Shoulder instability: return to play

Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete

“…As a result, each clinician uses normative data from the literature, or his own clinical reasoning process to decide whether an athlete is ready to play. Ideal return-to-play criteria are described by Mc Carty et al 111 comprising little/no pain, subjective satisfaction of the treatment by the patient, near normal ROM and strength, and normal functional ability and sport-specific skills. Regarding scapular dyskinesis, we recommend symmetry in the scapular muscle strength in athletes not performing throwing sports, and 10% increased strength on the dominant side in unilateral overhead sports (isometric muscle strength, measured with a Hand-Held Dynamometer) 112.…”

Return-to-Play in Sport: A Decision-based Model

“…For example, plain FIGURE 1. 14,28,30,45,52,56,57,62,68,84,85 In general, authors recommend that RTP should occur when there is no pain, 30 no instability, 30 normal kinematics, 14,30 and near symmetrical performance compared with the contralateral limb. The decision-based RTP model for an injury or illness is specific to the individual practitioner making the RTP decision.…”

“…The decision-based RTP model for an injury or illness is specific to the individual practitioner making the RTP decision. 45,50,57,86,87 Apprehension, fear, and anxiety are associated with a higher risk of reinjury 86 in addition to negative effects on performance. The RTP square represents the final decision that actually results in an action being taken.…”

“…15,30,[50][51][52][56][57][58][59][60]62,64,78,82,88,89 However, high velocity sports (eg, alpine skiing) without collision or contact are also associated with high risks. 15,30,[50][51][52][56][57][58][59][60]62,64,78,82,88,89 However, high velocity sports (eg, alpine skiing) without collision or contact are also associated with high risks.…”

“…15,30,[50][51][52][56][57][58][59][60]62,64,78,82,88,89 However, high velocity sports (eg, alpine skiing) without collision or contact are also associated with high risks. 30,50,[56][57][58]90 For example, an acromioclavicular sprain in a quarterback is repeatedly stressed during the throwing motion but receives much less stress in a field goal kicker. Position played: Different positions within a sport are exposed to different forces and stresses and therefore different risks.…”