Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study
Introduction To date, there is no valid single test or battery of tests for informing return-to-play (RTP) decisions following an acute shoulder injury. The purpose of this exploratory study is to evaluate a diagnostic test battery based on a Delphi consensus at the time of unrestricted return to te...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e067073.full |
| _version_ | 1826546159617835008 |
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| author | Leonard Achenbach Hendrik Bloch Eduard Kurz Ines Buchholz Dirk Maier Arthur Praetorius Sebastian Seyler Susanne Standtke |
| author_facet | Leonard Achenbach Hendrik Bloch Eduard Kurz Ines Buchholz Dirk Maier Arthur Praetorius Sebastian Seyler Susanne Standtke |
| author_sort | Leonard Achenbach |
| collection | DOAJ |
| description | Introduction To date, there is no valid single test or battery of tests for informing return-to-play (RTP) decisions following an acute shoulder injury. The purpose of this exploratory study is to evaluate a diagnostic test battery based on a Delphi consensus at the time of unrestricted return to team training after acute shoulder injury.Methods and analysis Data for this prospective multicentre cohort study are collected at two measurement time points: when the respective physician clears the patient for RTP (t1) and 12 months after RTP (t2). The study participants are 18–35 years old athletes participating at a professional level in the following team sports: handball, basketball, ice hockey, soccer, volleyball and American football. Maximum comparability will be ensured via uninjured matched pair teammates. To assess the subjective assessment of shoulder functioning and the athlete’s readiness to RTP, patient-reported outcome measures (Western Ontario Shoulder Instability Index, Quick-Disabilities of the Arm, Shoulder and Hand, Psychological Readiness of Injured Athlete to Return to Sport and Shoulder Instability-Return to Sport after Injury) will be completed. After a medical check-up with a range of motion and anthropometric measurements as well as clinical tests, the participants will perform a structured warm-up protocol. The functional tests comprise handgrip strength, upper quarter Y-balance test, isometric strength, closed kinetic chain upper extremity stability test, wall hop test, functional throwing performance index and the unilateral seated shot put test and isokinetic tests.Ethics and dissemination The results of this study will be disseminated through peer-reviewed publications and scientific presentations at national and international conferences. Ethical approval was obtained through the Institutional Review Board of Martin-Luther-University Halle-Wittenberg (reference number: 2022–016).Trial registration number DRKS00028265. |
| first_indexed | 2024-04-10T09:46:20Z |
| format | Article |
| id | doaj.art-4aa3a11fbf36453f97837b3aba1dfe36 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-14T05:29:20Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-4aa3a11fbf36453f97837b3aba1dfe362025-03-05T17:10:14ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-067073Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre studyLeonard Achenbach0Hendrik Bloch1Eduard Kurz2Ines Buchholz3Dirk Maier4Arthur Praetorius5Sebastian Seyler6Susanne Standtke71 Department of Orthopedics, Julius Maximilians University Würzburg, Wurzburg, Germany2 Department of Sports Injury Prevention, VBG, German Statutory Accident Insurance for the Administrative Sector, Bielefeld, GermanyDepartment of Orthopedic and Trauma Surgery, Martin-Luther-Universitat Halle-Wittenberg Medizinische Fakultat, Halle (Saale), GermanyDepartment Insurance | Benefits (Section Planning Control, Quality Assurance, Benefits), German Social Accident Insurance VBG, Hamburg, GermanyDepartment of Orthopedics and Trauma Surgery, Albert-Ludwigs-University of Freiburg, Freiburg im Breisgau, GermanyAthletikum Rhein Ruhr, BG Klinikum Duisburg, Duisburg, GermanyBG Klinikum Hamburg, Hamburg, GermanyAmbulantes Rehazentrum St. Elisabeth Leipzig, Leipzig, GermanyIntroduction To date, there is no valid single test or battery of tests for informing return-to-play (RTP) decisions following an acute shoulder injury. The purpose of this exploratory study is to evaluate a diagnostic test battery based on a Delphi consensus at the time of unrestricted return to team training after acute shoulder injury.Methods and analysis Data for this prospective multicentre cohort study are collected at two measurement time points: when the respective physician clears the patient for RTP (t1) and 12 months after RTP (t2). The study participants are 18–35 years old athletes participating at a professional level in the following team sports: handball, basketball, ice hockey, soccer, volleyball and American football. Maximum comparability will be ensured via uninjured matched pair teammates. To assess the subjective assessment of shoulder functioning and the athlete’s readiness to RTP, patient-reported outcome measures (Western Ontario Shoulder Instability Index, Quick-Disabilities of the Arm, Shoulder and Hand, Psychological Readiness of Injured Athlete to Return to Sport and Shoulder Instability-Return to Sport after Injury) will be completed. After a medical check-up with a range of motion and anthropometric measurements as well as clinical tests, the participants will perform a structured warm-up protocol. The functional tests comprise handgrip strength, upper quarter Y-balance test, isometric strength, closed kinetic chain upper extremity stability test, wall hop test, functional throwing performance index and the unilateral seated shot put test and isokinetic tests.Ethics and dissemination The results of this study will be disseminated through peer-reviewed publications and scientific presentations at national and international conferences. Ethical approval was obtained through the Institutional Review Board of Martin-Luther-University Halle-Wittenberg (reference number: 2022–016).Trial registration number DRKS00028265.https://bmjopen.bmj.com/content/13/2/e067073.full |
| spellingShingle | Leonard Achenbach Hendrik Bloch Eduard Kurz Ines Buchholz Dirk Maier Arthur Praetorius Sebastian Seyler Susanne Standtke Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study BMJ Open |
| title | Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study |
| title_full | Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study |
| title_fullStr | Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study |
| title_full_unstemmed | Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study |
| title_short | Assessment of return to play after an acute shoulder injury: protocol for an explorative prospective observational German multicentre study |
| title_sort | assessment of return to play after an acute shoulder injury protocol for an explorative prospective observational german multicentre study |
| url | https://bmjopen.bmj.com/content/13/2/e067073.full |
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