The "Return-to-..." concept at R2comSPORT in Neu-Isenburg

RETURN AFTER INJURY – SAFELY BACK TO SPORT

The test manual developed by the VBG to assess playing ability serves as a guide for our therapists in rehabilitation, especially after ruptures of the anterior cruciate ligament, but also other injuries to the lower extremities.

In addition to considering physiological healing processes, defined requirements for postural control, jumping and landing ability before and after fatigue provocation as well as speed and agility are used as factors for achieving the “return to milestones”.

Each phase is assigned a qualitative and a quantitative test. The check of physical and psychological performance is independent of the rehabilitation phase, whether return to activity (return-to-activity, phase II), return to sport-specific rehabilitation training (return-to-sport, phase III), return to continued team training (return-to -Play, Phase IV) or return to competitive sport (Return-to-Competition, Phase V), the essential criterion for ensuring an optimal increase in load.

Gradual progression is often a major one, as increases in intensity and volume of more than 10% should be avoided on the way to reaching pre-injury levels. In the ideal case, individual reference values of the athletes are available in an uninjured state from the so-called “pre-injury screening”, which can be used for the final assessment of competitive ability.

This concept allows us to assess functional status after injury or surgery and uncover deficits and asymmetries that pose a risk of re-injury.

See Return-to-Competition Test Manual for assessing playing ability after ruptures of the anterior cruciate ligament of the VBG