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Feigenbaum LA, Kaplan LD, Musto T, et al. A MULTIDISCIPLINARY APPROACH TO THE REHABILITATION OF A COLLEGIATE FOOTBALL PLAYER FOLLOWING ANKLE FRACTURE: A CASE REPORT. Int J Sports Phys Ther. 2016;11(3):436-49
Feigenbaum, L. A., Kaplan, L. D., Musto, T., Gaunaurd, I. A., Gailey, R. S., Kelley, W. P., Alemi, T. J., Espinosa, B., Mandler, E., Scavo, V. A., & West, D. C. (2016). A MULTIDISCIPLINARY APPROACH TO THE REHABILITATION OF A COLLEGIATE FOOTBALL PLAYER FOLLOWING ANKLE FRACTURE: A CASE REPORT. International journal of sports physical therapy, 11(3), 436-49.
Feigenbaum, Luis A, et al. "A MULTIDISCIPLINARY APPROACH TO THE REHABILITATION OF A COLLEGIATE FOOTBALL PLAYER FOLLOWING ANKLE FRACTURE: A CASE REPORT." International journal of sports physical therapy vol. 11,3 (2016): 436-49.
Feigenbaum LA, Kaplan LD, Musto T, Gaunaurd IA, Gailey RS, Kelley WP, Alemi TJ, Espinosa B, Mandler E, Scavo VA, West DC. A MULTIDISCIPLINARY APPROACH TO THE REHABILITATION OF A COLLEGIATE FOOTBALL PLAYER FOLLOWING ANKLE FRACTURE: A CASE REPORT. Int J Sports Phys Ther. 2016 Jun;11(3):436-49. PMID: 27274429; PMCID: PMC4886811.
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Int J Sports Phys Ther. 2016 Jun;11(3):436-49.

A MULTIDISCIPLINARY APPROACH TO THE REHABILITATION OF A COLLEGIATE FOOTBALL PLAYER FOLLOWING ANKLE FRACTURE: A CASE REPORT.

International journal of sports physical therapy

Luis A Feigenbaum, Lee D Kaplan, Tony Musto, Ignacio A Gaunaurd, Robert S Gailey, William P Kelley, Timothy J Alemi, Braulio Espinosa, Eli Mandler, Vincent A Scavo, Dustin C West

Affiliations

  1. UHealth Sports Performance and Wellness Institute, University of Miami (FL), Miller School of Medicine, Miami, FL.
  2. Department of Physical Therapy, University of Miami (FL), Miller School of Medicine, Coral Gables, FL.
  3. Department of Athletics, Athletic Training, University of Miami (FL), Coral Gables, FL.

PMID: 27274429 PMCID: PMC4886811

Abstract

BACKGROUND AND PURPOSE: Multiple rehabilitation factors including overall wellness need to be considered when an athlete returns to sport after an injury. The purpose of this case report is to describe a multidisciplinary approach for return to sport of a Division I collegiate football player following a traumatic ankle fracture requiring surgical repair. The assessment and treatment approach included the use of a performance-based physical therapy outcome measure, self-reported functional abilities, body composition assessments, and nutritional counseling.

CASE DESCRIPTION: A 21 year-old running back fractured his lateral malleolus due to a mechanism of injury of excessive eversion with external rotation of the ankle. Surgical intervention included an open reduction internal fixation (ORIF) of the fibula and syndesmosis. In addition to six months of rehabilitation, the patient received consultations from the team sports nutritionist specialist to provide dietary counseling and body composition testing. The Comprehensive High-level Activity Mobility Predictor-Sport (CHAMP-S), a performance-based outcome measure, self-report on the Foot and Ankle Disability Index (FADI-ADL, FADI-S), and body composition testing using whole body densitometry (BOD POD®), were administered throughout rehabilitation.

OUTCOMES: The subject was successfully rehabilitated, returned to his starting role, and subsequently was drafted by a National Football League (NFL) franchise. High-level mobility returned to above pre-injury values, achieving 105% of his preseason CHAMP-S score at discharge. Self-reported function on the FADI-ADL and FADI-Sport improved to 100% at discharge. Body fat percentages decreased (13.3% to 11.9%) and fat mass decreased (12.0 kg to 11.0kg). Lean body mass (78.1 kg to 81.5 kg) and lbm/in increased (1.14 kg/in to 1.19 kg/in). His BMI changed from 29.8 kg/m(2) to 30.6 kg/m(2).

DISCUSSION: This case report illustrates the positive effects of a multidisciplinary approach where combining physical therapy and nutritional counseling demonstrated value with return to sport preparation and success following ankle fracture. A targeted physical therapy program combined with a personalized nutrition intervention based on body composition assessment assisted this athlete in avoiding deconditioning (atrophy, decreased aerobic capacities, and increases in body fat) often observed during postoperative care.

LEVEL OF EVIDENCE: 5.

Keywords: American football; CHAMP-S; FADI; ankle fracture; whole body densitometry

References

  1. J Athl Train. 2007 Apr-Jun;42(2):311-9 - PubMed
  2. Respir Med. 2011 Jul;105(7):959-71 - PubMed
  3. Am J Sports Med. 2012 Oct;40(10 ):2256-63 - PubMed
  4. J Orthop Sports Phys Ther. 2001 Oct;31(10 ):588-97 - PubMed
  5. Foot Ankle Int. 2008 Sep;29(9):887-94 - PubMed
  6. Br J Sports Med. 2006 Sep;40(9):767-72 - PubMed
  7. Foot Ankle Int. 2004 Aug;25(8):521-5 - PubMed
  8. Am J Sports Med. 2000;28(5 Suppl):S69-74 - PubMed
  9. J Rehabil Res Dev. 2013;50(7):905-18 - PubMed
  10. Mov Disord. 2006 Jun;21(6):794-9 - PubMed
  11. Clin J Sport Med. 1998 Apr;8(2):115-20 - PubMed
  12. Med Sci Sports Exerc. 2007 Mar;39(3):403-9 - PubMed
  13. PM R. 2011 Jun;3(6):541-9; quiz 549 - PubMed
  14. Knee Surg Sports Traumatol Arthrosc. 2011 Nov;19(11):1798-805 - PubMed
  15. Foot Ankle Int. 2015 Nov;36(11):1272-8 - PubMed
  16. Injury. 2012 Jun;43(6):838-42 - PubMed
  17. Am J Sports Med. 2004 Mar;32(2):446-51 - PubMed
  18. Eur J Appl Physiol. 2001 Aug;85(3-4):326-32 - PubMed
  19. J Rehabil Res Dev. 2013;50(7):919-30 - PubMed
  20. Med Sci Sports Exerc. 2009 Mar;41(3):709-31 - PubMed
  21. J Athl Train. 2008 Apr-Jun;43(2):179-83 - PubMed
  22. Foot Ankle Int. 2009 Apr;30(4):292-6 - PubMed
  23. Am J Orthop (Belle Mead NJ). 2005 Nov;34(11):547-50 - PubMed
  24. Am J Sports Med. 1981 Nov-Dec;9(6):384-9 - PubMed
  25. Scand J Med Sci Sports. 2006 Apr;16(2):111-20 - PubMed
  26. BMC Musculoskelet Disord. 2007 Jan 18;8:6 - PubMed
  27. J Orthop Sports Phys Ther. 2007 Feb;37(2):72-84 - PubMed
  28. Med Sci Sports Exerc. 1999 Sep;31(9):1350-6 - PubMed
  29. J Orthop Sports Phys Ther. 2012 Apr;42(4):304-12 - PubMed
  30. J Athl Train. 2007 Apr-Jun;42(2):221-33 - PubMed
  31. J Sports Med Phys Fitness. 1999 Mar;39(1):66-70 - PubMed
  32. Knee Surg Sports Traumatol Arthrosc. 2004 Sep;12 (5):350-6 - PubMed
  33. Am J Clin Nutr. 2002 Mar;75(3):453-67 - PubMed
  34. J Strength Cond Res. 2004 May;18(2):292-7 - PubMed
  35. J Orthop Sports Phys Ther. 2007 Jun;37(6):303-11 - PubMed
  36. J Athl Train. 2005 Mar;40(1):35-40 - PubMed
  37. Sports Med. 2006;36(3):239-62 - PubMed
  38. J Orthop Sports Phys Ther. 2012 Apr;42(4):337-44 - PubMed
  39. Knee Surg Sports Traumatol Arthrosc. 2009 Feb;17 (2):162-9 - PubMed
  40. J Am Diet Assoc. 2002 Nov;102(11):1677-9 - PubMed
  41. BMJ. 2012 Jan 15;346:e7492 - PubMed
  42. Clin Orthop Relat Res. 1985 Oct;(199):39-45 - PubMed
  43. J Strength Cond Res. 2008 Nov;22(6):1985-91 - PubMed
  44. Scand J Med Sci Sports. 1996 Aug;6(4):222-7 - PubMed
  45. Clin J Sport Med. 2010 Sep;20(5):379-85 - PubMed
  46. Am J Orthop (Belle Mead NJ). 2011 Jan;40(1):40-4 - PubMed
  47. J Rehabil Res Dev. 2013;50(7):vii-xiii - PubMed
  48. J Arthroplasty. 2011 Aug;26(5):728-37 - PubMed

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