Minor discomfort, Tenderness, Little to no loss of function/ROM, Can continue activity.
Symptoms of Acute Gr 2
Tearing of several/many fibres, snapping noise/feeling, moderate local edema/heat/bruising, possible gap, moderate tenderness, moderate pain with contraction/stretch, moderate loss of strength/ROM, Difficulty continuing activity.
Symptoms of Acute Gr 3
Complete rupture of muscle/avulsion fracture at attachment, snapping noise/feeling, Severe local edema/heat/hematoma/bruising, palpable gap, spasmodic contractions, severe pain, immediate loss of strength/ROM, Cannot continue activity.
Symptoms common of Acute Gr 2 + Gr3
Red/Black/Blue Bruising, hematoma present, reduced ROM, May be bandaged or use of sling/cane/crutches.
What are the levels of severity regarding sprains?
Gr 1, Gr 2, Gr 3.
What are the characteristics of a Gr 1 sprain?
Minor stretch/tear, no instability on passive relaxed testing, can continue activity.
What are the characteristics of a Gr 2 sprain?
Tearings of ligamentous fibres ( several to majority), snapping sounds at time of injury while joint gives out, Joint is hypermobile but stable with passive relaxed testing. Discomfort on return to activity.
What are the characteristics of a Gr 3 sprain?
Complete rupture/avulsion fracture at injury site, snapping sound while joint gives out, significant instability with no end point, Cannot continue activity, Painful in acute, possible pain-free hypermobility in chronic.
Immobilization removed at 6-8 weeks, activity possibly up to 6 months.
Acute- no testing other than pain free AROM, avoid removing protective splinting, no distal techs in acute/early SA, Gr 3 avoid hot hydro, no joint play on unstable joint, no frictions of pt taking antiinflammatories.
Reduce pain, reduce edema, reduce protective mm spasm.