Return to play in elite rugby players after severe knee injuries

Background: Medical professionals working in an elite sport environment have the challenging task to balance the athlete’s readiness to return to the playing field after severe injury with other stakeholders’ (coaches, sponsors, teammates) opinions and objectives. Objectives: Our study aimed to eva...

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Main Authors: Aneurin D. Robyn, Quinette A. Louw, Jochen Baumeister
Format: Article
Language:English
Published: AOSIS 2022-04-01
Series:South African Journal of Physiotherapy
Subjects:
Online Access:https://sajp.co.za/index.php/sajp/article/view/1629
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author Aneurin D. Robyn
Quinette A. Louw
Jochen Baumeister
author_facet Aneurin D. Robyn
Quinette A. Louw
Jochen Baumeister
author_sort Aneurin D. Robyn
collection DOAJ
description Background: Medical professionals working in an elite sport environment have the challenging task to balance the athlete’s readiness to return to the playing field after severe injury with other stakeholders’ (coaches, sponsors, teammates) opinions and objectives. Objectives: Our study aimed to evaluate differences in the physical profiles of elite rugby players at return to play (RTP) after a severe knee injury, compared with their pre-injury profiles and matched controls. Method: Before the injury, participants performed four performance tests during their preseason screening. These tests were repeated and compared to baseline once a player was declared fit to play. Results: Significant differences (p ≤ 0.05) were found in the injured players’ group who were slower over 10 m speed, in their decision-making time and the total time of the reactive agility tests at RTP, whilst controls were significantly faster over 10 m and 30 m speed tests. The countermovement jump outcomes showed significant improvement in the uninjured participants (p ≤ 0.05). Conclusion: Our study highlights that injured players’ running speeds and decision-making times are slower after injury. The uninjured players have a positive outcome to training and match stimulus by improving their running speed and lower body explosive power during the season. Clinical implications: Our study provides insight into the RTP profile of elite rugby players, and a novel finding was the decision-making time deficit. This highlights the importance of cognitive training during injury rehabilitation as athletes make numerous decisions in a pressured and uncontrolled environment during a match. Speed training development is recommended as the athletes were slower after severe knee injury.
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spelling doaj.art-a4e44d495bf24dc38c57119b3246c4822022-12-22T00:12:38ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192022-04-01781e1e1010.4102/sajp.v78i1.16291488Return to play in elite rugby players after severe knee injuriesAneurin D. Robyn0Quinette A. Louw1Jochen Baumeister2Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownDepartment of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownDepartment of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and, Department of Exercise and Health, Faculty of Science, Paderborn University, PaderbornBackground: Medical professionals working in an elite sport environment have the challenging task to balance the athlete’s readiness to return to the playing field after severe injury with other stakeholders’ (coaches, sponsors, teammates) opinions and objectives. Objectives: Our study aimed to evaluate differences in the physical profiles of elite rugby players at return to play (RTP) after a severe knee injury, compared with their pre-injury profiles and matched controls. Method: Before the injury, participants performed four performance tests during their preseason screening. These tests were repeated and compared to baseline once a player was declared fit to play. Results: Significant differences (p ≤ 0.05) were found in the injured players’ group who were slower over 10 m speed, in their decision-making time and the total time of the reactive agility tests at RTP, whilst controls were significantly faster over 10 m and 30 m speed tests. The countermovement jump outcomes showed significant improvement in the uninjured participants (p ≤ 0.05). Conclusion: Our study highlights that injured players’ running speeds and decision-making times are slower after injury. The uninjured players have a positive outcome to training and match stimulus by improving their running speed and lower body explosive power during the season. Clinical implications: Our study provides insight into the RTP profile of elite rugby players, and a novel finding was the decision-making time deficit. This highlights the importance of cognitive training during injury rehabilitation as athletes make numerous decisions in a pressured and uncontrolled environment during a match. Speed training development is recommended as the athletes were slower after severe knee injury.https://sajp.co.za/index.php/sajp/article/view/1629performancephysical profilepreinjury levelreturn to playknee injuryrugby
spellingShingle Aneurin D. Robyn
Quinette A. Louw
Jochen Baumeister
Return to play in elite rugby players after severe knee injuries
South African Journal of Physiotherapy
performance
physical profile
preinjury level
return to play
knee injury
rugby
title Return to play in elite rugby players after severe knee injuries
title_full Return to play in elite rugby players after severe knee injuries
title_fullStr Return to play in elite rugby players after severe knee injuries
title_full_unstemmed Return to play in elite rugby players after severe knee injuries
title_short Return to play in elite rugby players after severe knee injuries
title_sort return to play in elite rugby players after severe knee injuries
topic performance
physical profile
preinjury level
return to play
knee injury
rugby
url https://sajp.co.za/index.php/sajp/article/view/1629
work_keys_str_mv AT aneurindrobyn returntoplayineliterugbyplayersafterseverekneeinjuries
AT quinettealouw returntoplayineliterugbyplayersafterseverekneeinjuries
AT jochenbaumeister returntoplayineliterugbyplayersafterseverekneeinjuries