salah satu cedera akut yang sering dialami
para atlet. Sendi pergelangan kaki mudah
sekali mengalami cedera karena kurang
mampu melawan kekuatan medial, lateral,
tekanan dan rotasi. Tidak seperti pada
cedera lain yang disebabkan oleh tekanan
tingkat rendah yang berulang-ulang dalam
jangka waktu yang lama. Cedera akut pada
pergelangan kaki disebabkan karena adanya
penekanan melakukan gerakan membelok
secara tiba-tiba.
ANATOMI ANGKLE

TULANG PADA ANGKLE

Tulang Tibialis
Tulang Fibula
Tulang Talus
Tulang Calcaneus

OTOT PADA ANGKLE

Plantar Fleksi
Gastrocnemius, Soleus, Plantaris, Peroneus longus, Tibialis posterior, Flexor
digitorum longus, Flexor halucis longus, Peroneus brevis.
Dorso Fleksi
Tibialis anterior, Ekstensor digitorum longus, Ekstensor hallucis longus,
Peroneus tertius
Inervasi
Tibialis anterior, Tibialis posterior
Eversi
Peroneus longus, Peroneus tertius, Peroneus brevis
Sendi ankle mempunyai 3 bagian ligament
yang menjaga ankle Anda stabil dan kuat
dalam melakukan gerakan. Pergerakan
yang terlalu kuat akan menyebabkan
peregangan pada ligamen pergelangan PTL : Posterior Talo
kaki, apabila peregangan tersebut melebihi Fibular Ligament

batas dari kekuatan jaringan maka akan 03

terjadi robekan pada ligamen yang
menyebabkan timbulnya peradangan.

ATL : Anterior Talo CFL : Calcaneo Fibular

Fibular Ligament Ligament
MEKANISME CIDERA

Etiologi dari ankle sprain merupakan akibat dari gerakan

pergelangan kaki yang melebihi kekuatan ligamen ankle. Mekanisme
yang biasa terjadi adalah olahragawan yang tiba-tiba menapakkan kakinya
di lapangan. Perobekan pada ligamentum ATL, PTL, CFL menyebabkan
talus bergerak secara lateral, sehingga mengakibatkan degenarasi pada
persendian, dan juga berakibat adanya ruangan abnormal antara medial
malleolus dan talus (Arheim, 1985; 473, Peterson dan renstrom, 1990; 342-
343). Kekuatan inversi secara tiba-tiba dapat menyebakan berbagai
intensitas seperti perputaran yang tidak diharapkan pada ligamentum
lateral.
Penatalaksanaan Fisioterapi
P (PROTECTION)
Further injury can be
prevented by taping or
bracing your ankle
R (REST)
Rest from all activities that cause
pain or limping. If necessary,
use crutches until you can walk
without pain or limping.
I (ICE)
Place an ice bag on the ankle for 15 to
20 minutes, or use an ice bucket 3 to 5
times a day for the first 24 to 72 hours.
C (Compression)
Wrap an elastic bandage from the
toes to mid calf, using even
pressure. Wear this until swelling
decreases. Loosen the wrap if your
toes start to turn blue or feel cold.
E (ELEVATION)
Elevate the ankle above
heart level until swelling
subsides.
 Fase I

This phase overlaps with the acute phrase intervention. Generally, an uncomplicated inversion sprain can
be progressed through this phase over the span of 3 days. Indicators for going on to the next phase of care
are the ability to partially weight bear along with a reduction in pain and swelling. (Souza 2016)

1. AROM (progress from flexion and extension to ankle alphabet) Target: 1-3 sets of 15 repetitions, 3x/day.
Note: In severe sprains ROM into plantar flexion and inversion should be avoided until palpatory
tenderness over the anterior talofibular ligament has decreased.

2. Toe crunches with a towel (10 reps, 3x/day). Sometimes this may need to be delayed until the patient
can bear 50% of weight without pain.
 FASE II

phase II care overlaps with the previous phase of care and begins 3-5 days post injury. The patient’s goal
is to fully weight bear, have little or no evident swelling, and nearly complete active ROM so move on to the
last phase of rehabilitation. (Souza 2016) Patients should ice after activities.

 Aktif Resisted Dorso Flexi Angkle,

 Aktif Resisted Plantar Flexi Angkle,
 Aktif Resisted Inversi Angkle,
 Aktif Resisted Eversi Angkle
 Wall to knee concept,
 Wall to knee concept with resisted rubber,
For Self mobilization of the ankle
 Calf rise

When the patient is fully weight bearing, double and single heel raises can be introduced in the following
progression:
o bilateral, hold on to a table or sink (for balance and partly to decrease the load); when 20 repetitions can
be performed without pain, got to the next step, o single heel raises (holding on to table);
REHABILITATION PHASE III
This phase can usually begin approximately 2-3 weeks after initial care. The patient should be able to run and
hop without pain, though there may be pain at end range inversion. Training may extend another 3-9 weeks
based on degree of injury and sports or work demand.

• Continue strengthening exercises

• Progress to running and jumping activities. When strength, range of motion, and balance exercises have
been progressed fully as outlined above, progress from walking to running (forward, then backward, then
zigzags and figure 8’s), skipping, and hopping, an/or jumping rope based on patient’s activities and
recreational demands. Running and jumping activities must be multidirectional. The following are examples
of progressive jumping exercises:
1. Jump forward and backward over a line
2. Jump laterally over a line
3. Box drills: jump in the center of 4 boxes (jumping in various combinations: clockwise, counter clockwise,
diagonals).