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Chronic sprain? or Ankle Instability?

Thursday June 4, 2009
Source: The Second Online
ankle sprain is one of the most common injuries in both the sedentary population as one that is performing regular physical activity.
A fall, a wrong movement or a blow can cause ankle sprains acquaintances, who more often than desired become a chronic ailment, and the kinesiology professor at the Universidad Andres Bello, Paulina González explains that "the total all strains, between 25% to 50% of them residual symptoms maintained over time, an event which is called "chronic ankle instability (ICT)." A sprain according to the medical definition is "a momentary shift of the contact surfaces of a joint product of a movement that has exceeded the physiological limits." It is characterized by pain, swelling and inability to make quick movements. Paulina Gonzalez explained that this sudden translation, commonly results in damage to the level of the ligaments surrounding the ankle joint, tissues that play an extremely important role in maintaining joint stability. "Overall, the stability of any joint is maintained by passive anatomical elements among which are the ligaments, which will damage signs of laxity (loosening) at different levels and consequently joint instability, and anatomical elements represented mainly by active muscles. " It is common that after the medical management of this disease, patients are referred for Kinesiology sessions to terminate the inflammatory signs and symptoms, but has little knowledge of patients this goal is only the first part of treatment, and that the subsequent is one which specifically seeks to avoid the ICT. Recent studies have suggested that the ICT is given for two main reasons: presence of mechanical instability, which is mainly attributed to dysfunction of the ankle joint and surrounding anatomic structures, and functional instability, which is related to the breakdown in communication between the joint and the Central Nervous System. The faculty of the Universidad Andrés Bello specifies that "chronic ankle instability usually develops after an ankle sprain has not healed properly or was not fully rehabilitated. When the patient suffers from this injury, with consequent damage to ligaments explained, often affected the function of the joint together with the ability to maintain balance, which brings an increased chance of further injury causing the same characteristics and even perpetuating the ICT. " Each subsequent sprain leads to further weakening or stretching of the ligaments, leading to greater instability and likelihood of developing additional problems in the ankle. After the data related to the anatomy and causes of this injury, occupational stresses the importance of holding kinetics therapy after this type of damage, "because as professionals dedicated to patient rehabilitation, we will not only reduce discomfort and pain caused by this disease, but we will re-train all the tissues that surround the joint, who collectively and through proper communication with the central nervous system, will make this joint is suitable for all types of movements and activities of daily living or sports, depending on the requirements of each individual patient. " Thus chronic ankle sprains do not exist, but the recurrence of this injury is caused by recent or chronic instability of the joint.