Efficacy and Clinical Feasibility of the Ankle Muscle Power (AMP) Program for Return to Duty After an Ankle Fracture

Inclusion Criteria: * Age 18-50 years old * Acute orthopedic injury to the ankle requiring surgical fixation * Must have stable address and phone number to schedule follow up contact visits * English speaking * BMI ≤ 35 kg/m2 Exclusion Criteria: * History of chronic pain defined as pain lasting more than 3 months and bothersome at least half the days over the past 6 months that started before the fracture * Moderate or severe traumatic brain injury * Initial treatment requiring amputation * Spinal cord injury * Unable to speak or read English * History of schizophrenia, dementia, neurologic disorder with peripheral dysfunction, or other psychotic disorder based upon medical record or patient self-report * Any chronic conditions that would limit their ability to participate in an intervention * Multiple trauma that prevents engaging in intervention * Pregnant * Unable to participate in or complete in-person follow up visits or therapy sessions * In Physical Therapy at the start of the intervention. * Use of an assistive device to walk for community ambulation * Prior lower extremity fracture within the past 2 years