How can functional testing help make return to play decisions?
Transcript of How can functional testing help make return to play decisions?
![Page 1: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/1.jpg)
How can functional testing help make return to play decisions?
Rod Whiteley, PhD
Physiotherapist, Aspetar Sports Medicine Hospital
![Page 2: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/2.jpg)
Successful return to play
• Is what? • For who?
![Page 3: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/3.jpg)
RTS success is defined as…
![Page 4: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/4.jpg)
Defining Return to Sport… when?
Rehab Team
![Page 5: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/5.jpg)
Continuum of Return to Sport
Reh
abTeam
Return to participation
Return to sport
![Page 6: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/6.jpg)
Nothing ruins your outcomes like follow-up
Excellent or good: 92%
Returned to previous professional level > 1 year: 12%
![Page 7: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/7.jpg)
Return to sport continuum
![Page 8: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/8.jpg)
![Page 9: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/9.jpg)
![Page 10: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/10.jpg)
![Page 11: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/11.jpg)
![Page 12: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/12.jpg)
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
![Page 13: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/13.jpg)
![Page 14: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/14.jpg)
22
• Biomech Add on
$100,000 v $2,000
![Page 15: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/15.jpg)
![Page 16: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/16.jpg)
• 34 athletes
• 31 markers (Aspetar protocol)
• 3 tests (3 times each)
![Page 17: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/17.jpg)
![Page 18: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/18.jpg)
Plantar loading
@AtholThomson
![Page 19: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/19.jpg)
![Page 20: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/20.jpg)
-30
-10
10
30
50
70
90
0 2 4 6 8 10 12Month
Un
load
ing
AC
L→
![Page 21: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/21.jpg)
Swing Stance
Lateral hamstring
Medial hamstring
(Hansen, Einarsson, Thomson & Whiteley 2017)
![Page 22: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/22.jpg)
![Page 23: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/23.jpg)
ACL Case & RTS
• 7 months post ACLR, national team player
• Completed rehabilitation & criteria for RTS
• “Doesn’t look right, can you check him?”
![Page 24: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/24.jpg)
![Page 25: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/25.jpg)
0
500
1000
1500
2000
2500
3000
3500
4000
CMJ SLCMJ Hop&Stick
vGRF (N)
AC
LR
AC
LR
AC
LR
@paulread1010
![Page 26: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/26.jpg)
![Page 27: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/27.jpg)
(Some) Problems still to address
• Reactive Agility versus Change of Direction
• Planned versus unplanned
• “Non-contact” injury
• “Sports Specific” on field
![Page 28: How can functional testing help make return to play decisions?](https://reader031.fdocuments.us/reader031/viewer/2022012519/6193b707cee13c29c614f417/html5/thumbnails/28.jpg)