2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

被引:565
作者
Ardern, Clare L. [1 ,2 ,3 ]
Glasgow, Philip [4 ,5 ]
Schneiders, Anthony [6 ]
Witvrouw, Erik [1 ,7 ]
Clarsen, Benjamin [8 ,9 ]
Cools, Ann [7 ]
Gojanovic, Boris [10 ,11 ]
Griffin, Steffan [12 ]
Khan, Karim M. [13 ]
Moksnes, Havard [8 ,9 ]
Mutch, Stephen A. [14 ,15 ]
Phillips, Nicola [16 ]
Reurink, Gustaaf [17 ]
Sadler, Robin [18 ]
Silbernagel, Karin Gravare [19 ]
Thorborg, Kristian [20 ,21 ]
Wangensteen, Arnlaug [1 ,8 ]
Wilk, Kevin E. [22 ]
Bizzini, Mario [23 ]
机构
[1] Aspetar Orthopaed & Sports Med Hosp, POB 29222, Doha, Qatar
[2] Linkoping Univ, Div Physiotherapy, Linkoping, Sweden
[3] La Trobe Univ, Sch Allied Hlth, Melbourne, Vic, Australia
[4] Sport Northern Ireland Sports Inst, Newtownabbey, North Ireland
[5] Univ Ulster, Sch Sport, Newtownabbey, North Ireland
[6] Cent Queensland Univ, Sch Human Hlth & Social Sci, Branyan, Qld, Australia
[7] Univ Ghent, Dept Rehabil Sci & Physiotherapy, Fac Med & Hlth Sci, Ghent, Belgium
[8] Norwegian Sch Sports Sci, Oslo Sports Trauma Res Ctr, Oslo, Norway
[9] Olymp Elite Sports Program Olympiatoppen, Oslo, Norway
[10] Hop La Tour, Swiss Olymp Med Ctr, Meyrin, Switzerland
[11] Lausanne Univ & Hosp, Dept Human Locomot, Sports Med, Lausanne, Switzerland
[12] Univ Birmingham, Coll Med & Dent Sci, Birmingham, W Midlands, England
[13] Univ British Columbia, Ctr Hip Hlth & Mobil, Vancouver, BC, Canada
[14] SPACE Clin, Edinburgh, Midlothian, Scotland
[15] Murrayfield Stadium, Scottish Rugby, Edinburgh, Midlothian, Scotland
[16] Cardiff Univ, Sch Healthcare Sci, Cardiff, S Glam, Wales
[17] Sports Phys Grp, Amsterdam, Netherlands
[18] Manchester City Football Club, Manchester, Lancs, England
[19] Univ Delaware, Dept Phys Therapy, Newark, DE USA
[20] Univ Copenhagen, Amager Hvidovre Hosp, SORC C, Dept Orthoped Surg, Copenhagen, Denmark
[21] Univ Copenhagen, Amager Hvidovre Hosp, Phys Med Rehabil Res Copenhagen, Dept Orthoped Surg & Phys Therapy, Copenhagen, Denmark
[22] Champ Sports Med, Birmingham, AL USA
[23] Schulthess Clin, FIFA Med Assessment & Res Ctr F MARC, Zurich, Switzerland
关键词
CRUCIATE LIGAMENT RECONSTRUCTION; ACUTE HAMSTRING INJURIES; PROFESSIONAL FOOTBALL PLAYERS; 2 REHABILITATION PROGRAMS; ACHILLES-TENDON RUPTURES; MUSCLE INJURIES; RISK-FACTORS; REACTIVE AGILITY; GROIN INJURIES; TO-PLAY;
D O I
10.1136/bjsports-2016-096278
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Deciding when to return to sport after injury is complex and multifactorial-an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups-each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athlete's return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport.
引用
收藏
页码:853 / 864
页数:12
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