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Kristina Amrani, Andrew Gallucci, and Marshall Magnusen

Interval hitting programs (IHP) exist for many overhead sports. Due to the paucity of tennis IHPs, we determined the need for a data-based approach. This case report describes a pilot approach to an IHP for a 21-year-old female tennis player following rotator cuff surgery. Recorded matches were used to acquire necessary data. We approximated the athlete’s workload by calculating total match volume. The athlete completed a 6-week IHP, progressing toward total match volume, before successfully returning to competition. A sport-specific IHP, based on an individual’s preinjury performance, can play a key role in rehabilitating common musculoskeletal injuries among tennis players.

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Jaebin Shim, Deanna H. Smith, and Bonnie L. Van Lunen

Clinical Scenario:

Over the past decade, sport-related concussions have received increased attention due to their frequency and severity over a wide range of athletics. Clinicians have developed return-to-play protocols to better manage concussions in young athletes; however, a standardized process projecting the length of recovery time after concussion has remained an elusive piece of the puzzle. The recovery times associated with such an injury once diagnosed can last anywhere from 1 wk to several months. Risk factors that could lead to protracted recovery times include a history of 1 or multiple concussions and a greater number, severity, and duration of symptoms after the injury. Examining the possible relationship between on-field or sideline signs and symptoms and recovery times would give clinicians the confident ability to properly treat and manage an athlete’s recovery process in a more systematic manner. Furthermore, identifying factors after a head injury that may be predictive of protracted recovery times would be useful for athletes, parents, and coaches alike.

Focused Clinical Question:

Which on-field and sideline signs and symptoms affect length of recovery after concussion in high school and college athletes?

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Jessica St Aubin, Jennifer Volberding, and Jack Duffy

-injury potential until the patient no longer displays symptoms. According to this information, the current best practices that are being observed by most clinicians are no longer the best practice and should be re-evaluated. Implementing light to moderate physical activity into a concussion return-to-play protocol

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Kellie C. Huxel Bliven and Kelsey J. Picha

, respectively, provide insight about compensatory strategies and specific recommendations for treatment approaches in patients. Murphy et al 10 detail a clinically-focused case report of a successful accelerated return-to-play protocol following Latarjet shoulder reconstruction. Furthermore, this issue

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Brandon C. Platt, Sue Falsone, and Kenneth C. Lam,

Key Points ▸ Testicular injury is extremely rare in athletic competition, particularly among baseball players. ▸ Early diagnosis and treatment is essential to decrease the risk of long-term damage. ▸ An evidence-based return-to-play protocol can improve the chances for safe return to play. The

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Jenna Morogiello and Rebekah Roessler

recognition of symptoms, stopping the incidental training session, and earlier treatment. 9 In the current case, no return-to-play protocol was enforced due to the nature and limitations of campus recreation. While the patient had access to AT staff and could receive recommendations on safe return to activity

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Cindy N. Nguyen, Reuben N. Clements, Lucas A. Porter, Nicole E. Clements, Matthew D. Gray, Dustin J. Killian, and Russell T. Baker

affordable, easy to use reaction time test that can be used in both concussion assessment and the return to play protocols. 14 , 16 , 17 It is a simple visuomotor reaction test in which subjects are asked to catch a falling apparatus as quickly as possible. The distance the apparatus falls is measured in

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Andrew Cox, Marcie B. Fyock-Martin, and Joel R. Martin

should be aware of these physiological changes when designing return-to-play protocols. Two of the studies suggested the ETM could be used as a respiratory training device because of changes in measures of respiratory function following the intervention. 5 , 6 Specifically, the studies reported

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Landon Lempke, Abbis Jaffri, and Nicholas Erdman

 = 1.73 [0.08] m; and weight = 80.9 [20.1] kg). Subjects were included if they recovered within 1 mo, had complete baseline data, and completed the specific return to play protocol. Subjects were excluded if they had a comorbid pathology or suffered another injury prior to return to play. Intervention

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Christina Yannetsos, Mario C. Pacheco, and Danny G. Thomas

analysis is required in order to quantify long-term knowledge retention and efficacy of the training program. In addition, future research needs to extend beyond training and certification and begin to assess how adoption of the “Head’s Up” training effects concussion reporting rates and return-to-play