Physical Therapy Rehabilitation of an Adolescent Preprofessional Dancer Following Os Trigonum Excision: A Case Report
| Autor: | Alyson Filipa, Kelli Barton |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Heel Adolescent medicine.medical_treatment Pain Physical Therapy Sports Therapy and Rehabilitation Plyometric Exercise Left posterior Talus 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedic Procedures Muscle Strength Dancing Range of Motion Articular Postural Balance Retrospective Studies Balance (ability) 030222 orthopedics Rehabilitation business.industry Recovery of Function 030229 sport sciences General Medicine Biomechanical Phenomena Exercise Therapy Os Trigonum medicine.anatomical_structure Physical therapy Female Ankle Manual therapy Range of motion business Ankle Joint |
| Zdroj: | Journal of Orthopaedic & Sports Physical Therapy. 48:194-203 |
| ISSN: | 1938-1344 0190-6011 |
| Popis: | Study Design Case report. Background An os trigonum can be a source of pain for dancers due to impingement during repetitive ankle plantar flexion movements. Following excision of an os trigonum, it is important to have a gradual, progressive return-to-dance program for optimal recovery. The purpose of this case report is to describe the postoperative management and return-to-dance progression of an adolescent dancer post os trigonum excision. Case Description An adolescent preprofessional female dancer had an extensive history of left posterior heel pain, beginning at age 8, that led to surgical removal of an os trigonum at age 15. Post surgery, the patient was seen for a total of 22 visits over the course of 20 weeks. Treatment included therapeutic exercises, neuromuscular re-education, and manual therapy. Return-to-dance tests and guidelines were used to safely progress to full, unrestricted dance participation. Outcomes The dancer had a full return of ankle range of motion, strength, and balance, improved patient-reported outcome scores, and was able to fully return to dance participation. Discussion Treating a dancer following os trigonum excision should involve a screen for hypermobility, clear communication with the dance instructor, awareness of dance-specific biomechanics, and proper reintegration into dance participation. Level of Evidence Therapy, level 5. J Orthop Sports Phys Ther 2018;48(3):194-203. Epub 7 Nov 2017. doi:10.2519/jospt.2018.7508. |
| Databáze: | OpenAIRE |
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