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      2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern.

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          Abstract

          Deciding when to return to sport after injury is complex and multifactorial-an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups-each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athlete's return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport.

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          Author and article information

          Journal
          Br J Sports Med
          British journal of sports medicine
          BMJ
          1473-0480
          0306-3674
          Jul 2016
          : 50
          : 14
          Affiliations
          [1 ] Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar Division of Physiotherapy, Linköping University, Linköping, Sweden School of Allied Health, La Trobe University, Melbourne, Australia.
          [2 ] Sport Northern Ireland Sports Institute, Newtownabbey, UK School of Sport, Ulster University, Newtownabbey, UK.
          [3 ] School of Human, Health & Social Sciences, Central Queensland University, Branyan, Queensland, Australia.
          [4 ] Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
          [5 ] Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway The Olympic Elite Sports Program (Olympiatoppen), Oslo, Norway.
          [6 ] Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
          [7 ] Hôpital de La Tour, Swiss Olympic Medical Center, Meyrin, Switzerland Sports Medicine, Department for Human Locomotion, Lausanne University and Hospital, Lausanne, Switzerland.
          [8 ] College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
          [9 ] Center for Hip Health and Mobility, University of British Columbia, Vancouver, British Columbia, Canada.
          [10 ] SPACE Clinics, Edinburgh, UK Scottish Rugby, Murrayfield Stadium, UK.
          [11 ] School of Healthcare Sciences, Cardiff University, Cardiff, UK.
          [12 ] The Sports Physicians Group, Amsterdam, The Netherlands.
          [13 ] Manchester City Football Club, Manchester, UK.
          [14 ] Department of Physical Therapy, University of Delaware, Newark, Delaware, USA.
          [15 ] Department of Orthopedic Surgery, Sports Orthopedic Research Center-Copenhagen (SORC-C), Amager-Hvidovre Hospital, Copenhagen University, Copenhagen, Denmark Department of Orthopedic Surgery and Physical Therapy, Physical Medicine Rehabilitation Research-Copenhagen, Amager-Hvidovre Hospital, Copenhagen University, Copenhagen, Denmark.
          [16 ] Aspetar Orthopaedic & Sports Medicine Hospital, Doha, Qatar Oslo Sports Trauma Research Center, Norwegian School of Sports Sciences, Oslo, Norway.
          [17 ] Champion Sports Medicine, Birmingham, Alabama, USA.
          [18 ] FIFA-Medical Assessment & Research Centre (F-MARC), Schulthess Clinic, Zürich, Switzerland.
          Article
          bjsports-2016-096278
          10.1136/bjsports-2016-096278
          27226389
          86a483d2-8527-4c76-b519-4871c73f401a
          History

          Sports physiotherapy,Consensus statement,Sport,Sports and exercise medicine

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