Faculty Advisor(s)

Jennifer Audette

Document Type

Course Paper

Publication Date



© 2019 McKenna Young


Background and Purpose: The main focus of chronic disease in healthcare has typically been about treatment of the disease itself, with little attention given to secondary injuries that result from the chronic disease process. As these individuals age, the risk of secondary injuries increases. This is costly and adds to the caregiver burden. The purpose of this case report was to investigate a comprehensive physical therapy (PT) program focused on rehabilitation for a female with chronic disease who sustained a femoral fracture following her most recent fall. Case Description: A 42-year-old female presented to outpatient PT following a right femoral neck fracture resulting from a fall. She has a medical diagnosis of Antiphospholipid Antibody Syndrome, resulting in chronic strokes. The patient has lived at home under the care of her parents since her original diagnoses at age 25. She received 20 visits over 12 weeks that included neuromuscular rehabilitation, strength training, and generalized conditioning. Outcomes: At discharge, the patient returned to prior level of function with improved functional mobility during daily tasks. At discharge, the patient’s LEFS score was 40/80, up from 24/80 at initial evaluation. Her Timed Up and Go (TUG) score improved (68 seconds to 54 seconds), however, she remains at a high risk for falls. Discussion: This case report describes a rehabilitation program for a secondary injury resulting from complications of chronic disease. While therapy goals have been met for this patient, she continues with PT services to reduce high fall risk. Research to help identify fall prevention strategies for individuals aging with chronic disease in order to reduce instances of secondary injury.


The case report poster for this paper can be found here:




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