return to sport

Question 1

criteria for RTS

Answer 1

-Subjective questionnaires
-Clinical Examination
* Full ROM (esp. what is needed for sport)
* No effusion
* Stability
-Strength testing (ideally isokinetic)
Within 90% of uninjured side
-Functional testing**
* Completed properly

Question 2

what is a functional test

Answer 2

Mimics functional/sport movements
* Strength
* Endurance**
* Agility
* Power
* Balance
* Neuromuscular control**

Question 3

what does an AT need to be for RTP

Answer 3

Objective, quantitative, decrease re-injury risk for athlete, clinicians
can be confident in their RTP decision

Question 4

Lower Body Functional Movement Tests

Answer 4

Single leg hopping tests (single, triple, crossover)
* Neuromuscular- Single leg balance, Star Excursion Balance test
* Agility- T-test, Slalom Test, sprint 4x5m, sprint with 90 degree turns
* Agility- squat hop, side hops, figure 8 hop test, 6 meter crossover hop
test
* Strength- squat, single leg squat, Step Down assessment,
hamstring/quad strength differences, planks/side planks, single leg
bridge
* Drop Vertical jump, single leg vertical hop

Question 5

what are you looking for

Answer 5

In general
* Proper control with take off and landing
* Hips, ankle, knees in line
* Torso/lower leg parallel
* Limited side to side movement of the trunk
* No compensations
* Confidence in movement
* 90%+ compared to uninjured side

Question 6

rETURN TO RUNNING FOLLOWING LE inj

Answer 6

Some basic criteria that breaks down the basic movements of running
* Single leg balance 30 seconds
* Single leg calf raises 20-30reps
* Single leg 1/4 squats 15-20reps
* Proper technique with mini hops
* 100 up exercise (If person has pain with this exercise, will probably have pain with running)

Question 7

describe star execursion balance test

Answer 7

• Testing tool + rehab tool
• ACL
• Chronic Ankle Instability
• Rom, strength, proprio…
• Quality of movement
• Reach distance

Question 8

hop test cluster testing

Answer 8

• Vertical Jump (single leg)
• Side hop (30 sec, 40cm apart)
• Jump for distance (single leg)
• 90% symmetry
• Fatigued state vs. rested?

Limb Symmetry Index
* Ratio of involved limb(cm)/ratio
uninvolved limb(cm) x100
* >90%

Question 9

upperbody functional tests

Answer 9

• Seated Medicine Ball throw
• Single Arm Seated Shot Put Test
• Timed pushup test
• Upper Quarter Y Balance Test
• CKC Upper Extremity Stability Test
• Assessment of mechanics

Question 10

what are you lookin for in upper limb testing

Answer 10

ROM equal side to side
-Shoulder (GH joint) total ROM= IR+ER
* No compensations with ROM and strength testing
* Strength testing (ideally isokinetic)
-Not always practical, so hand held dynameter.
* Functional Strength tests
* Refer to a coach/know your mechanics: throwing, serving, hitting etc.

Question 11

providing proper cues

Answer 11

External verbal cues have been supported by research to assist in
understanding/performing a movement vs. internal verbal cues (Winkelman et al 2017)
* Some people do not understand their bodies to identify with the cue so internal cueing may not
work with them
* All patients will be different

Question 12

providing proper cues examples

Answer 12

• Squeeze your butt cheeks together vs. try and hold a toonie between your butt cheeks
• Activate your glutes by pushing outwards vs imagine there is a piece of paper under your
  feet, try to rip the piece of paper apart
• Push through the floor vs focus on activating your quads
• Push the bar to the ceiling vs use your pecs to push up
• Flex your knees vs Dig your heels into the ground
• Tight stomach vs brace like someone was going to punch you in the stomach
• Visual cues (through demonstrations are also very important)