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Return to play following injury: whose decision should it be?
Ian Shrier1, Parissa Safai, Lyn Charland
1Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, , Montreal, Quebec, Canada.
British Journal of Sports Medicine
|September 7, 2013
Summary
Return-to-play (RTP) decisions involve diverse opinions among sport medicine professionals, athletes, and coaches. Understanding these differing views on RTP criteria is key for effective shared decision-making in athlete recovery.
Area of Science:
- Sports Medicine
- Rehabilitation
- Clinical Decision-Making
Background:
- Return-to-play (RTP) decisions for injured athletes often create conflict among stakeholders.
- This study investigates differing opinions on RTP criteria and their evaluation.
Purpose of the Study:
- To explore variations in how sport medicine professionals, athletes, coaches, and associations perceive RTP criteria.
- To identify which stakeholder groups are best suited to evaluate specific RTP criteria.
Main Methods:
- A survey was administered to Canadian sport medicine physicians, physiotherapists, athletic therapists, chiropractors, massage therapists, athletes, coaches, and sport association representatives.
- Respondents rated RTP criteria on a five-point Likert scale and indicated the best profession for evaluating each criterion.
Main Results:
- Medical doctors, physiotherapists, and athletic therapists were deemed best for assessing injury risk and complications.
- Athletes, coaches, and associations were favored for evaluating competition-related factors.
- Significant differences in opinions existed both within and between stakeholder groups.
Conclusions:
- Discrepancies in RTP decision-making approaches are often greater within stakeholder groups than between them.
- Addressing differences in training, knowledge, and values is crucial for establishing shared decision-making in sport medicine.
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