How can functional testing help make return to play decisions?
Transcript of How can functional testing help make return to play decisions?
How can functional testing help make return to play decisions?
Rod Whiteley, PhD
Physiotherapist, Aspetar Sports Medicine Hospital
Successful return to play
• Is what? • For who?
RTS success is defined as…
Defining Return to Sport… when?
Rehab Team
Continuum of Return to Sport
Reh
abTeam
Return to participation
Return to sport
Nothing ruins your outcomes like follow-up
Excellent or good: 92%
Returned to previous professional level > 1 year: 12%
Return to sport continuum
Fishing expeditions
• Biomechanics of jumping, landing, hopping, running
• Muscle Activity
• Forces
• 3-D analysis – Cameras and markers, IMU’s, Markerless
• EMG
• Force Plates, In-shoe measures
22
• Biomech Add on
$100,000 v $2,000
• 34 athletes
• 31 markers (Aspetar protocol)
• 3 tests (3 times each)
Plantar loading
@AtholThomson
-30
-10
10
30
50
70
90
0 2 4 6 8 10 12Month
Un
load
ing
AC
L→
Swing Stance
Lateral hamstring
Medial hamstring
(Hansen, Einarsson, Thomson & Whiteley 2017)
ACL Case & RTS
• 7 months post ACLR, national team player
• Completed rehabilitation & criteria for RTS
• “Doesn’t look right, can you check him?”
0
500
1000
1500
2000
2500
3000
3500
4000
CMJ SLCMJ Hop&Stick
vGRF (N)
AC
LR
AC
LR
AC
LR
@paulread1010
(Some) Problems still to address
• Reactive Agility versus Change of Direction
• Planned versus unplanned
• “Non-contact” injury
• “Sports Specific” on field