Return to sport decisions after an acute lateral ankle sprain injury: Introducing the PAASS framework - An international multidisciplinary consensus
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Return to sport decisions after an acute lateral ankle sprain injury : Introducing the PAASS framework - An international multidisciplinary consensus. / Smith, Michelle D.; Vicenzino, Bill; Bahr, Roald; Bandholm, Thomas; Cooke, Rosalyn; Mendonça, Luciana De Michelis; Fourchet, François; Glasgow, Philip; Gribble, Phillip A.; Herrington, Lee; Hiller, Claire E.; Lee, Sae Yong; Macaluso, Andrea; Meeusen, Romain; Owoeye, Oluwatoyosi B.A.; Reid, Duncan; Tassignon, Bruno; Terada, Masafumi; Thorborg, Kristian; Verhagen, Evert; Verschueren, Jo; Wang, Dan; Whiteley, Rod; Wikstrom, Erik A.; Delahunt, Eamonn.
In: British Journal of Sports Medicine, Vol. 55, No. 22, 2021, p. 1270-1276.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Return to sport decisions after an acute lateral ankle sprain injury
T2 - Introducing the PAASS framework - An international multidisciplinary consensus
AU - Smith, Michelle D.
AU - Vicenzino, Bill
AU - Bahr, Roald
AU - Bandholm, Thomas
AU - Cooke, Rosalyn
AU - Mendonça, Luciana De Michelis
AU - Fourchet, François
AU - Glasgow, Philip
AU - Gribble, Phillip A.
AU - Herrington, Lee
AU - Hiller, Claire E.
AU - Lee, Sae Yong
AU - Macaluso, Andrea
AU - Meeusen, Romain
AU - Owoeye, Oluwatoyosi B.A.
AU - Reid, Duncan
AU - Tassignon, Bruno
AU - Terada, Masafumi
AU - Thorborg, Kristian
AU - Verhagen, Evert
AU - Verschueren, Jo
AU - Wang, Dan
AU - Whiteley, Rod
AU - Wikstrom, Erik A.
AU - Delahunt, Eamonn
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2021
Y1 - 2021
N2 - Background Despite being the most commonly incurred sports injury with a high recurrence rate, there are no guidelines to inform return to sport (RTS) decisions following acute lateral ankle sprain injuries. We aimed to develop a list of assessment items to address this gap. Methods We used a three-round Delphi survey approach to develop consensus of opinion among 155 globally diverse health professionals working in elite field or court sports. This involved surveys that were structured in question format with both closed-response and open-response options. We asked panellists to indicate their agreement about whether or not assessment items should support the RTS decision after an acute lateral ankle sprain injury. The second and third round surveys included quantitative and qualitative feedback from the previous round. We defined a priori consensus being reached at >70% agree or disagree responses. Results Sixteen assessment items reached consensus to be included in the RTS decision after an acute lateral ankle sprain injury. They were mapped to five domains with 98% panellist agreement - PAASS: Pain (during sport participation and over the last 24 hours), Ankle impairments (range of motion; muscle strength, endurance and power), Athlete perception (perceived ankle confidence/reassurance and stability; psychological readiness), Sensorimotor control (proprioception; dynamic postural control/balance), Sport/functional performance (hopping, jumping and agility; sport-specific drills; ability to complete a full training session). Conclusion Expert opinion indicated that pain severity, ankle impairments, sensorimotor control, athlete perception/readiness and sport/functional performance should be assessed to inform the RTS decision following an acute lateral ankle sprain injury. Trial registration number ACTRN12619000522112.
AB - Background Despite being the most commonly incurred sports injury with a high recurrence rate, there are no guidelines to inform return to sport (RTS) decisions following acute lateral ankle sprain injuries. We aimed to develop a list of assessment items to address this gap. Methods We used a three-round Delphi survey approach to develop consensus of opinion among 155 globally diverse health professionals working in elite field or court sports. This involved surveys that were structured in question format with both closed-response and open-response options. We asked panellists to indicate their agreement about whether or not assessment items should support the RTS decision after an acute lateral ankle sprain injury. The second and third round surveys included quantitative and qualitative feedback from the previous round. We defined a priori consensus being reached at >70% agree or disagree responses. Results Sixteen assessment items reached consensus to be included in the RTS decision after an acute lateral ankle sprain injury. They were mapped to five domains with 98% panellist agreement - PAASS: Pain (during sport participation and over the last 24 hours), Ankle impairments (range of motion; muscle strength, endurance and power), Athlete perception (perceived ankle confidence/reassurance and stability; psychological readiness), Sensorimotor control (proprioception; dynamic postural control/balance), Sport/functional performance (hopping, jumping and agility; sport-specific drills; ability to complete a full training session). Conclusion Expert opinion indicated that pain severity, ankle impairments, sensorimotor control, athlete perception/readiness and sport/functional performance should be assessed to inform the RTS decision following an acute lateral ankle sprain injury. Trial registration number ACTRN12619000522112.
KW - ankle
KW - athletes
KW - consensus
KW - sport
KW - sprains and strains
U2 - 10.1136/bjsports-2021-104087
DO - 10.1136/bjsports-2021-104087
M3 - Journal article
C2 - 34158354
AN - SCOPUS:85108601810
VL - 55
SP - 1270
EP - 1276
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
SN - 0306-3674
IS - 22
ER -
ID: 302171344