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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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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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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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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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Siobhán O’Connor, Róisín Leahy, Enda Whyte, Paul O’Donovan and Lauren Fortington

attributable to the fact that almost half stated they did not complete any rehabilitation following the concussion, and therefore may not have followed a graded return-to-play protocol. Many of the respondents with concussion (82%) admitted to playing with a concussion, which may have exacerbated symptoms and

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Megan Elizabeth Evelyn Mormile, Jody L. Langdon and Tamerah Nicole Hunt

. Additionally, significant differences found in reaction time between males and females may warrant changes in return to play protocols, as they may differ between genders. Clinicians should take these differences into consideration when administering postinjury assessments, in the absence of a baseline

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Emily Kroshus, Sara P.D. Chrisman, Jeffrey J. Milroy and Christine M. Baugh

return to play protocol ( NCAA, 2015 ), and this may feel unnecessary or frustrating. An athlete may also make an important play despite being symptomatic, casting doubt in their eyes on the evidence that concussions cause impaired sports performance ( Eckner, Kutcher, Broglio, & Richardson, 2014 ). An

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Hugh H.K. Fullagar, Robert McCunn and Andrew Murray

return-to-play protocols pose an inherent challenge to collegiate medical staff. Players and coaches have such a short competitive window (ie, 12 weeks of regular season games) to perform, it is inevitable that they may be eager to return after injury before it is advisable to do so. In addition to

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Cailee E. Welch Bacon, Gary W. Cohen, Melissa C. Kay, Dayna K. Tierney and Tamara C. Valovich McLeod

that, we go with our return-to-learn and return-to-play protocol, which is a six-stage process. – Joshua …My athletic director approved me for any funding that I needed to do the ImPACT testing. – Steve It’s always been a struggle. My, the high school that I work with, is about 50 miles from [where] my