Return to Play Flashcards
RTP:
- process of integrating an athlete back into play
- medical clearance of an athlete for full participation in sport without restriction
- safety
- opportunity
Athlete centred care:
- 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
Sports medicine’s role:
- 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
Coaching staff’s roles:
- 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
Athlete’s role:
- commit to RTP process
- communicate with IST
- be open regarding coping and mindset
- voice concerns
Kinesiologist/strength coach’s role:
- 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
Goal of acute stage:
- respect the injury
- care for the body
Respect the injury =
do no harm
In acute stage, consider:
- other body parts/well limb
- cardiovascular system
- flexibility/mobility
- neuromuscular control
Training considerations and levels for acute phase:
- 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
Goal of introductory phase:
integrate the affected structure into movement
In introductory phase, we are beginning to work directly with the _____ ____.
injured site
In introductory phase, we still need to consider the injured structure through constant monitoring for…
- pain
- swelling
- change in ROM
The introductory phase is still closely monitored by therapist, meaning…
- requires close communication
- respect the parameters outlined
- communication with therapist is key
Training considerations and levels for introductory phase:
- 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
Goal of building capacity phase:
condition the athlete
Building capacity phase has more autonomy of _____.
S&C
Building capacity phase has return to _____ programming, but may still need to consider ______ for the injury.
- normal
- modifications
- acute:chronic workload ratio
Training considerations and levels for building capacity phase:
- 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
In the specialization phase, focus in on….
what they need to be able to do to perform successfully > key performance indicators
In the specialization phase, consider:
- movement directions
- speed/agility
- total amount of volume
Return to sport phase = continuum between…
- skills practice
- partial practice
- scrimmage
- partial game
- full game
In the return to sport phase, athletes often return with the ______ required.
minimum
Continued monitoring phase done by who? Why?
- 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
Roles from all IST to help ensure athlete perceives readiness:
- 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
RTP starts when?
the moment the athlete enters the IST
RTP is a ____ process.
fluid
