Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury
The incidence of upper extremity (UE) injuries in sport, particularly with the shoulder and elbow in baseball/softball players, appears to be increasing yearly, especially in younger age athletes. Improving the objective criteria and testing methods used to determine return to play (RTP) readiness f...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
North American Sports Medicine Institute
2023-12-01
|
| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://ijspt.scholasticahq.com/article/89926-neurocognitive-and-reactive-return-to-play-testing-protocol-in-overhead-athletes-following-upper-extremity-injury |
| _version_ | 1797435945180463104 |
|---|---|
| author | Kevin E Wilk Zachary M Thomas Robert E Mangine Paul Fuller George J Davies |
| author_facet | Kevin E Wilk Zachary M Thomas Robert E Mangine Paul Fuller George J Davies |
| author_sort | Kevin E Wilk |
| collection | DOAJ |
| description | The incidence of upper extremity (UE) injuries in sport, particularly with the shoulder and elbow in baseball/softball players, appears to be increasing yearly, especially in younger age athletes. Improving the objective criteria and testing methods used to determine return to play (RTP) readiness following non-operative or post-operative management of UE injuries is one aspect of the rehabilitation process that may significantly help in reducing reinjury rates. Currently, the majority of clinicians are still using post operative time frame and/or strength/range of motion as their main criteria for clearance to RTP following UE injury. This demonstrates an inadequate reflection of the actual unpredictable, dynamic environment athletes are returning to participate in. In our clinical experiences, objective testing to allow for clearance to sport participation should incorporate neurocognitive and reactive testing to promote improvements in the athlete's ability to dual task and focus/concentrate on the multi-dimensional tasks at hand. We know that neuroplastic changes occur following UE injury resulting in decreased proprioception and increased motor activation with simple UE tasks. Currently the research on UE return to play testing is limited. The purpose of this clinical commentary was to describe the utilization and provide reference values for a series of reactive neurocognitive UE tests, to assist with RTP, in high school and collegiate overhead athletes (baseball and softball) utilizing the Blaze Pod light system. The use of a more dynamic reactive testing battery may decrease the reinjury rates when an athlete is cleared for participation by measuring readiness in chaotic circumstances that are more reflective of the sporting environment the athlete is working to return to resulting in a greater sense of confidence, performance and prevention of reinjuries. |
| first_indexed | 2024-03-09T10:55:35Z |
| format | Article |
| id | doaj.art-b2e04bfcfc84413fa796e8a6aa48ba17 |
| institution | Directory Open Access Journal |
| issn | 2159-2896 |
| language | English |
| last_indexed | 2024-03-09T10:55:35Z |
| publishDate | 2023-12-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj.art-b2e04bfcfc84413fa796e8a6aa48ba172023-12-01T02:07:41ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-12-01186Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity InjuryKevin E WilkZachary M ThomasRobert E ManginePaul FullerGeorge J DaviesThe incidence of upper extremity (UE) injuries in sport, particularly with the shoulder and elbow in baseball/softball players, appears to be increasing yearly, especially in younger age athletes. Improving the objective criteria and testing methods used to determine return to play (RTP) readiness following non-operative or post-operative management of UE injuries is one aspect of the rehabilitation process that may significantly help in reducing reinjury rates. Currently, the majority of clinicians are still using post operative time frame and/or strength/range of motion as their main criteria for clearance to RTP following UE injury. This demonstrates an inadequate reflection of the actual unpredictable, dynamic environment athletes are returning to participate in. In our clinical experiences, objective testing to allow for clearance to sport participation should incorporate neurocognitive and reactive testing to promote improvements in the athlete's ability to dual task and focus/concentrate on the multi-dimensional tasks at hand. We know that neuroplastic changes occur following UE injury resulting in decreased proprioception and increased motor activation with simple UE tasks. Currently the research on UE return to play testing is limited. The purpose of this clinical commentary was to describe the utilization and provide reference values for a series of reactive neurocognitive UE tests, to assist with RTP, in high school and collegiate overhead athletes (baseball and softball) utilizing the Blaze Pod light system. The use of a more dynamic reactive testing battery may decrease the reinjury rates when an athlete is cleared for participation by measuring readiness in chaotic circumstances that are more reflective of the sporting environment the athlete is working to return to resulting in a greater sense of confidence, performance and prevention of reinjuries.https://ijspt.scholasticahq.com/article/89926-neurocognitive-and-reactive-return-to-play-testing-protocol-in-overhead-athletes-following-upper-extremity-injury |
| spellingShingle | Kevin E Wilk Zachary M Thomas Robert E Mangine Paul Fuller George J Davies Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury International Journal of Sports Physical Therapy |
| title | Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury |
| title_full | Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury |
| title_fullStr | Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury |
| title_full_unstemmed | Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury |
| title_short | Neurocognitive and Reactive Return to Play Testing Protocol in Overhead Athletes Following Upper Extremity Injury |
| title_sort | neurocognitive and reactive return to play testing protocol in overhead athletes following upper extremity injury |
| url | https://ijspt.scholasticahq.com/article/89926-neurocognitive-and-reactive-return-to-play-testing-protocol-in-overhead-athletes-following-upper-extremity-injury |
| work_keys_str_mv | AT kevinewilk neurocognitiveandreactivereturntoplaytestingprotocolinoverheadathletesfollowingupperextremityinjury AT zacharymthomas neurocognitiveandreactivereturntoplaytestingprotocolinoverheadathletesfollowingupperextremityinjury AT robertemangine neurocognitiveandreactivereturntoplaytestingprotocolinoverheadathletesfollowingupperextremityinjury AT paulfuller neurocognitiveandreactivereturntoplaytestingprotocolinoverheadathletesfollowingupperextremityinjury AT georgejdavies neurocognitiveandreactivereturntoplaytestingprotocolinoverheadathletesfollowingupperextremityinjury |