踝足扭伤拉伤康复

Pain at rest < 3/10 on VAS scale,Weight-bearing tolerance to tolerance with assistive device,ATFL and CFL ligamentous laxity grade I-II (stable varus stress test),Achilles tendon intact to palpation without crepitus,Plantar fascia tender to palpation but tolerating gentle stretch,Peroneal tendons non-irritated with active eversion against gravity

进入下一阶段： Early Mobilization

Pain with weight-bearing < 2/10,Ankle dorsiflexion ≥ 5° beyond neutral with knee extended,Plantar fascia flexibility improved (less pain with Windlass test),Peroneal tendon strength grade 3/5 with resisted eversion,Gastrocnemius-soleus complex tolerating isometric contraction,No increase in swelling with controlled mobility

进入下一阶段： Early Rehabilitation

Full weight-bearing without assistive device,Ankle dorsiflexion ≥ 10° with knee extended, ≥ 15° with knee flexed,Calf raise tolerance with both legs (partial),Single leg stance ≥ 10 seconds on affected side,FAAM ADL subscale improving (≥ 5 points from baseline),No pain with palpation of ATFL, CFL, or PTFL

进入下一阶段： Intermediate Training

Single leg calf raise ≥ 10 repetitions,Ankle inversion and eversion strength ≥ 4/5 (dynamometry >75% contralateral),Plantar fascia tolerating progressive loading (no pain with single leg stance),FAAM Sport subscale improving,Star Excursion Balance Test reach distance >90% limb length,No compensation patterns during gait cycle

进入下一阶段： Advanced Training

Single leg heel rise ≥ 15 repetitions with controlled tempo,Ankle plantarflexion strength >80% of contralateral side,Peroneal reaction time <10% deficit compared to contralateral,Agility drills without pain (side-to-side, figure-8),Running progression initiated at controlled pace,Return to sport testing near baseline

进入下一阶段： Return to Activity Preparation

Running progression 80% speed without discomfort,Plyometric landing control without valgus collapse,Deltoid ligament stability confirmed (no medial ankle pain),Single leg hop for distance >90% contralateral,Calf muscle endurance index >85%,Proprioceptive training completed without regression

进入下一阶段： Return to Activity Preparation

Full sport-specific training without limitations,Ankle complex full range of motion (dorsiflexion 20°, plantarflexion 50°),FAAM Sport score >90% of pre-injury,All ligament tests stable (ATFL, CFL, PTFL, deltoid),Peroneal tendon function normal with resisted eversion under load,No fear of movement (Tampa Scale <20)

进入下一阶段： Sport-Specific Conditioning

Complete training sessions without flare-up,Hop test battery >95% limb symmetry,Achilles tendon capable of repetitive loading (squat progression),Plantar fascia fully load-tolerant (no pain with single leg hopping),Lateral cutting movements pain-free,Speed and agility at pre-injury level

进入下一阶段： Final Progression

Full competitive play tolerance,Biomechanical analysis normal (no compensation at hip or knee),Patient-Specific Functional Scale meets goals,All ankle-foot structures load-tolerant under fatigue conditions,Strength indices >90% bilaterally,Confidence scale at pre-injury level

进入下一阶段： Maintenance and Discharge

Return to competition clearance criteria met,Independence with home exercise program,Strength >95% limb symmetry on isokinetic testing,No residual instability episodes,Balance indices within normal limits,Patient discharged to independent maintenance

进入下一阶段： Follow-up Monitoring

Sustained performance at competition level,No recurrence of symptoms with high-intensity activity,Continuing progressive loading without regression,Self-reported function at pre-injury level,Objective measures maintained,Injury prevention protocol understood

进入下一阶段： Discharge

FAAM and LEFS scores at pre-injury baseline,Full return to sport participation,No limitations in activities of daily living,Independent management of training load,Confidence in ankle-foot stability during sport,Discharge criteria met - protocol complete

进入下一阶段： Complete