Episode # 41 Dr. Mike and I discuss WHAT DOES ACL RETURN 2 PLAY ACTUALLY MEAN? - a podcast by Coach Hos

from 2022-09-07T18:17:53

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Dr. Mike and I discuss a HOT TOPIC "WHAT DOES RETURN TO PLAY ACTUALLY MEAN"? And the "VALIDITY OF THE TRIPLE HOP DISTANCE TEST AS A RETURN TO SPORT ASSESSMENT"

Question asked by a mom in the "Parents of the ACL Recovery" page

My daughter is 5.5 months post op, quad graft, and went for her 6 month check up today. They ended up testing her for return to play, and she passed with a score of 98%, meaning her surgery leg is almost equal to her other leg! I thought I would post videos of some of the tests that they did in hopes they will help someone. They also did a basic quad and hamstring strength test, and she was equal on those.

Now we are waiting on the dr. to call to let us know what exactly this means. She is a 15 yr old ECNL soccer player and has been cleared by her PT to do everything EXCEPT contact for the past few weeks. Just curious what โ€œreturn to playโ€ actually means, as I know she will not be playing in games this early!

๐—ฅ๐—ฒ๐˜๐˜‚๐—ฟ๐—ป๐—ถ๐—ป๐—ด ๐˜๐—ผ ๐—ฆ๐—ฝ๐—ผ๐—ฟ๐˜๐˜€ ๐—ฃ๐—ฎ๐—ฟ๐˜๐—ถ๐—ฐ๐—ถ๐—ฝ๐—ฎ๐˜๐—ถ๐—ผ๐—ป

Goals at 9-12 months: PREPARE TO TAKE RETURN TO SPORTS TEST

- Display a normal running pattern that does not increase pain, swelling, or warmth

- Practice and display no hesitation or compensation strategies during agility drills (particularly when decelerating) when performed at 100% effort

- Practice and display normal loading (no medial knee collapse) and soft, athletic landings from all jumps and hops

- Practice and display no hesitation or compensation strategies during cutting drills (particularly when decelerating) when performed at perceived 100% effort.

โ€œReturn to Playโ€
it is necessary to differentiate between various types of return:

Level 1
(10) NON contact practices-stretching, warm-up, skills and drills. No more than 1 practice per day

โ€ข Return to reduced team training practice (no contact)


Level 2
(10) May participate in Contact or Possesion skills/drills. No scrimmage or games. No more than 1 practice per day

โ€ข Return to full (normal) team training practice (with contact)


Level 3
(5) 10 minutes continuous play before resting. Total 20 minutes

โ€ข Return to โ€œfriendlyโ€ games (initially not over the full duration of a match)


Level 4
(5) Increase continuous play time by 10% as tolerated

โ€ข Return to competitive match (initially not over the full duration of a match)

Level 5
Athlete can play in multiple games per day


New Study: Assessing the Validity of the Triple Hop Distance as a Test for Return To Sports assessments

https://dorsaviami.blogspot.com/2022/...

Joe Hos, NSCA-CPT, CFSC
Post-Orthopedic Sports Rehab Specialist
sportsrehabpa@gmail.com
@Coach_hos
www.sportsrehabpa.com
https://mailchi.mp/55e6f62e4f5d/coach...


Michael St. George PT, DPT
Clinic Director Ivyrehab-Warminster Physical Therapy and Sports Performance
Michael.stgeorge@ivyrehab.com
https://www.instagram.com/honeybadger...
https://www.ivyrehab.com/location/war...
https://mailchi.mp/55e6f62e4f5d/coach...

DorsiVi AMI (Athletic Movement Index)

ViPerformโ„ข PROVIDES OBJECTIVE DATA TO ACCURATELY ASSESS RISK OF SPORT INJURY, GUIDE ATHLETIC TRAINING AND RECOVERY PROGRAMS, AND HELP DETERMINE WHEN IT'S SAFE FOR ATHLETES TO RETURN TO PLAY

https://www.dorsavi.com

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