Exam 3 Week 8 Return to Sport Flashcards
return to sport testing is designed to simulate…
the stresses produced and imposed on the lower extremity (or upper) during the athletic participation
should our goal be to return them to their pre-injury state?
no, most of these injuries are non contact injuries, and that means they were not prepared well enough to not get hurt in the first place. need to get them to a higher level for their return to function
what is the return to sport continuum
return to participation (like scrimmaging)
return to sport (competing, but not at same level)
return to performance (12-18 months)
what are the things we need to assess
strength ROM and balance motor engrams power endurance agility and reactivity psychological readiness
how do we assess strength, ROM and balance
MMT, goniometry in CKC and OCK, Y balance test and balance error scoring system
DF knee to wall
what is motor engrams and how do we test is
functional movements, so we use the FMS, LESS (landing error scoring system), (which looks at horizontal distance and landing and amortization things )
what does the LESS look for
the landing error scoring system looks for horizontal distance to be 50% of body height, and focuses on landing and amortization
how can we assess power
looking at bilateral things, like landing error, to then hopping. Look at hopping for distance, tie, triple hop or crossover hopping
when doing hopping tests for the ankle, what do we do
for time, measure the figure 8, zig zag patterns, in a square, side to side, and look for differences between sides
when doing hopping tests, what should the limb symmetry index be
between 97-100%, so both limbs should be similar to the other.
on which leg are we more concerned about the landing, the affected or non affected
the affected leg, to see if they are ready to return
when we are looking at hopping, what phase do people have a hard time with
eccentric
how do we assess endure
the tuck jump assessment
what is the tuck jump assessment
10 seconds, 10 errors, and maximum effort. we add in some fatigue now. the higher the score, the worse they do
what should we do to test muscular endurance,
retest when they are fatigued.
should we assess kinesiophobia, and how
yes, things like the ACL-RSI
K-SES
Readiness return scales
Tampa scale
how can we use agility testing, and how should we manipulate agility testing
be sport specific, and go from 50-75-100% effort. always go from near to multi, and predictable to unpredictable, and then consider the playing surface in which their sport happens on
what are some examples of agility tests
T-test, pro-agility, lower extremity functional test
who is involved with return to play
parents, players, PT, docs, physicians, AT, coach
is RTS testing a one day thing
no
should we lay out our return to sport goals and plans from the beginning
yes
what two things should our RTS testing me
progressive and logical
