Return to Play

Question 1

RTP:

Answer 1

• process of integrating an athlete back into play
• medical clearance of an athlete for full participation in sport without restriction
• safety
• opportunity

Question 2

Athlete centred care:

Answer 2

• what is best for athlete needs to be at centre of discussion
• current wellbeing
• long term wellness
• requires communication between all members of the integrated services team (IST)
• may not be the same as what is best for the team

Question 3

Sports medicine’s role:

Answer 3

• communicate within IST
• educate regarding injury, severity and special considerations
• help determine roles in RTP
• outline the structure of RTP based on the injury/context (milestones, pre-participation requirements)
• follow through

Question 4

Coaching staff’s roles:

Answer 4

• accommodate athlete’s needs through RTP process
• technical and tactical guidance
• communicate back to IST (identify one member to maintain open lines of communication)
• feedback of how athlete is progressing
• expectations of the athlete

Question 5

Athlete’s role:

Answer 5

• commit to RTP process
• communicate with IST
• be open regarding coping and mindset
• voice concerns

Question 6

Kinesiologist/strength coach’s role:

Answer 6

• communicate with the IST
• special considerations from medical
• share your plan and program
• update IST on ongoing athlete status
• involve athlete in programming
• create S&C plan for the athlete
• ongoing evaluation

Question 7

Goal of acute stage:

Answer 7

• respect the injury

- care for the body

Question 8

Respect the injury =

Answer 8

do no harm

Question 9

In acute stage, consider:

Answer 9

• other body parts/well limb
• cardiovascular system
• flexibility/mobility
• neuromuscular control

Question 10

Training considerations and levels for acute phase:

Answer 10

• CV conditioning: medium
• muscular training of injured area: low
• muscular training of well limbs: medium
• flexibility/mobility: medium
• functional movement: low
• sport specific training: low

Question 11

Goal of introductory phase:

Answer 11

integrate the affected structure into movement

Question 12

In introductory phase, we are beginning to work directly with the _____ ____.

Answer 12

injured site

Question 13

In introductory phase, we still need to consider the injured structure through constant monitoring for…

Answer 13

• pain
• swelling
• change in ROM

Question 14

The introductory phase is still closely monitored by therapist, meaning…

Answer 14

• requires close communication
• respect the parameters outlined
• communication with therapist is key

Question 15

Training considerations and levels for introductory phase:

Answer 15

• CV conditioning: medium
• Muscular training of injury area: medium
• muscular training of well limbs: high
• flexibility/mobility: medium
• functional movement: medium
• sport specific training: low

Question 16

Goal of building capacity phase:

Answer 16

condition the athlete

Question 17

Building capacity phase has more autonomy of _____.

Answer 17

S&C

Question 18

Building capacity phase has return to _____ programming, but may still need to consider ______ for the injury.

Answer 18

• normal
• modifications
• acute:chronic workload ratio

Question 19

Training considerations and levels for building capacity phase:

Answer 19

• CV conditioning: high
• muscular training of injury area: high
• muscular training of well limbs: high
• flexibility/mobility: medium
• functional movement: high
• sport specific training: medium

Question 20

In the specialization phase, focus in on….

Answer 20

what they need to be able to do to perform successfully > key performance indicators

Question 21

In the specialization phase, consider:

Answer 21

• movement directions
• speed/agility
• total amount of volume

Question 22

Return to sport phase = continuum between…

Answer 22

• skills practice
• partial practice
• scrimmage
• partial game
• full game

Question 23

In the return to sport phase, athletes often return with the ______ required.

Answer 23

minimum

Question 24

Continued monitoring phase done by who? Why?

Answer 24

• all member of the IST
• risk of re-injury is still present
• continued ability to improve performance
• ensure athlete doesn’t slip between the cracks

Question 25

Roles from all IST to help ensure athlete perceives readiness:

Answer 25

- coach: putting them in scenarios to allow them to succeed - medical/therapy: clearly identifying their current status/risk - sport psych: confidence, visualization - S&C: objective testing scores, subjective movement evaluation

Question 26

RTP starts when?

Answer 26

the moment the athlete enters the IST

Question 27

RTP is a ____ process.

Answer 27

fluid