COURSE DESCRIPTION
The rate of return to sport (RTS) post-surgery for most lower
extremity injuries is not completely clear as it is often difficult to
discriminate between RTS and return to playing at the previous level of
sporting activity. Recent publications have attempted to clarify this
discrepancy, but require further elucidation.
Current literature suggests limited utilization of RTS testing in
many post-surgical lower extremity injuries. The rates of re-injury, as well as
the discriminatory ability of RTS testing, after some of these surgical
procedures is often difficult to ascertain. Dr. Reiman has published much of
this literature in attempts to clarify how best to implement and utilize RTS
and return to play rates, as well as currently suggested RTS testing.
Return to sport of non-surgical lower extremity pathology is
complicated by limited correlation between imaging findings and functional
performance. Making RTS decisions is therefore quite complicated and
multi-dimensional. In this course, Dr. Reiman will present the current RTS
literature and provide a best evidence synthesis for which the participant can
determine RTS capability across various LE injuries. A large component of this
course will be to demonstrate, perform and utilize various RTS testing, discuss
progression and assist in shared decision-making.
SCHEDULE
Day 1 (7.5 hours)
- 7:30: Check In
- 8:00-10:00: Differentiation of
return to sport vs return to play. Discussion of various returns to sport
models and their capability across various lower extremity pathologies.
- 10:00-10:15: Break
- 10:15-12:00: Differential
diagnosis of non-surgical lower extremity injuries (lab)
- 12:00-1:00: Lunch Break
- 1:00-2:00: Rehabilitation
concerns and parameters across various non-surgical injuries
- 2:00-3:00: Rehabilitation of
various non-surgical injuries and determination of RTS (lab)
- 3:00-3:15: Break
- 3:15-5:00: Continue
rehabilitation of non-surgical injuries, determination of RTS
- Case study
- Review of
day 1 material
Day 2 (5.5 hours)
- 8:00-10:00: General outline of
various lower extremity surgical procedures and discussion regarding
specific concerns relative to procedures.
- Surgical procedure
aspects potentially affecting return to sport.
- Prognostic variables
for improved surgical outcome relative to return to sport.
- 10:00-10:15: Break
- 10:15-12:00: Contextual factors
relative to both surgical and non-surgical rehabilitation of the lower
extremity injury patient and return to sport (lecture and lab)
- Environmental factors
- Contextual factors (e.g.
motivation, psychosocial, expectation)
- 12:00-1:00: Lunch Break
- 1:00-2:45: Return to Sport and
Activity Considerations (specific to various surgeries) (lab)
- Return to sport
testing
- Case study (examination-lab and discussion)
APPROVED FOR 14.4 PT CEUs (New York)
Have questions about Michael Reiman's return to Sports from Lower Extremity Injury?
Contact Nick Rolnick