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Christie Powell, Jody Jensen and Samantha Johnson

return-to-sport following injury is vital to future sport participation and injury prevention. Emery’s 6 literature review on sport-related injury concluded that injury prevention in youth sport is becoming a public health priority. Early specialization along with poor management of sport participation

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Kathryn R. Glaws, Thomas J. Ellis, Timothy E. Hewett and Stephanie Di Stasi

pain who are unable to participate in sports and have failed conservative treatment. 1 , 4 , 6 Reported return to sport (RTS) rates after hip arthroscopy are relatively high 1 , 4 , 6 ; however, rates vary greatly in the literature, and much of the literature focuses on RTS rates of professional

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Jay R. Ebert, Kate E. Webster, Peter K. Edwards, Brendan K. Joss, Peter D’Alessandro, Greg Janes and Peter Annear

return to sport (RTS). 4 , 5 Traditionally, a bone–patellar tendon–bone (BPTB) graft has been the preferred method of ACLR, 6 though systematic reviews over the past 10–15 years have demonstrated the lack of superiority of BPTB over hamstring autografts, 7 with less postoperative complications

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Erik A. Wikstrom, Cole Mueller and Mary Spencer Cain

perceived as an innocuous injury but failure to complete supervised rehabilitation likely increases the risk of reinjury and facilitates development of long-term residual symptoms. Within sporting populations, LAS patients often receive care but an emphasis on rapid return to sport (RTS) exists. For example

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Leslie Podlog and Robert C. Eklund

Context:

It is argued in self-determination theory that the motivation underlying behavior has implications for health and well-being independent of the behavior itself.

Objective:

To examine associations between athlete motivations for returning to sport after injury and perceived psychological return-to-sport outcomes.

Design:

A correlational survey design was employed to obtain data in Canada, Australia, and England.

Participants:

Elite and subelite athletes (N = 180) with injuries requiring a minimum 2-month absence from sport participation.

Main Outcome Measures:

Participants completed an inventory measuring perceptions of motivation to return to sport from a serious injury and psychological return-to-sport outcomes.

Results:

Correlational analyses revealed that intrinsic motivations for returning to competition were associated with a positive renewed perspective on sport participation. Conversely, extrinsic motivations for returning to sport were associated with increased worry and concern.

Conclusions:

The motivation underlying return to sport might play an important role in return-to-sport perceptions among elite and subelite athletes.

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Peter Francis, Cassie Oddy and Mark I. Johnson

In a 27-year-old female triathlete, magnetic resonance imaging revealed mild thickening and edema at the calcaneal insertion of the plantar fascia, in keeping with a degree of plantar fasciitis. After 6 weeks of conservative treatment failed to elicit a return to sport, the patient engaged in six sessions of barefoot running (15–30 min) on a soft grass surface, without further conservative treatment. After two sessions of barefoot running, the patient was asymptomatic before, during, and after running. This outcome was maintained at the 6-week follow-up period. This is the first case report to use barefoot running as a treatment strategy for chronic heel pain. Barefoot running has the potential to reduce the load on the plantar fascia and warrants further investigation using a case series.

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Corbin A. Hedt, S. Brett Holland, Bradley S. Lambert, Joshua D. Harris and Patrick C. McCulloch

differences in practice patterns can include individual treatment or intervention selection and therapist–patient interactions. 7 , 8 Therefore, physical therapist experience levels may play a vital role in how the rehabilitation process is conducted, which may influence clinical outcomes and return to sport

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Alan P. Jung

Column-editor : R. Barry Dale

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Marc J. Philippon, Jesse C. Christensen and Michael S. Wahoff

Objective:

To report the 4-phase rehabilitation progression of a professional athlete who underwent arthroscopic intra-articular repair of the hip after injury during the 2006–07 season.

Design:

Case study; level of evidence, 4.

Main Outcome Measures:

Objective values were obtained by standard goniometric measurements, handheld dynamometer, dynamic sports testing, and clinical testing for intra-articular pathology.

Results:

This case report illustrates improvements in hip mobility, muscle-force output, elimination of clinical signs of intra-articular involvement, and ability to perform high-level sport-specific training at 9 wk postsurgery. At 16 wk postsurgery, the patient was able to return to full preparation for sport for the following season.

Conclusion:

After the 4-phase rehabilitation program, the patient demonstrated improvement in all areas of high-level function after an arthroscopic intra-articular repair of the hip. The preoperative management to return to sport is outlined, with clinical outcomes and criteria for return to competition.

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Ryan D. Henke, Savana M. Kettner, Stephanie M. Jensen, Augustus C.K. Greife and Christopher J. Durall

Clinical Scenario Historically, adolescent athletes with sport-related concussion (SRC) have been advised to abstain from physical activity until asymptomatic, at which point they may begin a graduated return to sport protocol. 1 Some researchers, however, have proposed that subsymptom