November 26, 2017

Return to Play Testing

isokinetic

Returning to activities after a serious injury can be a confusing process. Without appropriate data, it is hard to know if you are at a high injury risk. For example, up to 40% of athletes returning from ACL construction go on to suffer a second injury. One glaring issue is that the vast majority were never formally tested before they returned to sport. A 2017 study has shown that when those athletes who have been told to return to sport are actually tested, only 14% passed the most basic standards for return to play! This is a major problem…

At Black Diamond Physical Therapy we offer a variety of return to play evaluations. We can test knee, shoulder, and/or ankle. Below is a sample of our knee testing options.

Tier 1 (Up to 20 min): Minimum testing required per international standards.
Includes:

  • 5 Second Isometric Quadriceps Index
  • Hop Testing
    • Single
    • Triple
    • Crossover

Tier 2 (Up to 40 min): Testing that looks a little closer at muscle performance as it relates to function.
Includes:

  • 5 Second Isometric Quadriceps Index
  • Hop Testing
    • Single
    • Triple
    • Crossover
  • Hamstrings Eccentric Load Tolerance
  • Isokinetic Testing of Quadriceps and Hamstrings
    • 60deg/s
    • 180deg/s
    • 300deg/s

Tier 3 (Up to 60 min): Testing that takes a closer look at jumping and deceleration performance.
Includes:

  • 5 Second Isometric Quadriceps Index
  • Hop Testing
    • Single
    • Triple
    • Crossover
  • Hamstrings Eccentric Load Tolerance
  • Isokinetic Testing of Quadriceps and Hamstrings
    • 60deg/s
    • 180deg/s
    • 300deg/s
  • Force Plate Assessments
    • Mid-Thigh Pull
    • Squat Jump
    • Countermovement Jump

Custom Program (Up to 120 min): Ideal for out of town athletes looking for a comprehensive evaluation and treatment plan with education and performance of exercise program built out from the session to address identified unique demands. Not covered by insurances as a one-time session.

Findings from these tests can be very surprising, often showing dramatic deficits that are well below the threshold of a safe return to play. This guides the rehab process to assure the athlete does not return to their sport until they demonstrate the minimum risk profile as we currently understand it.

This is an integrated part of the rehab process for those under our direct care, but we also offer this service as an isolated test. We keep a permanent electronic record of every session and individuals get a full printed report or PDF document that they can keep for themselves. Many will return for follow up testing in order to monitor their progress.

Testing is covered by most insurance companies, however some require that more extensive testing be broken into more than one session. Development of a correction program can be added to any testing battery. Private pay options are also available and not bound by insurance limitations.

For more information contact us.