return to play rehab strategies and recurrence prevention for lower extremity tendonopathies in...

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Lower Extremity Tendonopothies Return to Play Guidelines And Recurrence Prevention

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Gerald A. Stevens, ATC, LAT presents "Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.

TRANSCRIPT

Page 1: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Lower Extremity Tendonopothies

Return to Play Guidelines

And

Recurrence Prevention

Page 2: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

“Brevity is the soul of wit”

William Shakespeare

Page 3: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Lower Extremity Tendonopothies

• Return to Play?• Prevention• Determine the cause• Identify contributing factors• Corrections and modifications• Condition’s status• Point of no return

Page 4: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

What Does Return to Play Mean?

AOSSM defines it as the point inrecovery after an injury or surgery whenan athlete is able to participate in their

sport or activity at a level similar tothat before the injury or the surgery

took place.

Page 5: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Prevention

Page 6: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Cause of the injury

Activity demandsBiomechanicalPoor TechniqueOver trainingPrevious injuryOther condition

Page 7: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Contributing Factors

Equipment Playing surfaces Rest & recovery Diet Repetitive

trauma

Page 8: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Corrections or Modifications

Training philosophiesProper equipmentRest and recoveryWarm up and cool down

Page 9: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Condition’s Status

• Completely resolved?

• No meds (Rx or OTC)

• No assistive devices

• Athlete compliance

Page 10: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Point of No Return

Time table for return

Level of participation

Know your athletes!

Page 11: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

References

1. AOSSM

2. All the speakers, presenters and educators that I have encountered, listened and notated over the past 30 years as a student and AT.

Page 12: Return to Play Rehab Strategies and Recurrence Prevention for Lower Extremity Tendonopathies in Athletes

Thank You