TY - JOUR

T1 - 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

AU - Ardern, Clare L

AU - Glasgow, Philip

AU - Schneiders, Anthony

AU - Witvrouw, Erik

AU - Clarsen, Benjamin

AU - Cools, Ann

AU - Gojanovic, Boris

AU - Griffin, Steffan

AU - Khan, Karim M

AU - Moksnes, Håvard

AU - Mutch, Stephen A

AU - Phillips, Nicola

AU - Reurink, Gustaaf

AU - Sadler, Robin

AU - Silbernagel, Karin Grävare

AU - Thorborg, Kristian

AU - Wangensteen, Arnlaug

AU - Wilk, Kevin E

AU - Bizzini, Mario

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

PY - 2016/7

Y1 - 2016/7

N2 - Deciding when to return to sport after injury is complex and multifactorial-an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups-each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athlete's return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport.

AB - Deciding when to return to sport after injury is complex and multifactorial-an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups-each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athlete's return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport.

KW - Athletes

KW - Athletic Injuries

KW - Clinical Decision-Making

KW - Communication

KW - Congresses as Topic

KW - Decision Making

KW - Humans

KW - Practice Guidelines as Topic

KW - Recovery of Function

KW - Return to Sport

KW - Risk Factors

KW - Sports

KW - Switzerland

KW - Journal Article

U2 - 10.1136/bjsports-2016-096278

DO - 10.1136/bjsports-2016-096278

M3 - Journal article

C2 - 27226389

VL - 50

SP - 853

EP - 864

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

SN - 0306-3674

IS - 14

ER -