Physiotherapy Management of Grade I Ankle Sprain: A Case Report

Abstract

Introduction: Ankle sprains are among the most common musculoskeletal injuries in athletes, particularly in sports requiring rapid directional changes. The anterior talofibular ligament (ATFL) is the most frequently affected structure. Effective physiotherapy management is crucial to restore function and prevent recurrence, particularly among recreational athletes who may lack access to structured rehabilitation.

Methods: This case report presents a 21-year-old male recreational football player diagnosed with a grade I ATFL sprain. The physiotherapy program aimed to reduce pain and swelling while restoring ankle strength and function. The intervention consisted of three sessions over one week, including rest, compression, elevation, therapeutic exercise, and proprioceptive training. Pain was measured using the Visual Analog Scale (VAS), swelling with circumferential measurement, and muscle strength through Manual Muscle Testing (MMT).

Results: After three physiotherapy sessions, the patient demonstrated substantial improvement. The VAS score decreased from 6 to 2, indicating pain reduction. Ankle circumference decreased by 1.5 cm, reflecting reduced swelling. MMT results improved from grade 4– to grade 5, signifying restoration of muscle strength and functional mobility.

Discussion: A brief, targeted physiotherapy program effectively managed a mild ankle sprain in a recreational football player. Early rehabilitation focusing on inflammation control, muscle activation, and proprioceptive training was critical to facilitating safe return to activity and reducing the risk of chronic instability.

Conclusion: Structured physiotherapy delivered promptly can accelerate recovery and improve outcomes in grade I ankle sprains among recreational athletes.