
Ankle sprains injury or articulatiotalocruralisinjury are the most common musculoskeletal injuries seen by health care providers. The most common mechanism for ankle sprain is excessive inversion and planter flexion of the reafoot on the tibia. Sports rehabilitation is an important part of treating such cases. A rehabilitation program aims to return the injured body part to normal function. Objective: Subject Effect of Friction Massage Versus Balance Exercise on Pain severity, Range Of Motion, Single Leg Balance Test And Muscle Strength Test In Ankle Sprain Grade II. Subjects: Thirty young male athletes with ankle sprain grade II were selected. Methods: Patients were divided randomly into 3 groups: the first group(A) consisted of 10 patients received friction massage, the second group (B)consisted of 10 patients received balance exercise and the third group (C)consisted of 10 patients is a control group they treated with Aircast Sport Stirrup. The massage group received 15 minutes friction and effleurage massages on their affected ankles 3 times per week for 8 weeks. The second group received balance exercise 3 times per week for 8 weeks. Patients were assessed before and after treatment: ankle range of motion testing (ROM), pain severity (visual analogue scale), single leg balance test and muscle strength test.. Results: There was a significant differences found between the three groups (A&B&C) in ankle pain and ankle ROM in favor of group A&B. There was a significant differences between group A and group B in muscle strength and leg balance test. In favor of group A. Conclusion: Balance training and friction massage are an effective training method for rehabilitation of ankle sprain grade II.