Ankle injury in volleyball is the most common – almost half of the total number of injuries. Most often, such an injury occurs when landing after a jump, and on the foot of another player, often on the opponent’s foot, although such injury is much less common in beach volleyball. The reason for this, many experts call a smaller number of players on the court and sand instead of hard surface. Ankle injury in volleyball is most likely a sprain, and this is an acute injury.
The largest number of ankle sprains is a sprain of the lateral ligaments, and two ligaments are injured at once – the anterior talon-fibular and calcaneal fibular.Sometimes there is damage to the tibiofibular syndesmosis or deltoid ligament – these are more severe cases that cannot be cured conservatively.Their treatment requires open reposition and internal fixation, and in the case when the deltoid ligament breaks, it may be necessary to open reconstruction.
ankle and ankle injury
If conservative treatment is prescribed in mild cases of injuries, then this is, first of all, peace, limitation of any activity up to the application of an orthopedic apparatus or plaster cast, which can be gel or air. Sometimes a bivalve dressing is prescribed, which is not worn constantly, periodically removing. If the damage is very slight – you can limit yourself to tight bandaging of the ankle joint. In all cases, ice should be applied immediately after injury. Physical activity should be started as soon as possible, as soon as the pain in the ankle can be tolerated. In order to quickly remove pain and swelling, you need to use anti-inflammatory drugs-non-steroid. When resuming training, you need to start training at full strength as early as possible, performing movements with maximum amplitude, as before injury. This should prevent Achilles tendon contracture, as well as the subsequent restriction of plantar flexion. After the normal range of motion is fully restored, the bandage should be removed and an “air” or gel bandage should be used instead. At this time, it is worth paying close attention to strengthening the tibia, as well as the anterior muscles of the lower leg. First restore strength, then flexibility and coordination.
Risk Factors for Ankle Injury in Volleyball
The main cause of ankle injuries is a history of ankle sprains. According to some reports, almost 80% of ankle injuries occur repeatedly. If we talk about time, then the maximum likelihood of recurring ankle injury is within six months to a year after the previous one. At this time, a history of volleyball players with ankle injuries is injured 5 to 10 times more often. Another reason is ankle fatigue. It can negatively affect the functioning of muscle spindles through the activation of pain receptors. In addition, by-products from inflammatory processes are released, and they will significantly reduce the bioelectric activity of muscles.
How to prevent volleyball ankle injuries?
The correct rules of the game. A significant number of ankle injuries occur when a player lands after jumping on the opponent’s foot, so it has long been suggested that some changes to the rules of volleyball be made. For example, there is a proposal to prohibit the player from completely crossing the center line under the net, no matter what the game situation on the court is. Experimental games and trainings were conducted with new rules, confirming the appropriateness of such measures.
The right technique. In training athletes, additional time needs to be allocated for their training in the correct technique of approaches, jumps and touchdowns, both during attacks and when blocking. Also, the athlete must learn to feel better, his body in a jump, controlling the balance in flight. Each player, in addition, must clearly understand all the ways and mechanisms for injuring and preventing them.
Proper rehabilitation. After the first injury within six months, the athlete runs the risk of receiving the same injury ten times more than the previously injured athlete. Over the next six months, the risk of re-injuring is still high – previously injured athletes are injured 6 times more often than those who are injured for the first time. The reason is that the proprioception (proprioceptive impulsation) of the injured ankle is reduced, in particular, chronic lateral ankle instability develops more often when the athlete begins to respond more slowly to the sudden load acting on the damaged joint. This leads to the fact that in a dangerous situation the player does not have time to tighten the muscles and thus fix the joint to avoid injury. Therefore, in the rehabilitation program, it is necessary to use special exercises, for example, a balancing board, oscillatory movements.