Article

Allemagne - OBJECTIVE: To assess how different decision-guiding factors, such as health- and
performance-related stakeholders, as well as evidence-based guidelines, support
the process-oriented final positive return-to-play (RTP) decision of head coaches
responsible for semiprofessional sport teams. SETTING: Team sport. PARTICIPANTS: A survey consisting of questions on the
importance of different decision-guiding factors used when making the RTP
decision after injuries was administered to and completed by head coaches (N=238)
of semiprofessional players' teams. INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: With respect to helpfulness in the RTP decision-making process, the
coaches rated both the importance of the opinions of physicians,
physiotherapists, strength and conditioning coaches, and the athletes themselves,
and the importance of the general and injury-specific RTP guidelines. RESULTS:
Our survey revealed that the head coaches rely on physicians and physiotherapists
to a large extent, to the athletes and to themselves to a medium extent, and to
strength and conditioning coaches and RTP guidelines to a small but still
relevant extent. The coaches' efforts to seek a shared decision-making process in
RTP are, hence, partially evident. CONCLUSIONS: A multitude of actuators
intervene when making the RTP decision. The professionalization of the RTP
process in semiprofessional sports includes the athletes themselves, the head
coaches, the (external) physicians, the (external) physiotherapists, and the
strength and conditioning coaches based on general RTP decision-making models and
specific criteria related to injury type, sports type, level, and playing
position. The development of awareness and implementation strategies of RTP
models should be subject to further research.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS