scholarly journals Return-to-Play Practices Following Hamstring Injury: A Worldwide Survey of 131 Premier League Football Teams

2019 ◽  
Vol 50 (4) ◽  
pp. 829-840 ◽  
Author(s):  
Gordon Dunlop ◽  
Clare L. Ardern ◽  
Thor Einar Andersen ◽  
Colin Lewin ◽  
Gregory Dupont ◽  
...  
Keyword(s):  
Decision Making ◽  
Online Survey ◽  
Return To Play ◽  
Hamstring Injury ◽  
Professional Football ◽  
Multiple Stakeholders ◽  
Related Factors ◽  
Beliefs And Practices ◽  
Premier League ◽  
Key Stakeholders

Abstract Purpose Return-to-play (RTP) is an on-going challenge in professional football. Return-to-play related research is increasing. However, it is unknown to what extent the recommendations presented within research are being implemented by professional football teams, and where there are gaps between research and practice. The purposes of this study were (1) to determine if premier-league football teams worldwide follow a RTP continuum, (2) to identify RTP criteria used and (3) to understand how RTP decision-making occurs in applied practice. Methods We sent a structured online survey to practitioners responsible for the RTP programme in 310 professional teams from 34 premier-leagues worldwide. The survey comprised four sections, based on hamstring muscle injury: (1) criteria used throughout RTP phases, (2) the frequency with which progression criteria were achieved, (3) RTP decision-making process and (4) challenges to decision-making. Results One-hundred and thirty-one teams responded with a completed survey (42%). One-hundred and twenty-four teams (95%) used a continuum to guide RTP, assessing a combination of clinical, functional and psychological criteria to inform decisions to progress. One-hundred and five (80%) teams reported using a shared decision-making approach considering the input of multiple stakeholders. Team hierarchy, match- and player-related factors were common challenges perceived to influence decision-making. Conclusions General research recommendations for RTP and the beliefs and practices of practitioners appear to match with, the majority of teams assessing functional, clinical and psychological criteria throughout a RTP continuum to inform decision-making which is also shared among key stakeholders. However, specific criteria, metrics and thresholds used, and the specific involvement, dynamics and interactions of staff during decision-making are not clear.

scholarly journals Return to play after hamstring injuries in football (soccer): a worldwide Delphi procedure regarding definition, medical criteria and decision-making

2017 ◽  
Vol 51 (22) ◽  
pp. 1583-1591 ◽  
Author(s):  
Nick van der Horst ◽  
FJG Backx ◽  
Edwin A Goedhart ◽  
Bionka MA Huisstede
Keyword(s):  
Decision Making ◽  
Field Testing ◽  
Return To Play ◽  
Hamstring Injury ◽  
Feedback Report ◽  
Hamstring Injuries ◽  
Starting Point ◽  
Delphi Procedure ◽  
Hamstring Flexibility ◽  
The Moment

There are three major questions about return to play (RTP) after hamstring injuries: How should RTP be defined? Which medical criteria should support the RTP decision? And who should make the RTP decision? The study aimed to provide a clear RTP definition and medical criteria for RTP and to clarify RTP consultation and responsibilities after hamstring injury. The study used the Delphi procedure. The results of a systematic review were used as a starting point for the Delphi procedure. Fifty-eight experts in the field of hamstring injury management selected by 28 FIFA Medical Centres of Excellence worldwide participated. Each Delphi round consisted of a questionnaire, an analysis and an anonymised feedback report. After four Delphi rounds, with more than 83% response for each round, consensus was achieved that RTP should be defined as ‘the moment a player has received criteria-based medical clearance and is mentally ready for full availability for match selection and/or full training’. The experts reached consensus on the following criteria to support the RTP decision: medical staff clearance, absence of pain on palpation, absence of pain during strength and flexibility testing, absence of pain during/after functional testing, similar hamstring flexibility, performance on field testing, and psychological readiness. It was also agreed that RTP decisions should be based on shared decision-making, primarily via consultation with the athlete, sports physician, physiotherapist, fitness trainer and team coach. The consensus regarding aspects of RTP should provide clarity and facilitate the assessment of when RTP is appropriate after hamstring injury, so as to avoid or reduce the risk of injury recurrence because of a premature RTP.

scholarly journals Match High-Speed Running Distances Are Often Suppressed After Return From Hamstring Strain Injury in Professional Footballers

2020 ◽  
pp. 194173812096445
Author(s):  
Rodney Whiteley ◽  
Andrew Massey ◽  
Tim Gabbett ◽  
Peter Blanch ◽  
Matthew Cameron ◽  
...  
Keyword(s):  
High Speed ◽  
Rugby Union ◽  
Return To Play ◽  
Hamstring Injury ◽  
Professional Football ◽  
Linear Regression Models ◽  
Post Injury ◽  
Level Of Evidence ◽  
Running Performance ◽  
Hamstring Strain

Background: High-speed running is commonly implicated in the genesis of hamstring injury. The success of hamstring injury management is typically quantified by the duration of time loss or reinjury rate. These metrics do not consider any loss in performance after returning to play from hamstring injury. It is not known to what extent high-speed running is altered on return to play after such injury. Hypothesis: Match high-speed running distance will change after returning from hamstring injury. Study Design: Non-randomized cohort. Level of Evidence: Level 3. Methods: Match high-speed running distance in highest level professional football (soccer, Rugby League, Rugby Union, and Australian Rules) were examined for a minimum of 5 games prior and subsequent to hamstring strain injury for individual differences using a linear regression models approach. A total of 22 injuries in 15 players were available for analysis. Results: Preinjury cumulative high-speed running distances were strongly correlated for each individual ( r2 = 0.92-1.0; P < 0.0001). Pre- and postinjury high-speed running data were available for a median of 15 matches (range, 6-15). Variance from the preinjury high-speed running distance was significantly less ( P = 0.0005) than the post injury values suggesting a suppression of high-speed running distance after returning from injury. On return to play, 7 of the 15 players showed a sustained absolute reduction in preinjury high-speed running distance, 7 showed no change, and 1 player (only) showed an increase. Analysis of subsequent (second and third injury) return to play showed no differences to return from the index injury. Conclusion: Return to play was not associated with return to high-speed running performance for nearly half of the players examined, although the same number showed no difference. Persisting deficits in match high-speed running may exist for many players after hamstring strain injury. Clinical Relevance: Returning to play does not mean returning to (high-speed running) performance for nearly half of the high-level professional football players examined in this study. This suggests that successful return to play metrics should be expanded from simple time taken and recurrence to include performance.

Attitudes, Beliefs, and Practices of Aesthetic Plastic Surgeons Regarding Informed Consent

2019 ◽  
Author(s):  
Chelsea O Hagopian ◽  
Teresa B Ades ◽  
Thomas M Hagopian ◽  
Erik M Wolfswinkel ◽  
W Grant Stevens
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Plastic Surgery ◽  
Shared Decision Making ◽  
Online Survey ◽  
Free Text ◽  
Shared Decision ◽  
Essential Information ◽  
Beliefs And Practices ◽  
Aesthetic Plastic Surgery

Abstract Background Best practice for informed consent in aesthetic plastic surgery is a process of shared decision-making, yet evidence strongly suggests this is not commonly reflected in practice nor is it supported by traditional informed consent documents (ICD). Falsely held beliefs by clinicians about shared decision-making may contribute to its lack of adoption. Objective The authors sought to understand the baseline attitudes, beliefs, and practices of informed consent among board-certified plastic surgeons with a primarily aesthetics practice. Methods A 15-question online survey was emailed to active members of the American Society for Aesthetic Plastic Surgery. Items included demographics, Likert scales, free-text, acceptability, and 1 question seeking consensus on general information all patients must understand before any surgery. Results This survey yielded a 13% response rate with a 52% completion rate across 10 countries and 31 US states. A total of 69% were very or extremely confident that ICD contain evidence-based information, but 63% were not at all or not so confident in ICD effectiveness of prompting patients to teach-back essential information. A total of 50% believed surgical ICD should be reviewed annually. Eighty-six percent reported assistance with patient education during informed consent. Members of professional plastic surgery societies should be a source of evidence for content (free-text). A total of 64% were somewhat to very satisfied with the survey and 84% will probably to definitely participate in future related surveys. Conclusions The findings echo concerns in the literature that ICD are focused on disclosure instead of patient understanding. There is notable concern regarding information overload and retention but less regarding the quality and completeness of information. Current culture suggests key clinician stakeholders are amenable to change.

Understanding players' transition from youth to senior professional football environments: A coach perspective

2018 ◽  
Vol 13 (1) ◽  
pp. 26-37 ◽  
Author(s):  
Øystein Røynesdal ◽  
Tynke Toering ◽  
Henrik Gustafsson
Keyword(s):  
Social Dynamics ◽  
Higher Order ◽  
Professional Football ◽  
Structured Interviews ◽  
Premier League ◽  
Football Clubs ◽  
Key Stakeholders ◽  
Team Environment ◽  
Fitting In ◽  
English Premier League

The aim of this study was to explore: (a) sociocultural features of a first team environment perceived to influence a player's progression, (b) the ways in which young players should manage these features and (c) how coaches operate to assist young players during specific phases in the youth-to-senior transition. Semi-structured interviews with eight elite development coaches in English Premier League football clubs generated two higher order categories: fitting in with standards of first team environment (e.g. handling social dynamics in the first team group) and facilitating shared perception of transition across key stakeholders (e.g. communicating with first team staff). Together, these findings indicate the need for young players to navigate between conforming, adapting to and breaking with specific features of the first team environment to successfully progress in the youth-to-senior transition to professional football.

Investigating the Role of Transportation Barriers in Cancer Patients’ Decision Making Regarding the Treatment Process

2021 ◽  
pp. 036119812199149
Author(s):  
Roya Etminani-Ghasrodashti ◽  
Chen Kan ◽  
Ladan Mozaffarian
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Travel Behavior ◽  
Online Survey ◽  
Healthcare Access ◽  
Missed Appointments ◽  
Related Factors ◽  
Transportation Barriers ◽  
Trip Frequency ◽  
The Impact

Transportation barriers to healthcare access may lead to rescheduled or missed appointments, thereby influencing patients’ treatment outcomes. However, the impact of transportation barriers on stopping cancer treatments remains unknown in the literature. This study aims to investigate the association between cancer patients’ travel behavior and their decisions about stopping or continuing treatments. In this study, an online survey was designed and conducted for cancer patients who received radiotherapy and chemotherapy. Comprehensive questions were asked to reveal personal- and treatment-related factors that affect participants’ decisions, including their travel behavior, travel burden, treatment characteristics, and side effects. With data collected from the survey, machine learning models were further employed to quantitatively assess the factors contributing to patients’ decision making. Results suggest that lack of access to transportation has a significant impact on cancer patients’ decisions with respect to stopping or continuing treatments. Limited access to private vehicles will likely lead to the stopping of radiotherapy. In addition, trip frequency and trip length to caregivers influence the patients’ continuing or quitting chemotherapy. Insights generated in this study have great potential to help policy makers and planners make informed decisions to enhance cancer patients’ access to treatments and improve their health outcomes.

scholarly journals Effect of Concussions on National Football League Quarterback Performance

2020 ◽  
Vol 8 (4) ◽  
pp. 19
Author(s):  
Elizabeth C. Heintz ◽  
Emily F. Foret ◽  
Jeremy J. Foreman
Keyword(s):  
Decision Making ◽  
National Football League ◽  
Field Performance ◽  
American Football ◽  
Return To Play ◽  
Football Players ◽  
Professional Football ◽  
Career Outcomes ◽  
Neurocognitive Performance ◽  
Player Performance

Background: Sports-related concussion (SRC) rates are higher in American football than any other sport; therefore, the effects of SRCs on professional football players is a prevalent topic. Previous research has shown that sustaining an SRC has negative financial and overall career outcomes for athletes and may cause performance decrements after an athlete returns to play, however, the results of previous research regarding athlete performance after returning from an SRC are mixed. While some studies found that player performance in the National Football League (NFL) was unaffected upon returning from an SRC, evidence also suggests significant scoring reductions in offensive players. Although previous research has found that NFL running backs and wide receivers perform at levels similar to their performance before sustaining an SRC, little is known about quarterback performance after an SRC. There is also evidence that SRCs decrease neurocognitive performance, a quality that is crucial, especially for quarterbacks. Objective: The purpose of this study is to examine changes in NFL quarterback performances upon return to play from an SRC. Method: Quarterback ratings (QBRs) and concussion data from 2012-2015 were used to determine if changes occurred in NFL quarterback performance following an SRC. Results: QBRs decreased by 13.3 points (p = 0.014) after quarterbacks return from an SRC. Conclusions: Changes in on-field performance for NFL quarterbacks after sustaining an SRC could be the result of neurocognitive decrements that impact quick reaction and decision-making skills, which may have greater impacts on quarterbacks than other positions.

scholarly journals At return to play following hamstring injury the majority of professional football players have residual isokinetic deficits

2014 ◽  
Vol 48 (18) ◽  
pp. 1364-1369 ◽  
Author(s):  
Johannes L Tol ◽  
Bruce Hamilton ◽  
Cristiano Eirale ◽  
Patrice Muxart ◽  
Philipp Jacobsen ◽  
...  
Keyword(s):  
Return To Play ◽  
Hamstring Injury ◽  
Football Players ◽  
Professional Football

Kegunaan Informasi Akuntansi dalam Pengambilan Keputusan Internal oleh Unit Akuntansi Kuasa Pengguna Anggaran (UAKPA)

2017 ◽  
Vol 2 (4) ◽  
pp. 73-91
Author(s):  
Karno Pandu Wibowo
Keyword(s):  
Decision Making ◽  
Accounting Information ◽  
Information Use ◽  
External Factors ◽  
Accrual Accounting ◽  
Related Factors ◽  
Internal Factors ◽  
Level Of Use ◽  
Accrual Basis ◽  
Cash Basis

This study aims to determine the usefulness level of accounting information (on cash basis and accrual basis) in central goverment agencies internal decision-making process. In addition, this study also aims to determine the influence of the organization’s external factors, the organization's internal factors and Individual Actor’s Characteristic Related Factors on the level of use of accounting information in central goverment agencies internal decision making.The research show that  level of accrual accounting information use in the context of internal decision making is high. In addition it showed differences between  level of cash-based accounting information use and accrual-based accounting information use. This study also addressed that the organization’s external factors, the organization's internal factors and individual actor’s characteristic related factors significantly influence both level of accounting information use  on cash basis and accrual basis in the internal decision-making. Except for the organization’s external factors  did not significantly affect the level of accrual accounting information use  in the internal decision-making.   Abstrak Penelitian ini bertujuan untuk mengetahui tingkat kegunaan informasi akuntansi (berbasis kas dan akrual) dalam proses pengambilan keputusan internal Unit Akuntansi Kuasa Pengguna Anggaran (UAKPA). Selain itu penelitian ini juga bertujuan untuk mengetahui pengaruh faktor eksternal organisasi, faktor internal organisasi dan faktor karakteristik individu pengguna terhadap tingkat penggunaan informasi akuntansi dalam pengambilan keputusan internal Unit Akuntansi Kuasa Pengguna Anggaran (UAKPA).Temuan peneliti menunjukan bahwa tingkat penggunaan informasi akuntansi berbasis akrual tinggi dalam rangka pengambilan keputusan internal. Selain itu penelitian menunjukan adanya perbedaan tingkat penggunaan antara informasi akutansi berbasis kas dan informasi akutansi berbasis akrual. Penelitian juga menujukan bahwa faktor eksternal organisasi, faktor internal organisasi dan faktor karakteristik individu pengguna berpengaruh signifikan terhadap tingkat penggunaan informasi akuntansi (berbasis kas dan akrual) dalam pengambilan keputusan internal. Kecuali untuk faktor eksternal organisasi tidak berpengaruh signifikan terhadap tingkat penggunaan informasi akuntansi akrual dalam pengambilan keputusan internal.

Sign in / Sign up

Export Citation Format

Share Document