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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion

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Functional Testing for Return to Activity with COVID-19.

Shane R Hudnall¹, Bret C Jacobs, Karl B Fields

¹Cone Health Sports Medicine Center, Greensboro, NC.

Current Sports Medicine Reports

|April 13, 2026

Summary

This summary is machine-generated.

Functional tests like the 6-Minute Walk Test aid return-to-play decisions after COVID-19. These assessments evaluate cardiopulmonary and functional recovery, ensuring safe athlete and patient reintegration into physical activity.

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Area of Science:

Sports Medicine
Rehabilitation Science
Infectious Disease Recovery

Background:

Return-to-play decisions post-COVID-19 are complex due to varied recovery.
Cardiopulmonary and functional impairments can persist after infection.

Purpose of the Study:

To review validated functional tests for assessing post-COVID-19 recovery.
To evaluate the role of these tests in guiding return-to-play decisions.

Main Methods:

Review of four functional tests: Timed Up and Go, 6-Minute Walk Test, Kasch Pulse Step Recovery Test, 1-Minute Sit-to-Stand Test.
Analysis of test sensitivity to cardiovascular, pulmonary, and musculoskeletal impairments.

Main Results:

Post-COVID-19 individuals may show significant functional deficits on these tests.
The 6-Minute Walk Test is recommended as a primary functional capacity measure.
The 1-Minute Sit-to-Stand Test is a validated alternative.

Conclusions:

Functional testing is crucial for informed return-to-play evaluations after COVID-19.
These tests can guide rehabilitation and promote safe physical activity resumption.
Integrating functional tests enhances clinical decision-making for post-COVID-19 recovery.