Determining return-to-sport status with a multi-component assessment strategy: A case study in rugby

Abstract

BackgroundThe effectiveness of rehabilitation programmes are often distorted by the athlete's desire to return and can result in injury recurrence. Athletic assessments allow for objective and reliable measurements to track rehabilitation progress. This case study used a multi-component assessment strategy to assess a rugby player's lower-extremity strength and symmetry as a primary determinate of their return-to-sport status. Case descriptionA professional rugby league player was assessed for lower-extremity isokinetic strength and sprint kinetics pre- and 10-weeks post-rehabilitation programme following two consecutive knee injuries involving surgical intervention. OutcomesPre-testing analysis showed clinical and functional strength deficits in the injured leg as high as 34% compared to the non-injured leg. Pre- to post-testing showed: increases in peak torque (49%) and decreased asymmetries by 50%; unilateral horizontal force increased (injured: 50%, non-injured: 19%) during sprinting; force production asymmetries decreased up to 18%. DiscussionThe rugby player showed clinical and functional strength deficiencies return to normal ranges following a rehabilitation programme. A return-to-sport decision was made by the athlete's supporting health team based on the sizeable asymmetry decreases and return-to-normative ranges for knee and hip strength and sprint kinetics. The athlete returned to the 2013 National Rugby League season without any major injuries.