Ricard Pruna / Dani Medina Senior Researcher and Sports Medicine Specialist at the Medical Services Futbol Club Barcelona - Which is our Return To Play criteria?

1. Which
is
our
Return
To
Play
criteria?
First
Team
Football
Seniors
Researchers
and
Sports
Medicine
Specialists
at
the
Medical
Services
F.
C.
Barcelona

2. Return
To
Play
defini9on
The
decission-­‐making
process
of
returning
an
injured
or
ill
athlete
to
compe==on
(modified
from
Ekstrand
and
Hallen,
2014).

3. Sequen9al
management
model
for
Muscle
Injuries
treatment
Team
Doctor
Physiotherapists
Rehabilita9on
Trainers
Physical
Fitness
Trainers
Injured
player
informa9on

4. All-­‐clear
to
play
WHEN?
Re-­‐injury
risk
is
very
high
(14-­‐16%)
Criteria
1. Clinical
criteria
2. Imaging
criteria
(US)
3. Func=onal
criteria
Strengh
Test
Specific
Physical
Test
Own
Experience
+
Reinjury
risk
HEALTHY
INDIVIDUALS
High
workloads
Highest
compe33on
level
No
re-­‐injury

5. Return
to
play
Hamstrings
is
an
heterogeneus
group
of
muscles:
“injured
muscle
subgroups”
with
different
recovery
=mes
Personalized
return
to
play
based
on:
1. Injury
loca=on
2. Connec=ve
=ssue
involved
3. Imaging
4. Anatomical
features
5. Player
posi=on/role

6. Take
Home
Message
1. Biologic
9me
of
evolu9on,
according
type
and
site
of
injury.
2. Good
quality
9ssue
healing:
lack
of
clinical
symptons,
US
sta=c/dynamic
test.
3. High
explosive
eccentric
strengh
must
be
demonstrated.(acc/desacc)
4. Rehab
9me
working
with
CORE,
coordina=on
–intra/intermuscular-­‐
and
propiocep=on.
5. GPS
assesment.
6. The
player
should
par=cipate
at
least
in
6
normal
training
sesions
and
GPS
parameters
must
be
recorded
and
compared
favourably
with
pre-­‐injury
data.
7. Consider
the
ini9al
matches
as
a
part
of
the
recovery
process.

7. Thank
you
for
your
aZen=on
Which
is
our
Return
To
Play
criteria?
Ricard
Pruna
/
Daniel
Medina
Seniors
Researchers
and
Sports
Medicine
Specialists
at
the
Medical
Services
F.
C.
Barcelona