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Depression and Anxiety in Sports Rehabilitation
Boyd Murray, ATC
May 13, 2004
Case Study 1
Division I College Baseball Player
] Freshman physical exam
] Med Hx: Currently being seen for “mental health
issues”
] Diagnosed with depression
] Physician notes: On Ritalin in past for A.D.D.
Freshman year
] Participated without injury or illness
Sophomore Year
] Acute bronchitis x16 days during fall ball
] Facial fx – missed 8 days
] Suicidal ideations – December
] Pitching performance wavers between outstanding and far
below avg – spring
] “All Star” during very competitive summer league
Junior Year
Fall Ball
] Piriformis strain – missed 3 days
] Tibial periostitis
] - x-rays
] - bone scan
] Able to throw but not run
Junior Year
] Christmas break claimed to run for first 3 weeks and
then symptoms returned
] As games approached athlete was able to run
] Middle season - struck in head during altercation
with teammate-symptoms took 5 days to resolve
] Last regular season start – pitched poorly – asst
coach berates & athlete has extreme emotional response
Case Study 2
Division I – Women’s Soccer Player
] Freshman physical exam
] Med hx includes tx for eating disorder – soph/jr year
H.S.
] Continues to take Paxil
Freshman Year
] SI joint sprain during 2 a days
] Results – 10 days lost
Sophomore Year
] Mid season – ankle sprain – missed 2 days
] Followed by LCL sprain – missed 12 days
] Early Feb – winter work-outs
] SI joint sprain – missed 7 days
Sophomore Year
] Late February – dx as bulimic – seen at Student Health
and Counseling Service x 2 months
] Early April – hip flexor strain – missed 5 days
] Late April – counselor, coach and athlete make decision
– best to take time away from soccer
Sophomore Year
] Two weeks later – athlete & counselor report doing very
well
] Soon athlete decides to retire from soccer
Junior Year
] Early August – 1 week prior to 2 a days – athlete
reports stating “she wants to return to soccer” but is currently having
hamstring pain
] Despite two months of eval and tx, athlete continues to
have symptoms and plays sparingly
Junior Year
] Early October – suicidal ideations – cites nursing
exams, soccer practice, sinus infection, social and friend conflicts
(roommates are teammates)
] Met with physicians and counselors and permanently left
soccer
Junior Year
] Ten days following decision to leave soccer, hamstring
pain totally resolved and “life is good”
Case Study 3
Division I – Male Distance Runner
] Freshman year - relatively successful cross country
season
] Early December – mild Achilles tendinitis – took four
months to fully heal.
] Late February – IT band syndrome – took 6 mos. to fully
heal
Total For Five-Year Career
] 13 cases – 2 with 2nd episodes
] Injuries and illnesses include:
] Achilles tendinitis x3
] IT band syndrome x5
] FHL tendinitis x2
] Acute respiratory illness
] Heat friction blister x2
] Semi-tendinosis strain x2
] Toe 2nd MP joint sprain
Fifth Year – (Senior)
] 9/8 – 10/22 - blister on heel
] No indoor eligibility remaining
] 4/17 – Neurological/atypical
] LMD Dx Guillain-Barre syndrome
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