Return-to-Play Decisions: Are They the Team Physician's Responsibility?

Matheson, Gordon O.; Shultz, Rebecca; Bido, Jennifer; Mitten, Matthew J.; Meeuwisse, Willem; Shrier, Ian

doi:10.1097/jsm.0b013e3182095f92

Cited by 77 publications

(49 citation statements)

References 29 publications

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“…In this context, the returnto-play (RTP) decision represents a key point. Even if there is little original RTP research, some authors proposed guidelines or suggestions to help clinicians to make an informed decision as to whether an injured athlete may safely return to practice and/or competition (Matheson et al, 2011;Herring et al, 2012). For example, a recent model developed by Creighton could clarify the processes that clinicians have to apply when making their decisions (Creighton et al, 2010).…”

Section: Return-to-play Criteria After Hamstring Injury: Actual Medicmentioning

confidence: 99%

Return-to-Play Criteria After Hamstring Injury: Actual Medicine Practice in Professional Soccer Teams

et al. 2013

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BackgroundReturn-to-play (RTP) criteria after a sport injury represent a key point in order to decrease the risk of subsequent re-injury.ObjectiveTo analyze how clinicians decide, in their daily practice, when a hamstring injured professional soccer player is fully able to get back to competitive activities.MethodsThirty-seven doctors for French and Belgian professional soccer clubs filled in a questionnaire formulated with multiple choice questions.ResultsNearly 80% of the questioned doctors declared to use at least 7 criteria in order to assess player's ability to return to competitive soccer after a hamstring injury. The most important ones are: complete pain relief, normalized muscle strength assessment, subjective feeling reported by the player, normalized flexibility and achievement of a specific soccer test. For some of these criteria, most notably muscle strength assessment, there is a lack of consensus about the choice of assessment parameters and the limit value allowing doctors to authorize or forbid RTP. Our study also highlighted the interest for clinicians to consider the opinion of physical therapists and physical trainers.ConclusionAfter a hamstring injury, clinicians for professional soccer clubs assess player's ability to return to full sport according to a “criteria-approach” instead of a “timed-based” approach. However, even if the scientific evidence about this topic is not sufficient at the moment, the implementation, in daily practice, of scientifically demonstrated assessment parameters and limit values should help the RTP decision and decrease the risk of re-injury.

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Section: Return-to-play Criteria After Hamstring Injury: Actual Medicmentioning

confidence: 99%

Return-to-Play Criteria After Hamstring Injury: Actual Medicine Practice in Professional Soccer Teams

et al. 2013

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“…In general, most would agree that aspects of shoulder examination that would be of interest in the decision for return to sport include assessment of glenohumeral ROM, rotator cuff strength, scapular position and strength, and functional performance tests. Matheson et al proposed a three-step return to sports model that is applicable to patients after shoulder [31]. First step is to evaluate the patient functionally with assessment of symptoms, range of motion, strength, and health status.…”

Section: Criteria For Return To Sport After Shoulder Anterior Labral mentioning

confidence: 99%

Current Concepts in Rehabilitation for Traumatic Anterior Shoulder Instability

Brimmo

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of review The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. Recent findings The current literature evidence for shoulder rehabilitation for anterior shoulder instability and labral repair is limited. As a result, there are variations among surgeons and physical therapists in rehabilitation protocols after anterior shoulder instability injuries and repair. While general consensus on certain rehabilitation parameters exists, the evidence for the importance of rehabilitation and functional performance test for return to sport in future injury prevention is still lacking in literature. Summary Rehabilitation after anterior shoulder instability injury and anterior labral repair is paramount in the injured or post-operative shoulder. Restoration of soft tissue mobility, dynamic glenohumeral joint stability, and balance and strength around the shoulder not only protect healing of injured or repaired soft tissues but also potentially minimizes future re-injury or recurrence risk.

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“…Clinicians who are only interested in minimising the number of injuries in their teams will probably not last long in the job because there will always be other factors that other stakeholders, such as the players and the coaching staff, will consider more important. It should also be acknowledged that many decisions with the potential to affect players' health are not taken by medical professionals in isolation but will in most cases be shared decisions between players, coaching staff and clinicians [139,140]. These decisions will often come down to weighing up between the risk that a player will suffer an injury and the possible consequences of such an injury on the one hand and the potential reward that could come from subjecting the player to that risk on the other hand.…”

Section: Clinical Application and Future Perspectivesmentioning

confidence: 99%

Match-related risk factors for injury in male professional football

Bengtsson¹

2017

Linköping University Medical Dissertations

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Return-to-Play Decisions: Are They the Team Physician's Responsibility?

Cited by 77 publications

References 29 publications

Return-to-Play Criteria After Hamstring Injury: Actual Medicine Practice in Professional Soccer Teams

Return-to-Play Criteria After Hamstring Injury: Actual Medicine Practice in Professional Soccer Teams

Current Concepts in Rehabilitation for Traumatic Anterior Shoulder Instability

Match-related risk factors for injury in male professional football

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