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A Test Battery for Return to Play in Football

  • Felix Fischer
  • Christian Hoser
  • Elmar Herbst
  • Peter Gföller
  • Christian FinkEmail author
Chapter

Abstract

Football has evolved into a much faster, intensive and more competitive game, with physical and technical demands increasing substantially over the past few years. Football training and match volume have increased due to the progress of professionalism in football. Even if the risk of injury has not increased in the same way as training and match volume, injuries are still of concern. Knee injuries in football are common and constitute a serious problem regardless of gender or playing level. One of the most severe and common knee injuries is the rupture of the anterior cruciate ligament (ACL). Due to the long lay-off time from football, it is causing a threat for the athlete’s career. Currently, at least 6 months are recommended before patients are allowed to return to contact or pivoting sports, although there is little objective data regarding the optimal time for a safe return to play. Many “return-to-play” criteria have been suggested; however, there are still uncertainties between time-based vs. criteria-based return-to-play decision; some are based on the time from ACL reconstruction only, while others combine time with subjective and objective criteria. The back in action (BIA) test battery has been designed for sportive users in healthy conditions or in any phase of a recovery period after an injury. A dynamic measurement of balance, agility, speed and strength is conducted and further compared in respect to normative data from a large group of healthy individuals. As a further optional outcome, a back to sport indicator (BIA indicator) is provided.

Keywords

Test battery ACL injury Football Return to play 

Top Five Evidence-Based References

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  2. Herbst E, Hoser C, Hildebrandt C, Raschner C, Hepperger C, Pointner H, Fink C (2015) Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part II: clinical application of a new test battery. Knee Surg Sports Traumatol Arthrosc 23:1283–1291CrossRefPubMedPubMedCentralGoogle Scholar
  3. Hildebrandt C, Müller L, Zisch B, Huber R, Fink C, Raschner C (2015) Functional assessments for decision-making regarding return to sports following ACL reconstruction. Part I: development of a new test battery. Knee Surg Sports Traumatol Arthrosc 23:1273–1281CrossRefPubMedPubMedCentralGoogle Scholar
  4. Kyritsis P, Bahr R, Landreau P, Miladi R, Witvrouw E (2016) Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. Br J Sports Med 50:946–951CrossRefPubMedGoogle Scholar
  5. Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE, Myer GD (2016) Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Am J Sports Med 44:1861–1876CrossRefPubMedPubMedCentralGoogle Scholar

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Copyright information

© ESSKA 2018

Authors and Affiliations

  • Felix Fischer
    • 1
    • 2
  • Christian Hoser
    • 2
    • 3
  • Elmar Herbst
    • 2
    • 3
  • Peter Gföller
    • 2
    • 3
  • Christian Fink
    • 1
    • 2
    • 3
    Email author
  1. 1.Research Unit of Orthopaedic Sports Medicine and Injury PreventionISAG/UMITHall in TirolAustria
  2. 2.FIFA Medical Centre of ExcellenceInnsbruck/TirolAustria
  3. 3.Gelenkpunkt – Sport and Joint SurgeryInnsbruckAustria

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