19.2: The Female Athlete Triad

State of Ohio Approval #: 09S1041, Hours granted: 30, Effective dates: 07/01/09-07/01/10; PA State Board of PT Approval #: PTCE000840, Date of course: 9/14/09-12/31/10, Number of credits: 30 (30 gen, 0 DA); State of TX granted for: 1 continuing education unit (CEU), Valid: 7/1/09 and for 365 days, Approval #: 46112A; OK Board of Medical Licensure and Supervision Approved for: 30; Category: B Hours for the 08-09 reporting period; NV Board of PT Examiners Approved for 1.5 CE Units, Unit type: Clinical, Approval through: 7/31/11.

Course Description

The purpose of this course is to provide the physical therapist with a working knowledge of the female athlete triad. Authors from the fields of primary medicine, nutrition, and psychology contribute their expertise to defining and enlightening the reader on the multidisciplinary approach to effective care of the patient having this disorder. The impact of the triad on rehabilitation efforts is also elucidated.

Upon completion of this course the participant will be able to do the following:

1. Define the female athlete triad in terms of etiology, pathophysiology, and risk factors.
2. Delineate the role of key health care providers in the screening, treatment, and prevention of the female athlete triad. This includes the primary care physician, the registered dietitian, the sports psychologist, and the physical therapist.
3. Describe the pathophysiologic mechanisms underlying energy availability and menstrual function, and understand how they ultimately affect bone health.
4. Describe confidentiality issues related to working with athletes.
5. Discuss common counseling approaches for athletes with disordered eating.
6. Describe several myths about eating disorders.
7. Describe the risk factors associated with exercise and overtraining in relation to the female athlete triad.
8. Describe the essential components of medical screening, psychological screening, and nutritional interventions.
9. Describe the risk factors associated with exercise and overtraining in relation to the female athlete triad.
10. Discuss the role of education in the prevention of the female athlete triad.
11. Discuss the general principles related to adolescent female energy needs, bone health, and body weight goals to assist in the prevention of the female athlete triad.
12. Understand and apply the principles of rehabilitation for patients with the female athlete triad.
13. Describe the effects of weight-bearing exercise on bone mineral density as it relates to patients with the female athlete triad.
14. Discuss the limitations of current knowledge and barriers to recognition and treatment of the female athlete triad.

• The Female Athlete Triad: The Etiology, Pathophysiology, Risk Factors, and Prevalence of the Syndrome- Kathleen J. Pantano, PT, PhD
• Medical and Nutritional Aspects of the Female Athlete Triad- John J. Leddy, MD, FACSM, and Suzanne Girard Eberle, MS, RD, CSSD
• Psychological Aspects of the Female Athlete Triad-Laura C. Schmitt, PT, PhD; Mark V. Paterno, PT, MS, SCS, ATC; and Timothy E. Hewett, PhD
• Nutritional Interventions for the Female Athlete Triad-Katherine A. Beals, PhD, RD, FACSM (Subject Matter Expert: Leslie Bonci, MPH, RD, CSSD, LDN)
• Physical Intervention Strategies for Individuals With the Female Athlete Triad-James P. Bradley, MD, and Samir G. Tejawi, MD
• Challenges in the Treatment and Prevention of the Triad: What the Future Holds- Kathleen J. Pantano, PT, PhD

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