2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern
Open accessAbstract
Deciding when to return to sport after injury is complex and multifactorial—an exercise in risk management. Return to sport decisions are made every day by clinicians, athletes and coaches, ideally in a collaborative way. The purpose of this consensus statement was to present and synthesise current evidence to make recommendations for return to sport decision-making, clinical practice and future research directions related to returning athletes to sport. A half day meeting was held in Bern, Switzerland, after the First World Congress in Sports Physical Therapy. 17 expert clinicians participated. 4 main sections were initially agreed upon, then participants elected to join 1 of the 4 groups—each group focused on 1 section of the consensus statement. Participants in each group discussed and summarised the key issues for their section before the 17-member group met again for discussion to reach consensus on the content of the 4 sections. Return to sport is not a decision taken in isolation at the end of the recovery and rehabilitation process. Instead, return to sport should be viewed as a continuum, paralleled with recovery and rehabilitation. Biopsychosocial models may help the clinician make sense of individual factors that may influence the athlete's return to sport, and the Strategic Assessment of Risk and Risk Tolerance framework may help decision-makers synthesise information to make an optimal return to sport decision. Research evidence to support return to sport decisions in clinical practice is scarce. Future research should focus on a standardised approach to defining, measuring and reporting return to sport outcomes, and identifying valuable prognostic factors for returning to sport.
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Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61602-x · Cited by 21,320 · see citing works
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371 · see citing works
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
Schulz, K. F., Altman, D. G., Moher, D., & for the CONSORT Group (2010) · BMJ · doi:10.1136/bmj.c332 · Cited by 9,329 · see citing works
Shared decision making: A model for clinical practice
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., et al. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2077-6 · Cited by 4,405 · see citing works
McCrory, P. R., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvořák, J., Echemendía, R. J., Engebretsen, L., Johnston, K., Kutcher, J. S., Raftery, M., et al. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092313 · Cited by 2,580 · see citing works
Epidemiology of Muscle Injuries in Professional Football (Soccer)
Ekstrand, J., Hägglund, M., & Waldén, M. (2011) · The American Journal of Sports Medicine · doi:10.1177/0363546510395879 · Cited by 1,492 · see citing works
Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093398 · Cited by 1,465 · see citing works
Self-citationAllender, S., Cowburn, G., & Foster, C. (2006) · Health Education Research · doi:10.1093/her/cyl063 · Cited by 1,215 · see citing works
Anterior Cruciate Ligament Injuries in Female Athletes
Hewett, T. E., Myer, G. D., & Ford, K. R. (2006) · The American Journal of Sports Medicine · doi:10.1177/0363546505284183 · Cited by 1,086 · see citing works
Strength Imbalances and Prevention of Hamstring Injury in Professional Soccer Players
Croisier, J., Ganteaume, S., Binet, J., Genty, M., & Ferret, J.-M. (2008) · The American Journal of Sports Medicine · doi:10.1177/0363546508316764 · Cited by 978 · see citing works
Saw, A. E., Main, L. C., & Gastin, P. B. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-094758 · Cited by 922 · see citing works
Webster, K. E., Feller, J. A., & Lambros, C. (2007) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2007.09.003 · Cited by 759 · see citing works
McCrory, P. R., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvořák, J., Echemendía, R. J., Engebretsen, L., Johnston, K., Kutcher, J. S., Raftery, M., et al. (2013) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31828b67cf · Cited by 736 · see citing works
Kibler, W. B., Ludewig, P. M., McClure, P. W., Michener, L. A., Bak, K., & Sciascia, A. D. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092425 · Cited by 731 · see citing works
Ekstrand, J., Waldén, M., & Hägglund, M. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095359 · Cited by 700 · see citing works
Incidence, Risk, and Prevention of Hamstring Muscle Injuries in Professional Rugby Union
Brooks, J. H. M., Fuller, C. W., Kemp, S. P. T., & Reddin, D. B. (2006) · The American Journal of Sports Medicine · doi:10.1177/0363546505286022 · Cited by 649 · see citing works
An integrated model of response to sport injury: Psychological and sociological dynamics
Wiese‐Bjornstal, D. M., Smith, A. M., Shaffer, S. M., & Morrey, M. A. (1998) · Journal of Applied Sport Psychology · doi:10.1080/10413209808406377 · Cited by 637 · see citing works
Ardern, C. L., Webster, K. E., Taylor, N. F., & Feller, J. A. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510384798 · Cited by 636 · see citing works
Self-citationEpidemiology of injuries in the Australian Football League, seasons 1997–2000
Orchard, J. W., & Seward, H. G. (2002) · British Journal of Sports Medicine · doi:10.1136/bjsm.36.1.39 · Cited by 599 · see citing works
Wilk, K. E., Macrina, L. C., Fleisig, G. S., et al. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510384223 · Cited by 593 · see citing works
Self-citationCumulative Incidence of Achilles Tendon Rupture and Tendinopathy in Male Former Elite Athletes
Kujala, U. M., Sarna, S. J., & Kaprio, J. A. (2005) · Clinical Journal of Sport Medicine · doi:10.1097/01.jsm.0000165347.55638.23 · Cited by 566 · see citing works
Doha agreement meeting on terminology and definitions in groin pain in athletes
Weir, A., Brukner, P. D., Delahunt, E., et al. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-094869 · Cited by 559 · see citing works
Timmins, R. G., Bourne, M. N., SHIELD, A. J., Williams, M. D., Lorenzen, C. H., & Opar, D. A. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095362 · Cited by 546 · see citing works
Webster, K. E., Feller, J. A., Leigh, W. B., & Richmond, A. K. (2014) · The American Journal of Sports Medicine · doi:10.1177/0363546513517540 · Cited by 521 · see citing works
Ekstrand, J., Healy, J. C., Waldén, M., et al. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090155 · Cited by 501 · see citing works
Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial
Frobell, R. B., Roos, H. P., Roos, E. M., Roemer, F. W., Ranstam, J., & Lohmander, S. L. (2013) · BMJ · doi:10.1136/bmj.f232 · Cited by 489 · see citing works
A systematic review of the psychological factors associated with returning to sport following injury
Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsports-2012-091203 · Cited by 474 · see citing works
Self-citationDescriptive Epidemiology of the Multicenter ACL Revision Study (MARS) Cohort
The MARS Group, Wright, R. W., Huston, L. J., Spindler, K. P., Dunn, W. R., Haas, A. K., Allen, C. R., Cooper, D. E., DeBerardino, T. M., Lantz, B. A., et al. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510378645 · Cited by 472 · see citing works
Acute First-Time Hamstring Strains during High-Speed Running
Askling, C. M., Tengvar, M., Saartok, T., et al. (2006) · The American Journal of Sports Medicine · doi:10.1177/0363546506294679 · Cited by 467 · see citing works
Mafi, N., Lorentzon, R., & Alfredson, H. (2000) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s001670000148 · Cited by 465 · see citing works
Ardern, C. L., Österberg, A., Tagesson, S., Gauffin, H., Webster, K. E., & Kvist, J. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093842 · Cited by 460 · see citing works
Self-citationMuscle strength and hop performance criteria prior to return to sports after ACL reconstruction
Thomeé, R., Kaplan, Y., Kvist, J., Myklebust, G., Risberg, M. A., Theisen, D., Tsepis, E., Werner, S., Wondrasch, B., & Witvrouw, E. (2011) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-011-1669-8 · Cited by 439 · see citing works
Self-citationNilsson-Helander, K. M., Silbernagel, K. G., Thomeé, R., et al. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510376052 · Cited by 429 · see citing works
Tyler, T. F., Nicholas, S., Campbell, R. J., & McHugh, M. P. (2001) · The American Journal of Sports Medicine · doi:10.1177/03635465010290020301 · Cited by 425 · see citing works
Silbernagel, K. G., Thomeé, R., Eriksson, B. I., & Karlsson, J. (2007) · The American Journal of Sports Medicine · doi:10.1177/0363546506298279 · Cited by 421 · see citing works
A Comparison of 2 Rehabilitation Programs in the Treatment of Acute Hamstring Strains
Sherry, M. A., & Best, T. M. (2004) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2004.34.3.116 · Cited by 416 · see citing works
Return-to-Sport Outcomes at 2 to 7 Years After Anterior Cruciate Ligament Reconstruction Surgery
Ardern, C. L., Taylor, N. F., Feller, J. A., et al. (2011) · The American Journal of Sports Medicine · doi:10.1177/0363546511422999 · Cited by 412 · see citing works
Self-citationTucci, H. T., Martins, J., Sposito, G. D. C., Camarini, P. M. F., & de Oliveira, A. S. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-1 · Cited by 405 · see citing works
Shanley, E., Rauh, M. J., Michener, L. A., et al. (2011) · The American Journal of Sports Medicine · doi:10.1177/0363546511408876 · Cited by 399 · see citing works
Intrinsic Risk Factors for Groin Injuries among Male Soccer Players
Engebretsen, A. H., Myklebust, G., Holme, I., et al. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510375544 · Cited by 386 · see citing works
Silbernagel, K. G., Thomeé, R., Thomeé, P., et al. (2001) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1034/j.1600-0838.2001.110402.x · Cited by 378 · see citing works
Waldén, M., Hägglund, M., Magnusson, H., & Ekstrand, J. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095952 · Cited by 376 · see citing works
BLANCH, P. D., & Gabbett, T. J. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095445 · Cited by 375 · see citing works
Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review
Ellenbecker, T. S., & Cools, A. M. J. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.058875 · Cited by 371 · see citing works
Self-citationReturn to play guidelines after anterior cruciate ligament surgery
Myklebust, G., & Bahr, R. (2005) · British Journal of Sports Medicine · doi:10.1136/bjsm.2004.010900 · Cited by 366 · see citing works
Sheppard, J. M., Young, W. B., Doyle, T. L. A., Sheppard, T. A., & Newton, R. U. (2006) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2006.05.019 · Cited by 362 · see citing works
Clarsen, B. M., Bahr, R., Andersson, S. H., et al. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093702 · Cited by 359 · see citing works
Self-citationThe Scandinavian ACL registries 2004–2007: baseline epidemiology
Granan, L., Forssblad, M. L., Lind, M., & Engebretsen, L. (2009) · Acta Orthopaedica · doi:10.3109/17453670903350107 · Cited by 348 · see citing works
Return-to-Play in Sport: A Decision-based Model
Creighton, D. W., Shrier, I., Shultz, R., Meeuwisse, W. H., & Matheson, G. O. (2010) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e3181f3c0fe · Cited by 345 · see citing works
Logerstedt, D. S., Grindem, H., Lynch, A. D., Eitzen, I., Engebretsen, L., Risberg, M. A., Axe, M. J., & Snyder‐Mackler, L. (2012) · The American Journal of Sports Medicine · doi:10.1177/0363546512457551 · Cited by 323 · see citing works
Czuppon, S., Racette, B. A., Klein, S. E., et al. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2012-091786 · Cited by 322 · see citing works
Waldén, M., Hägglund, M., Werner, J., & Ekstrand, J. (2010) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-010-1172-7 · Cited by 309 · see citing works
Olsson, N., Silbernagel, K. G., Eriksson, B. I., et al. (2013) · The American Journal of Sports Medicine · doi:10.1177/0363546513503282 · Cited by 306 · see citing works
Roos, E. M., Engström, M., Lagerquist, A., & Söderberg, B. (2004) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2004.378.x · Cited by 304 · see citing works
Yeung, S. S., Suen, A., & Yeung, E. W. (2009) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.056283 · Cited by 302 · see citing works
Acute rupture of tendo Achillis
Möller, M., Movin, T., Granhed, H., et al. (2001) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.83b6.11676 · Cited by 296 · see citing works
Werner, J., Hägglund, M., Waldén, M., et al. (2009) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.066944 · Cited by 289 · see citing works
Gorman, P. P., Butler, R. J., Plisky, P. J., et al. (2012) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e3182472fdb · Cited by 268 · see citing works
Askling, C. M., Tengvar, M., & Thorstensson, A. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092165 · Cited by 267 · see citing works
Orchard, J. W., Seward, H. G., & Orchard, J. J. (2013) · The American Journal of Sports Medicine · doi:10.1177/0363546513476270 · Cited by 261 · see citing works
Wilk, K. E., Macrina, L. C., Fleisig, G. S., et al. (2015) · The American Journal of Sports Medicine · doi:10.1177/0363546515594380 · Cited by 260 · see citing works
Self-citationResults From the Swedish National Anterior Cruciate Ligament Register
Kvist, J., Kartus, J. T., Karlsson, J., & Forssblad, M. L. (2014) · Arthroscopy The Journal of Arthroscopic and Related Surgery · doi:10.1016/j.arthro.2014.02.036 · Cited by 252 · see citing works
Silbernagel, K. G., Steele, R., & MANAL, K. T. (2012) · The American Journal of Sports Medicine · doi:10.1177/0363546512447926 · Cited by 251 · see citing works
The epidemiology of achilles tendon rupture in a Danish county
Houshian, S., Tscherning, T., & Riegels-Nielsen, P. (1998) · Injury · doi:10.1016/s0020-1383(98)00147-8 · Cited by 249 · see citing works
Ithurburn, M. P., Paterno, M. V., Ford, K. R., et al. (2015) · The American Journal of Sports Medicine · doi:10.1177/0363546515602016 · Cited by 239 · see citing works
Platelet-Rich Plasma Injections for the Treatment of Hamstring Injuries
Hamid, M. S. A., Ali, M. R., Yusof, A., et al. (2014) · The American Journal of Sports Medicine · doi:10.1177/0363546514541540 · Cited by 235 · see citing works
Pincus, T., Kent, P., Bronfort, G., Loisel, P., Pransky, G., & Hartvigsen, J. (2013) · Spine · doi:10.1097/brs.0b013e3182a8c5d6 · Cited by 227 · see citing works
Maletis, G. B., Inacio, M. C. S., & Funahashi, T. T. (2014) · The American Journal of Sports Medicine · doi:10.1177/0363546514561745 · Cited by 220 · see citing works
Ayers, D. C., Franklin, P. D., & Ring, D. (2013) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.l.00799 · Cited by 219 · see citing works
Shrier, I. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-094569 · Cited by 216 · see citing works
Glazer, D. D. (2009) · Journal of Athletic Training · doi:10.4085/1062-6050-44.2.185 · Cited by 207 · see citing works
Askling, C. M., Tengvar, M., Tarassova, O., & Thorstensson, A. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093214 · Cited by 200 · see citing works
Clarsen, B. M., Bahr, R., Heymans, M. W., Engedahl, M., Midtsundstad, G., Rosenlund, L., Thorsen, G., & Myklebust, G. (2014) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.12223 · Cited by 196 · see citing works
Self-citationPollock, N., Patel, A., Chakraverty, J. K., et al. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-094657 · Cited by 193 · see citing works
High training workloads alone do not cause sports injuries: how you get there is the real issue
Gabbett, T. J., Hulin, B. T., BLANCH, P. D., et al. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095567 · Cited by 191 · see citing works
Amin, N. H., Old, A., Tabb, L. P., et al. (2013) · The American Journal of Sports Medicine · doi:10.1177/0363546513490659 · Cited by 188 · see citing works
Return to play following muscle injuries in professional footballers
Hallén, A., & Ekstrand, J. (2014) · Journal of Sports Sciences · doi:10.1080/02640414.2014.905695 · Cited by 184 · see citing works
Grindem, H., Eitzen, I., Engebretsen, L. F., et al. (2014) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.m.01054 · Cited by 183 · see citing works
Anterior Cruciate Ligament Reconstruction—Not Exactly a One-Way Ticket Back to the Preinjury Level
Ardern, C. L. (2015) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738115578131 · Cited by 183 · see citing works
Self-citationPosterior Thigh Muscle Injuries in Elite Track and Field Athletes
Malliaropoulos, N., Papakostas, E., Kiritsi, O., Rad, P.-M., Papalada, A., Gougoulias, N. E., & Maffulli, N. (2010) · The American Journal of Sports Medicine · doi:10.1177/0363546510366423 · Cited by 176 · see citing works
Gajhede-Knudsen, M., Ekstrand, J., Magnusson, H., et al. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092271 · Cited by 174 · see citing works
de Vos, R., Reurink, G., Goudswaard, G. J., et al. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093737 · Cited by 172 · see citing works
Self-citationRisk factors of recurrent hamstring injuries: a systematic review
de Visser, H. M., Reijman, M., Heijboer, M. P., & Bos, P. K. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090317 · Cited by 168 · see citing works
Weakness in End-Range Plantar Flexion after Achilles Tendon Repair
Mullaney, M. J., McHugh, M. P., Tyler, T. F., et al. (2006) · The American Journal of Sports Medicine · doi:10.1177/0363546505284186 · Cited by 163 · see citing works
Return to sport after hip surgery for femoroacetabular impingement: a systematic review
Casartelli, N. C., Leunig, M., Maffiuletti, N. A., & Bizzini, M. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-094414 · Cited by 163 · see citing works
Self-citationThe Management of Injuries to the Medial Side of the Knee
LaPrade, R. F., & Wijdicks, C. A. (2012) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2012.3624 · Cited by 159 · see citing works
Widdifield, J., Bombardier, C., Bernatsky, S., Paterson, J. M., Green, D., Young, J., Ivers, N. M., Butt, D. A., Jaakkimainen, R. L., Thorne, C., et al. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-216 · Cited by 159 · see citing works
Tripp, D. A., Stanish, W. D., Ebel-Lam, A. P., Brewer, B. W., & Birchard, J. (2007) · Rehabilitation Psychology · doi:10.1037/0090-5550.52.1.74 · Cited by 153 · see citing works
Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance.
Westrick, R. B., Miller, J. M., Carow, S. D., et al. (2012) · PubMed · Cited by 152 · see citing works
Grindem, H., Eitzen, I., Moksnes, H., et al. (2012) · The American Journal of Sports Medicine · doi:10.1177/0363546512458424 · Cited by 152 · see citing works
Self-citationHamstring Injuries in Professional Football Players
Cohen, S. A., Towers, J. D., Zoga, A. C., et al. (2011) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738111403107 · Cited by 151 · see citing works
Epidemiology and Outcomes of Achilles Tendon Ruptures in the National Football League
Parekh, S. G., Wray, W. H., Brimmo, O. A., et al. (2009) · Foot & Ankle Specialist · doi:10.1177/1938640009351138 · Cited by 147 · see citing works
Incidence and clinical presentation of groin injuries in sub-elite male soccer
Hölmich, P., Thorborg, K., Dehlendorff, C., Krogsgaard, K., & Gluud, C. N. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092627 · Cited by 147 · see citing works
Self-citationGroin and Abdominal Strain Injuries in the National Hockey League
Emery, C. A., Meeuwisse, W. H., & Powell, J. W. (1999) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-199907000-00006 · Cited by 145 · see citing works
Finch, C. F., & Cook, J. L. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2012-091729 · Cited by 144 · see citing works
Silder, A., Sherry, M. A., Sanfilippo, J. L., Tuite, M. J., Hetzel, S., & Heiderscheit, B. C. (2013) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2013.4452 · Cited by 143 · see citing works
Epidemiology of Injury in Olympic Sports
(2009) · Wiley eBooks · doi:10.1002/9781444316872 · Cited by 141 · see citing works
Silbernagel, K. G., & Crossley, K. M. (2015) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2015.5885 · Cited by 141 · see citing works
Return to sport after anterior cruciate ligament reconstruction in professional soccer players
Zaffagnini, S., Grassi, A., Muccioli, G. M. M., et al. (2014) · The Knee · doi:10.1016/j.knee.2014.02.005 · Cited by 139 · see citing works
Serner, A., van Eijck, C. H. J., Beumer, B. R., Hölmich, P., Weir, A., & de Vos, R. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-094256 · Cited by 139 · see citing works
Tol, J. L., Hamilton, B. H., Eirale, C., et al. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093016 · Cited by 135 · see citing works
Cools, A. M. J., Johansson, F. R., Cambier, D. C., et al. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.070128 · Cited by 134 · see citing works
Self-citationFunctional Outcome After Repair of Proximal Hamstring Avulsions
Birmingham, P., Müller, M., Wickiewicz, T. L., et al. (2011) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.j.01372 · Cited by 133 · see citing works
Mendiguchía, J., Samozino, P., Martínez-Ruiz, E., Brughelli, M., Schmikli, S. L., Morin, J.-B., & Méndez-Villanueva, A. (2014) · International Journal of Sports Medicine · doi:10.1055/s-0033-1363192 · Cited by 132 · see citing works
Hamstring Strength and Morphology Progression after Return to Sport from Injury
Sanfilippo, J. L., Silder, A., Sherry, M. A., Tuite, M. J., & Heiderscheit, B. C. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3182776eff · Cited by 130 · see citing works
Røtterud, J. H., Sivertsen, E. A., Forssblad, M. L., Engebretsen, L., & Årøen, A. (2013) · The American Journal of Sports Medicine · doi:10.1177/0363546512473571 · Cited by 129 · see citing works
Cools, A. M. J., Vanderstukken, F., Vereecken, F., et al. (2015) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-015-3755-9 · Cited by 126 · see citing works
Self-citationMagnetic Resonance Imaging in Acute Hamstring Injury: Can We Provide a Return to Play Prognosis?
Reurink, G., Brilman, E. G., de Vos, R., et al. (2014) · Sports Medicine · doi:10.1007/s40279-014-0243-1 · Cited by 124 · see citing works
Self-citationReactive agility of rugby league players
Gabbett, T. J., & Benton, D. T. (2008) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2007.08.011 · Cited by 124 · see citing works
Mendiguchía, J., Édouard, P., Samozino, P., et al. (2015) · Journal of Sports Sciences · doi:10.1080/02640414.2015.1122207 · Cited by 124 · see citing works
Planned and Reactive Agility Performance in Semiprofessional and Amateur Basketball Players
Lockie, R. G., Jeffriess, M. D., McGann, T., Callaghan, S. J., & Schultz, A. B. (2014) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2013-0324 · Cited by 114 · see citing works
Psychological Aspects of Anterior Cruciate Ligament Injuries
Ardern, C. L., Kvist, J., & Webster, K. E. (2015) · Operative Techniques in Sports Medicine · doi:10.1053/j.otsm.2015.09.006 · Cited by 112 · see citing works
Self-citationSchlegel, T. F., Bushnell, B. D., Godfrey, J. M., et al. (2009) · The American Journal of Sports Medicine · doi:10.1177/0363546509332501 · Cited by 109 · see citing works
Shitara, H., Kobayashi, T., Yamamoto, A., et al. (2015) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-015-3731-4 · Cited by 108 · see citing works
Askling, C. M., Nilsson, J., & Thorstensson, A. (2010) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-010-1265-3 · Cited by 108 · see citing works
Thorborg, K., Branci, S., Nielsen, M. P., et al. (2014) · Orthopaedic Journal of Sports Medicine · doi:10.1177/2325967114521778 · Cited by 108 · see citing works
Self-citationSusceptibility to Hamstring Injuries in Soccer
Schuermans, J., Tiggelen, D. V., Danneels, L. A., et al. (2016) · The American Journal of Sports Medicine · doi:10.1177/0363546515626538 · Cited by 108 · see citing works
Chronic Ankle Instability Does Not Affect Lower Extremity Functional Performance.
Demeritt, K. M., Shultz, S. J., Docherty, C. L., et al. (2002) · PubMed · Cited by 104 · see citing works
Return to Play After Hamstring Injuries: A Qualitative Systematic Review of Definitions and Criteria
van der Horst, N., van de Hoef, P. A., Reurink, G., Huisstede, B. M. A., & BACKX, F. J. G. (2016) · Sports Medicine · doi:10.1007/s40279-015-0468-7 · Cited by 102 · see citing works
Self-citationLower Reinjury Rate with a Coach-Controlled Rehabilitation Program in Amateur Male Soccer
Hägglund, M., Waldén, M., & Ekstrand, J. (2007) · The American Journal of Sports Medicine · doi:10.1177/0363546507300063 · Cited by 101 · see citing works
Aprotinin in the management of Achilles tendinopathy: a randomised controlled trial
Brown, R. A., Orchard, J. W., Kinchington, M., et al. (2006) · British Journal of Sports Medicine · doi:10.1136/bjsm.2005.021931 · Cited by 101 · see citing works
Bizzini, M., Hancock, D., & Impellizzeri, F. M. (2012) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2012.4005 · Cited by 99 · see citing works
Self-citationDon, R., Ranavolo, A., Cacchio, A., et al. (2006) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2006.10.001 · Cited by 95 · see citing works
Grassi, A., Zaffagnini, S., Muccioli, G. M. M., Neri, M. P., Villa, S. D., & Marcacci, M. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-094089 · Cited by 95 · see citing works
The UEFA injury study: 11-year data concerning 346 MCL injuries and time to return to play
Lundblad, M., Waldén, M., Magnusson, H., et al. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092305 · Cited by 93 · see citing works
Predicting return to play after hamstring injuries
Moen, M. H., Reurink, G., Weir, A., et al. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093860 · Cited by 92 · see citing works
Self-citationHausler, J., Halaki, M., & Orr, R. (2015) · Sports Medicine · doi:10.1007/s40279-015-0440-6 · Cited by 92 · see citing works
Return-to-Sport Outcomes After Revision Anterior Cruciate Ligament Reconstruction Surgery
Anand, B. S., Feller, J. A., Richmond, A. K., et al. (2015) · The American Journal of Sports Medicine · doi:10.1177/0363546515618381 · Cited by 88 · see citing works
Nawabi, D. H., Cro, S., Hamid, I., et al. (2014) · The American Journal of Sports Medicine · doi:10.1177/0363546514540271 · Cited by 84 · see citing works
Differences in Scapular Upward Rotation between Baseball Pitchers and Position Players
Laudner, K. G., Stanek, J. M., & Meister, K. (2007) · The American Journal of Sports Medicine · doi:10.1177/0363546507305098 · Cited by 83 · see citing works
Wangensteen, A., Almusa, E., Boukarroum, S., et al. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-094892 · Cited by 80 · see citing works
Self-citationReturn to play following injury: whose decision should it be?
Shrier, I., Safai, P., & Charland, L. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092492 · Cited by 77 · see citing works
Jacobsen, P., Witvrouw, E., Muxart, P., et al. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095073 · Cited by 72 · see citing works
Self-citationThe Team Physician and Return-To-Play Issues: A Consensus Statement
(2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200207000-00025 · Cited by 69 · see citing works
Return to Play After Partial Lateral Meniscectomy in National Football League Athletes
Aune, K. T., Andrews, J. R., Dugas, J. R., et al. (2014) · The American Journal of Sports Medicine · doi:10.1177/0363546514535069 · Cited by 68 · see citing works
Quantification of upper limb kinetic asymmetries in front crawl swimming
Morouço, P., Marinho, D. A., Fernandes, R. J., et al. (2015) · Human Movement Science · doi:10.1016/j.humov.2014.12.012 · Cited by 65 · see citing works
It is time for consensus on return to play after injury: five key questions
Ardern, C. L., Bizzini, M., & Bahr, R. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095475 · Cited by 64 · see citing works
Self-citationFunctional tests should be accentuated more in the decision for ACL reconstruction
Eitzen, I., Moksnes, H., Snyder‐Mackler, L., et al. (2010) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-010-1113-5 · Cited by 61 · see citing works
Self-citationDeterminants of Return to Play After the Nonoperative Management of Hamstring Injuries in Athletes
Fournier‐Farley, C., Lamontagne, M., Gendron, P., et al. (2015) · The American Journal of Sports Medicine · doi:10.1177/0363546515617472 · Cited by 59 · see citing works
Moore, S. D., Uhl, T. L., & Kibler, W. B. (2013) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738113477604 · Cited by 58 · see citing works
Reliability of Seated and Standing Throwing Velocity Using Differently Weighted Medicine Balls
van den Tillaar, R., & Marques, M. C. (2012) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e3182654a09 · Cited by 55 · see citing works
LaPrade, R. F., Surowiec, R. K., Sochanska, A., Hentkowski, B. S., Martin, B. M., Engebretsen, L., & Wijdicks, C. A. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093020 · Cited by 54 · see citing works
King, E. A., Ward, J., Small, L., Falvey, É. C., & Franklyn‐Miller, A. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093715 · Cited by 53 · see citing works
Atkins, E., Colville, G. A., & John, M. (2012) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2011.12.002 · Cited by 52 · see citing works
Resting scapular posture in healthy overhead throwing athletes
Ribeiro, A., & Pascoal, A. G. (2013) · Manual Therapy · doi:10.1016/j.math.2013.05.010 · Cited by 43 · see citing works
RETURN-TO-PLAY FOLLOWING INJURY: WHOSE DECISION SHOULD IT BE?
Shrier, I., Safai, P., & Charland, L. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-093494.271 · Cited by 43 · see citing works
Nonoperative and Postoperative Rehabilitation for Glenohumeral Instability
Wilk, K. E., & Macrina, L. C. (2013) · Clinics in Sports Medicine · doi:10.1016/j.csm.2013.07.017 · Cited by 40 · see citing works
Self-citationOutcome of Grade I and II Hamstring Injuries in Intercollegiate Athletes
Kilcoyne, K. G., Dickens, J. F., Keblish, D., et al. (2011) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738111422044 · Cited by 33 · see citing works
Two factors that may underpin outstanding outcomes after ACL rehabilitation
Grindem, H., Risberg, M. A., & Eitzen, I. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095194 · Cited by 27 · see citing works
Advancing hip and groin injury management: from eminence to evidence
Thorborg, K., & Hölmich, P. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2012-092090 · Cited by 22 · see citing works
Self-citationReturn to competitive football after major knee surgery: more questions than answers?
Bizzini, M., & Silvers, H. J. (2014) · Journal of Sports Sciences · doi:10.1080/02640414.2014.909603 · Cited by 21 · see citing works
Self-citationMcDonough, A. L., & Funk, L. (2012) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2012.01.002 · Cited by 11 · see citing works
The old knee in the young athlete: knowns and unknowns in the return to play conversation
Ardern, C. L., & Khan, K. M. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095481 · Cited by 10 · see citing works
Self-citation“The Trouble With the Future … Is That It Is Not What It Used to Be”
Kovacek, P. R. (1995) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.1995.21.1.1 · Cited by 6 · see citing works
Weiler, R. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095141 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Möller M, Movin T, Granhed H, et al. Acute rupture of tendon Achilles. A prospective randomised study of comparison between surgical and non-surgical treatment. J Bone Joint Surg Br 2001;83:843-8. 102
Cited by
Sorted by citations
Anterior cruciate ligament injury: towards a gendered environmental approach
Parsons, J. L., Coen, S. E., & Bekker, S. (2021) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-103173 · Cited by 300 · see citing works
Kotsifaki, R., Korakakis, V., King, E., Barbosa, O., Maree, D., Pantouveris, M., Bjerregaard, A., Luomajoki, J., Wilhelmsen, J., & Whiteley, R. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2022-106158 · Cited by 303 · see citing works
Andrade, R., Pereira, R., van Cingel, R., Staal, J. B., & Espregueira-Mendes, J. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-100310 · Cited by 264 · see citing works
Truong, L. K., Mosewich, A. D., Holt, C. J., Le, C. Y., Miciak, M., & Whittaker, J. L. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-101206 · Cited by 205 · see citing works
Bø, K., Artal, R., Barakat, R., Brown, W. J., Davies, G. A. L., Dooley, M., Evenson, K. R., Haakstad, L. A. H., Kayser, B., Kinnunen, T. I., et al. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-099351 · Cited by 133 · see citing works
Self-citation
- Authors
- Ardern, C. L., Glasgow, P., Schneiders, A., Witvrouw, E., Clarsen, B., Cools, A., Gojanovic, B., Griffin, S., Khan, K. M., Moksnes, H., Mutch, S. A., Phillips, N., Reurink, G., Sadler, R., Grävare Silbernagel, K., Thorborg, K., Wangensteen, A., Wilk, K. E., & Bizzini, M.
- Affiliations
- Linköping University (SE)
- University of Ulster (GB)
- Central Queensland University (AU)
- Ghent University (BE)
- Oslo Sports Trauma Research Center (NO)
- Centre Hospitalier Universitaire Vaudois (CH)
- University of Birmingham (GB)
- University of British Columbia (CA)
- Cardiff University (GB)
- Manchester City Football Club (GB)
- University of Copenhagen (DK)
- Qatar Orthopaedic and Sports Medicine Hospital (QA)
- Fédération Internationale de Football Association (CH)
- Corresponding author
- Ardern, Clare L
- ORCID
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2016-05-25
- Volume
- 50
- Issue
- 14
- Pages
- 853-864
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W2406070554
- Cited by
- 985
- References
- 156
- Citations by year
- 2026: 159 · 2025: 132 · 2024: 134 · 2023: 114 · 2022: 114 · 2021: 79 · 2020: 90 · 2019: 67 · 2018: 50 · 2017: 37 · 2016: 7
- FWCI
- 65.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Acquire (CQUniversity) (submittedVersion, other-oa)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- IRIS (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Keywords
- return to sport, athletes, sports injuries, injury rehabilitation, risk management, biopsychosocial model, prognostic factors, multidisciplinary collaboration
- MeSH terms
- Clinical Decision-Making, Return to Sport, Athletic Injuries, Communication, Congresses as Topic, Decision Making, Humans, Risk Factors, Sports, Switzerland, Practice Guidelines as Topic, Recovery of Function, Athletes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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