Study Design:
Case series.

Ankle fractures commonly result in persistent pain, stiffness, and functional impairments. There is insufficient evidence for any particular rehabilitation approach after ankle fracture. The purpose of this case series was to describe an impairment-based manual physical therapy approach to treating patients with conservatively managed ankle fractures.

Case Description:
Patients with stable ankle fractures post immobilization were treated with manual physical therapy and exercise targeted at associated impairments in the lower limb. The primary outcome measure was the Lower Extremity Functional Scale (LEFS). Secondary outcome measures included the Ankle Lunge Test (ALT), Numeric Pain Rating Scale, and Global Rating of Change. Outcomes measures were collected at baseline (performed within 7 days of immobilization removal), and 4 and 12 weeks post-baseline.

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