1108 - Return to Sport after Injury: A Practical Approach to the Decision Making Process

Session Director(s)

• GM

  Gerardo Miranda-Comas, MD (he/him/his)

  Associate Professor
  Mount Sinai
  San Juan, Puerto Rico

  Disclosed no relevant financial relationships.

  PDF of Slides

Faculty(s)

• 

  William Micheo, MD

  Professor and Chair, Sports Medicine Fellowship Director
  PM&R and Sports Medicine Department
  University of Puerto Rico Med SchlDept of PM&R and Sports Med
  Bayamon, Puerto Rico

  Disclosed no relevant financial relationships.

  PDF of Slides

The return to sport decision making process after an injury is often separated from the clinical evaluation and initial treatment plan including the rehabilitation process. In the past the patient would begin with the medical and rehabilitation team then transfer to the performance team for sport-specific training and return to sport. Newer models promote an overlap between the medical/rehabilitation process and the return to sport decision, where members of the medical team bridge the injury-rehabilitation-return to sport processes. This calls for a multi-disciplinary team effort centered in constant communication between the team members following a criteria based progression guiding each step. Furthermore, current concepts discuss a rehabilitation-return to sport continuum where there is return to play which involves returning to sport specific activity without competition, return to sports which involves returning to same level of sport, but not necessarily the same level of performance; and lastly return to performance that involves return to the same or higher pre-injury level of performance.

We will discuss return to sport models in two small presentations, followed by case discussions. A case based approach to this topic will help us as clinicians apply current concepts to our everyday practice. We will discuss several cases where the return to sport decision was reached after considering multiple factors.

Presentations:

• Bridging Functional and Biomechanical Testing to Return to Performancecase Presentations: Return to Sport After a Running Injury and a Shoulder Injury in a Thrower
  

  Speaker: Gerardo Miranda-Comas, MD (he/him/his) – Mount Sinai
• The Clinical and Psychological Factors in the Return to Sport Decisioncase Discussion: Return to Sport After an Acute Knee Injury
  

  Speaker: William F. Micheo, MD – University of Puerto Rico Med SchlDept of PM&R and Sports Med