Abstract
Numerous high performance athletes experience further damage or recurrent injuries even after successful rehabilitation. This is often caused by an insufficient movement quality, which has been very rarely assessed by test protocols which determine the point of reintegration into high performance sports (Return-to-Play, RTP). In order to assess the movement quality both objective and subjective test protocols exist. Objective methods like 3D-movement analysis are viewed as international gold standard, but are not the most practicable solutions for daily training routine. This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols. Further their use within high-performance sports is evaluated. Up to now subjective methods fail to match sufficient validity. However some practical approaches for assessment of movement quality after injury are known. Based on selected criteria first recommendations for the use of different subjective screening test methods are given. In summary further research focusing on the validity of subjective tests is needed. The subjective testing methods should be used in combination with additional tests (e.g. strength testing) in order to identify other risk factors. Recurrent pre-injury screenings on movement quality should be carried out to enhance injury prevention.
Highlights
Despite successfully completed rehabilitation after injury numerous high performance athletes still suffer recurrent injuries [1]
Numerous high performance athletes experience further damage or recurrent injuries even after successful rehabilitation. This is often caused by an insufficient movement quality, which has been very rarely assessed by test protocols which determine the point of reintegration into high performance sports (Return-to-Play, RTP)
This study aims at reviewing the available literature on reliability and validity of existing subjective test protocols
Summary
Despite successfully completed rehabilitation after injury numerous high performance athletes still suffer recurrent injuries [1]. After rehabilitation of lower extremity injuries primarily the aspects of strength, proprioception, symmetries and neuromuscular control as well as static and dynamic stability are not sufficiently developed. This impacts the kinematics as well as the motor control both distal and proximal of the injury and increases the reinjury-risk [3]. These aspects are not considered to determine the point of time for a Return-to-Play. Until now almost no standardized test for assessing movement quality is established in order to ensure a safe rehabilitation and re-integration into high performance sports by objective criteria
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