Cited by 985Sports injuries and preventionMedical Practices and RehabilitationSport Psychology and Performance

2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern

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Ardern, Clare L, Glasgow, Philip, Schneiders, Anthony, Witvrouw, Erik, Clarsen, Benjamin, Cools, Ann, Gojanovic, Boris, Griffin, Steffan +11 more·2016·British Journal of Sports Medicine

Abstract

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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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
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
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

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