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Psychologically Informed Practice for Return to Sport Following Ankle Sprain in a Recreational Basketball Player: A Case Report.

Background and Purpose: Psychologically informed practice is useful to improve clinical decision making. The purpose of this case report is to describe clinical reasoning using a psychologically informed approach in a young male athlete following a lateral ankle sprain and to describe novel treatmen...

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Published in:Orthopedic Physical Therapy Practice Vol. 36; no. 1; pp. 19 - 27
Main Authors: Banatao, Marlowe M., Gladin, Amy
Format: case study tables/charts Journal Article
Published: Orthopaedic Section, APTA, Inc. 2024
Online Access:View this record in EBSCOhost
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      dt: 2024
      vid: 36
      iid: 1
      pid: 38232
      pub: Orthopaedic Section, APTA, Inc.
      place: La Crosse, Wisconsin
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        atl: Psychologically Informed Practice for Return to Sport Following Ankle Sprain in a Recreational Basketball Player: A Case Report.
      aug:
        au:
          Banatao, Marlowe M.
          Gladin, Amy
        affil: Orthopaedic Physical Therapy Residency Program and Orthopaedic Manual Therapy Fellowship Program, Kaiser Permanente Northern California Rehabilitation Services Education
      sug:
        subj:
          Sports Re-Entry
          Ankle Sprain Therapy
          Basketball
          Athletes, Male
          Clinical Reasoning
          Guided Imagery
          Cognitive Restructuring
          Physical Therapy Practice Methods
          Fear
          Avoidance (Psychology)
          Decision Making, Clinical
          Dorsiflexion
          Range of Motion
          Scales
          Young Adult
          Male
          Students, College
          Questionnaires
          Exercise
          Manual Therapy
          Male
      ab: Background and Purpose: Psychologically informed practice is useful to improve clinical decision making. The purpose of this case report is to describe clinical reasoning using a psychologically informed approach in a young male athlete following a lateral ankle sprain and to describe novel treatment for maladaptive fear-avoidance beliefs using motor imagery and cognitive restructuring techniques. Methods: A 19-year-old male that was 6 weeks post lateral ankle sprain revealed fear during interview, clinical testing and in the Tampa Scale of Kinesiophobia-11 (TSK-11). Findings: Improvements were found in dorsiflexion range of motion, single leg side hopping, Foot and Ankle Ability Measure (FAAM) sports subscale, the TSK-11, and subjective fear reports at discharge. The patient returned to full basketball participation after 7 weeks of psychologically informed physical therapy interventions. Clinical Relevance and Conclusion: Multimodal care using a psychologically informed intervention approach consisting of manual therapy, exercise, mental imagery, and cognitive restructuring educational techniques may allow faster return to sport.
      pubtype: Periodical
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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