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Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams

PURPOSE: Return-to-play (RTP) is an on-going challenge in professional football. Return-to-play related research is increasing. However, it is unknown to what extent the recommendations presented within research are being implemented by professional football teams, and where there are gaps between r...

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Autores principales: Dunlop, Gordon, Ardern, Clare L., Andersen, Thor Einar, Lewin, Colin, Dupont, Gregory, Ashworth, Ben, O’Driscoll, Gary, Rolls, Andrew, Brown, Susan, McCall, Alan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069905/
https://www.ncbi.nlm.nih.gov/pubmed/31595453
http://dx.doi.org/10.1007/s40279-019-01199-2
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author Dunlop, Gordon
Ardern, Clare L.
Andersen, Thor Einar
Lewin, Colin
Dupont, Gregory
Ashworth, Ben
O’Driscoll, Gary
Rolls, Andrew
Brown, Susan
McCall, Alan
author_facet Dunlop, Gordon
Ardern, Clare L.
Andersen, Thor Einar
Lewin, Colin
Dupont, Gregory
Ashworth, Ben
O’Driscoll, Gary
Rolls, Andrew
Brown, Susan
McCall, Alan
author_sort Dunlop, Gordon
collection PubMed
description PURPOSE: Return-to-play (RTP) is an on-going challenge in professional football. Return-to-play related research is increasing. However, it is unknown to what extent the recommendations presented within research are being implemented by professional football teams, and where there are gaps between research and practice. The purposes of this study were (1) to determine if premier-league football teams worldwide follow a RTP continuum, (2) to identify RTP criteria used and (3) to understand how RTP decision-making occurs in applied practice. METHODS: We sent a structured online survey to practitioners responsible for the RTP programme in 310 professional teams from 34 premier-leagues worldwide. The survey comprised four sections, based on hamstring muscle injury: (1) criteria used throughout RTP phases, (2) the frequency with which progression criteria were achieved, (3) RTP decision-making process and (4) challenges to decision-making. RESULTS: One-hundred and thirty-one teams responded with a completed survey (42%). One-hundred and twenty-four teams (95%) used a continuum to guide RTP, assessing a combination of clinical, functional and psychological criteria to inform decisions to progress. One-hundred and five (80%) teams reported using a shared decision-making approach considering the input of multiple stakeholders. Team hierarchy, match- and player-related factors were common challenges perceived to influence decision-making. CONCLUSIONS: General research recommendations for RTP and the beliefs and practices of practitioners appear to match with, the majority of teams assessing functional, clinical and psychological criteria throughout a RTP continuum to inform decision-making which is also shared among key stakeholders. However, specific criteria, metrics and thresholds used, and the specific involvement, dynamics and interactions of staff during decision-making are not clear. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40279-019-01199-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-70699052020-03-23 Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams Dunlop, Gordon Ardern, Clare L. Andersen, Thor Einar Lewin, Colin Dupont, Gregory Ashworth, Ben O’Driscoll, Gary Rolls, Andrew Brown, Susan McCall, Alan Sports Med Original Research Article PURPOSE: Return-to-play (RTP) is an on-going challenge in professional football. Return-to-play related research is increasing. However, it is unknown to what extent the recommendations presented within research are being implemented by professional football teams, and where there are gaps between research and practice. The purposes of this study were (1) to determine if premier-league football teams worldwide follow a RTP continuum, (2) to identify RTP criteria used and (3) to understand how RTP decision-making occurs in applied practice. METHODS: We sent a structured online survey to practitioners responsible for the RTP programme in 310 professional teams from 34 premier-leagues worldwide. The survey comprised four sections, based on hamstring muscle injury: (1) criteria used throughout RTP phases, (2) the frequency with which progression criteria were achieved, (3) RTP decision-making process and (4) challenges to decision-making. RESULTS: One-hundred and thirty-one teams responded with a completed survey (42%). One-hundred and twenty-four teams (95%) used a continuum to guide RTP, assessing a combination of clinical, functional and psychological criteria to inform decisions to progress. One-hundred and five (80%) teams reported using a shared decision-making approach considering the input of multiple stakeholders. Team hierarchy, match- and player-related factors were common challenges perceived to influence decision-making. CONCLUSIONS: General research recommendations for RTP and the beliefs and practices of practitioners appear to match with, the majority of teams assessing functional, clinical and psychological criteria throughout a RTP continuum to inform decision-making which is also shared among key stakeholders. However, specific criteria, metrics and thresholds used, and the specific involvement, dynamics and interactions of staff during decision-making are not clear. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40279-019-01199-2) contains supplementary material, which is available to authorized users. Springer International Publishing 2019-10-08 2020 /pmc/articles/PMC7069905/ /pubmed/31595453 http://dx.doi.org/10.1007/s40279-019-01199-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Research Article
Dunlop, Gordon
Ardern, Clare L.
Andersen, Thor Einar
Lewin, Colin
Dupont, Gregory
Ashworth, Ben
O’Driscoll, Gary
Rolls, Andrew
Brown, Susan
McCall, Alan
Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams
title Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams
title_full Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams
title_fullStr Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams
title_full_unstemmed Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams
title_short Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams
title_sort return-to-play practices following hamstring injury: a worldwide survey of 131 premier league football teams
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069905/
https://www.ncbi.nlm.nih.gov/pubmed/31595453
http://dx.doi.org/10.1007/s40279-019-01199-2
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